277209489-8-26-2025-24-AS-SMOA-DLKL3E-20250916082349

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 277209489
Report Date: 08/25/2025
Date Signed: 08/26/2025 12:56:05 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/21/2025 and conducted by Evaluator Vadim Gorban

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20250821093230

FACILITY NAME:	COTTAGES OF CARMEL		FACILITY NUMBER:	277209489
ADMINISTRATOR:	ESTRELLADO, JULE MAY		FACILITY TYPE:	740
ADDRESS:	26245 CARMEL RANCHO BLVD.		TELEPHONE:	(831) 620-1800
CITY:	CARMEL	STATE: CA	ZIP CODE:	93923
CAPACITY:	78	CENSUS: 51	DATE:	08/25/2025
		UNANNOUNCED	TIME BEGAN:	11:48 AM
MET WITH:	administrator Nelson Rubio		TIME COMPLETED:	12:35 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility allowed untrained staff to work independently with dementia care residents
Facility does not have a certified administrator on the premises

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 08/25/2025, Licensing Program Analyst (LPA) V Gorban conducted subsequent complaint inspection. LPA met with administrator Nelson Rubio. The purpose of this visit is to deliver the findings of the investigation completed by the Department.
During the visit, LPA conducted a tour of the facility, interior and exterior to ensure there are no potential or immediate health and safety risk at the facility.
Regarding the allegations: Facility allowed untrained staff to work independently with dementia care residents and Facility does not have a certified administrator on the premises. Base on interview and records reviews staff (S1) completed required training to work at the facility with dementia residents and facility provided files of certified administrator. Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are UNSUBSTANTIATED.
Exit interview was conducted, and a copy of this report provided to administrator for facility records.
No deficiencies were cited during the visit.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Vadim Gorban
LICENSING EVALUATOR SIGNATURE:	DATE: 08/25/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 1