Aegis Gardens.
Aegis Gardens is Ranked in the top 11% of California memory care with 3 CDSS citations on record; last inspected Jan 2026.
Memory Care RCFE in Fremont with 85 Licensed Beds, reviewed on public record.
© Google Street View
Compared to 58 California facilities with a similar number of beds.
RCFE memory care · 36-month window. Higher percentile = better performance on inspection record. Source: California Dept. of Social Services · Community Care Licensing.
among peers to rank.
Rankings based on 36-month CDSS inspection data. Severity and frequency: fewer citations = higher percentile. Repeat rate: lower repeat citation share = higher percentile.
FACILITY WATCH · FREE
Aegis Gardens has 3 citations on record. Know the moment anything changes.
New findings, complaint investigations, or status changes — emailed to you free.
Where are you in the process? (optional)
Citation history, plotted month by month.
3 deficiencies on record. Each bar is a month with a citation.
Finding distribution
2 total · 36 monthsScope × Severity (CMS A–L)
The rules that apply to this facility.
State requirements with the exact regulation citation, plain-language explanation, and a question to ask on tour. Rules this facility has been cited for appear first.
Plain language
Because a facility markets dementia or Alzheimer's care, state law mandates higher training standards: 12 hours of initial dementia training (6 hours before a staff member works independently with residents, 6 more within the first 4 weeks), 8 hours of annual dementia in-service every year thereafter, and an administrator must include 8 hours of dementia-specific continuing education in every 2-year recertification cycle. Training must cover individualized care plans, behavioral expressions, appropriate supervision, and the facility's dementia care philosophy.
Ask on tour
“Can you show me each direct-care staffer's most recent dementia training certificate, and tell me when their next refresher is due?”
Questions to ask before you visit.
A short pre-tour checklist tailored to Aegis Gardens's record and state requirements.
CDSS records show 12 complaints filed during the inspection period — what were the subjects of those complaints, and how many were substantiated versus unfounded?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
With zero deficiencies across 36 inspections, how does the facility ensure ongoing compliance with Title 22 §87705 dementia-care requirements, including care plan documentation and staff training verification?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
California Title 22 §87706 requires specific staff training for dementia care — how do you track and verify that all caregivers, including new hires and per-diem staff, have completed this training before working with residents?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Every inspection visit, verbatim.
23 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.
2026-01-07Other VisitNo findings
Plain-language summary
On January 7, 2026, the state conducted an unannounced visit following the facility's self-report that a resident was hospitalized on December 6, 2025 for a change in condition and subsequently diagnosed with a stage 3 pressure ulcer. The facility had been providing wound care through home health services since June 2025, and medical records showed the wound was being monitored by a physician; the resident has not returned from hospitalization. No violations were cited.
Read raw inspector notesClose inspector notes
On 01/07/2026 at 2:50 PM, Licensing Program Analyst (LPA) P.Manalo conducted an unannounced Case Management visit regarding a self-reported incident that was sent on 12/11/2025. LPA met with Director of Operations, Angel Lee, and explained the purpose of the visit. The Executive Director was not available during today's visit. Incident report indicated that on 12/06/2025, R1 was sent to the hospital for a change in condition. On 12/10/2025, the facility was notified by R1's responsible party that R1 was diagnosed with a stage 3 pressure ulcer. During the visit, interview with S1 and a review of the after-visit summary dated 09/26/2025 and 11/21/2025, R1 was diagnosed with stage 2 pressure ulcer. LPA reviewed and obtained Home Health Care Visit Communication Form, Physician Fax Reports, hospital progress notes, and service plan. Documents reviewed indicated that R1's pressure ulcer would reopened once healed. Interview with S1 and Physician Fax Report dated 06/13/2025, revealed that since June 2025, R1's home health was initiated for wound care and home health has been monitoring the wound. Since R1's hospitalization, R1 has not returned from hospitalization. No deficiencies cited. Exit interview conducted with Lee and copy of this report is provided.
2026-01-07Complaint InvestigationNo findings
Plain-language summary
On January 7, 2026, inspectors investigated a self-reported fall that occurred on December 16, 2025, when a resident fell without anyone witnessing it; the resident experienced mild pain initially but was taken to the emergency room the next day after a change in condition. The facility had identified this resident as high-risk for falls and had already put safety measures in place, including extra safety checks throughout the day and a motion alarm system. No violations were found.
Read raw inspector notesClose inspector notes
On 01/07/2026 at 1:20 PM, Licensing Program Analyst (LPA) P.Manalo conducted an unannounced Case Management visit regarding a self-reported incident that was sent on 12/17/2025. LPA met with Director of Operations, Angel Lee, and explained the purpose of the visit. The Executive Director was not available during today's visit. Incident report indicated that Resident 1 (R1) had an unwitnessed fall on 12/16/2025. R1 was experiencing mild pain and was resolved with pain medications. On 12/17/2025, R1 had a change in condition and was sent to the Emergency Room (ER). During the visit, LPA reviewed After Visit Summary, Physician Fax Report Form, Unusual Occurrence Report (Facility Incident Report), Service Plans dated 11/26/2025 and 12/18/2025, and R1's physician report. LPA interviewed 3 staff members. LPA interviewed Staff 1 (S1) and Staff 2 (S2) revealed that R1 is a high risk for falls. A review of R1's service plan indicated that R1 was placed on the additional safety checks throughout the day effective 12/16/2025 and on the Augi sensor system on 11/26/2025. Interview with S2 revealed that communication between family regarding 1:1 care was conducted through the phone after the fall incidents had occured. S3 stated that they heard the motion alarm sound on 12/16/2025, and when they checked on R1, they found R1 on the floor. LPA will be requesting additional communication log between the facility and family regarding 1:1 care services. No deficiencies cited. Exit interview conducted and a copy of this report was provided.
2025-11-12Other VisitNo findings
2025-10-29Other VisitNo findings
Plain-language summary
On October 29, 2025, the state conducted an unannounced inspection following the facility's self-report of a resident's fall and fracture. A resident fell on October 25, 2025 without being seen, developed pain the next day, and was taken to the hospital where a lower leg fracture was diagnosed and treated with a leg brace. The state found no violations during its review of the incident.
Read raw inspector notesClose inspector notes
On 10/29/2025 at 12:00 PM, Licensing Program Analyst (LPA) P.Manalo conducted an unannounced Case Management visit regarding a self-reported incident. The facility sent in an incident report on 10/27/2025 regarding R1's fracture. LPA met with Health Services Director, Gigi Tamayo, and Director of Operations, Angel Lee, and explained the purpose of the visit. The Executive Director was not available during today's visit. LPA P.Manalo received a self-reported incident report from facility that indicated Resident 1 (R1) had unwitnessed fall on 10/25/2025 and started experiencing pain on 10/26/2025. Responsible party brought R1 to the hospital and was treated with lower leg fracture on 10/27/2025. R1 returned to the facility day of with a leg brace. During the visit, LPA interviewed Health Services Director, Gigi Tamayo, and reviewed R1's Individualized Service Plan dated 10/27/2025 and 09/13/2025, Physician Report, and After Visit Summary. No deficiencies cited during visit. Exit interview was conducted with Tamayo and Lee and a copy of this report was provided.
2025-10-29Complaint InvestigationSubstantiatedType B · 1 finding
Plain-language summary
A complaint alleged that staff were blocking a passageway in the memory care unit. The investigator found that staff had been placing chairs in front of a side exit door during games and activities to prevent a ball from entering the hallway, which was confirmed by all staff interviewed and documented in incident reports from October 2025. This obstruction of an exit was found to be substantiated.
“Based on interviews and record review, the licensee did not comply with the section cited above by having chairs blocking the side exit door in the memory care unit which posed a potential safety risk to persons in care.”
Read raw inspector notesClose inspector notes
Continue from LIC9099... It was alleged that staff obstructed the facility passageway. During the visit, LPA observed the memory care hallway by the exit door free of obstruction. However, on 10/24/2025, LPA received an incident report from ED verifying that on 10/15/2025 and 10/22/2025, there were chairs blocking the side exit door in memory care to prevent the ball from getting into the hallway. During the visit, interviews with 4 of 4 staff confirmed that the chairs were utilized to block the exit door during games and activities with residents. 4 of 4 staff members also showed LPA where the three chairs would be placed during activities in which LPA observed to be in the hallway in front of the side exit door. Based on LPA's information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, are being cited on the attached LIC9099D. Exit interview conducted. A copy of this report and appeal rights provided.
2025-10-08Other VisitNo findings
Plain-language summary
On October 8, 2025, the state conducted an unannounced visit to investigate a self-reported incident in which a resident had an unwitnessed fall, was hospitalized for a cervical fracture, and subsequently died on October 6, 2025. The inspector reviewed available medical records and care documents, and the state is requesting additional records including progress notes and the death certificate for further review. No deficiencies were cited during this visit.
Read raw inspector notesClose inspector notes
On 10/08/2025 at 12:00 PM, Licensing Program Analyst (LPA) P.Manalo conducted an unannounced Case Management visit regarding a self-reported incident. The facility sent in an incident report on 08/31/2025 and death report on 10/06/2025 regarding Resident 1 (R1). LPA met with Health Services Director, Gigi Tamayo, and Director of Operations, Angel Lee, and explained the purpose of the visit. The Executive Director was not available during today's visit. LPA P.Manalo received a self-reported incident report from facility that indicated Resident 1 (R1) had unwitnessed fall and was admitted to the hospital for a cervical fracture. On 10/06/2025, LPA received a death report that R1 passed away. LPA reviewed and obtained R1's After Visit Summary dated 04/16/2025, Discharge Summary, Physician Report dated 02/05/2025, Resident Appraisal, Care Plans, and Physician Fax Report. LPA will be requesting full medical record, R1's progress notes dated from April 2025 to October 2025, and death certificate to be sent to CCLD. LPA may return at a later time. No deficiencies cited during visit. Exit interview was conducted with Tamayo and Lee and a copy of this report was provided.
2025-06-18Other VisitType B · 1 finding
Plain-language summary
On June 6, 2025, a resident exited the facility through the front door and was missing for a couple of hours before police returned them. An inspection on June 18, 2025 found that the facility failed to ensure adequate supervision for this resident, despite a physician note from February 2025 indicating the resident needed supervision when leaving the facility. After the incident, the facility implemented additional safety measures including a monitoring bracelet, safety checks, and a room monitoring system.
“Based on record review and interview, the licensee did not comply with the section cited above by not providing supervision causing R1 to leave the facility which posed a potential health and safety risk to residents in care.”
Read raw inspector notesClose inspector notes
On 06/18/2025 at 2:50 PM, Licensing Program Analyst (LPA) P.Manalo conducted an unannounced Case Management visit regarding a self-reported incident that occured on 06/06/2025. Administrator self-reported the incident on 06/06/2025. LPA met with Executive Director, Emily Poon and explained the purpose of the visit. LPA received a self-reported incident report from the facility that indicated that Resident 1 (R1) went AWOL by exiting through the front door. The facility notified the police, and R1 was escorted back by the police couple hours later. Interview with Staff 1 (S1) and Staff 2 (S2) revealed that R1 was wandering around the hallways in the facility and exited through the front door. When night staff went to check outside, staff did not see the resident. S1 and S2 stated that after the incident occured, R1 began wearing a Wanderguard Bracelet, have safety checks, and have the AUGi system installed in their room. During record review, LPA observed R1's physician report dated 02/18/2025 indicating R1 needs to have supervision when leaving the facility. LPA also reviewed the facility's training on Use of Wanderguard, Elopement Protocol, and Redirecting dated 06/07/2025 and R1's Care Plan. The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiency and/or repeat deficiency within a 12-month period may result in civil penalty. Exit interview conducted. Appeal Rights and a copy of this report provided.
2025-04-22Other VisitNo findings
Plain-language summary
On April 22, 2025, inspectors conducted a routine annual inspection and found no violations. They checked the facility's physical condition, safety equipment, food storage, medication security, resident records, and staff files—all were in order. Lighting was adequate, bathrooms had grab bars and non-skid surfaces, hot water temperatures were appropriate, and emergency equipment including smoke and carbon monoxide detectors were working.
Read raw inspector notesClose inspector notes
On 04/22/2025 at 10:15 AM, Licensing Program Analysts (LPAs) P. Manalo and K. Nguyen arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Executive Director, Emily Poon, and explained the purpose of the visit. LPAs toured the facility inside and out including but not limited to residents' apartments, bathrooms, activity rooms, beauty salon, kitchen, common area and courtyard. There are no bodies of water observed. LPAs observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 71 degrees F. The hot water temperature in residents’ shared bathroom were measured at 117.1, 112, and 119 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid shower pan. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 06/20/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 03/05/2025. At 10:20am, LPAs reviewed 7 residents records. At 11:25 am, LPAs reviewed 7 staff records and all are associated to the facility. At 1:20 PM, LPAs reviewed two sample of resident’s medications. All records were observed to be complete and up to date. No deficiencies were cited during visit. Exit interview conducted and a copy of this report provided.
2025-04-22Annual Compliance VisitNo findings
Plain-language summary
On April 22, 2025, state inspectors conducted an unannounced visit following the facility's self-report of a resident's hospitalization. The resident was admitted for a urinary tract infection and was found to have had a hemorrhagic stroke. No violations were cited.
Read raw inspector notesClose inspector notes
On 04/22/2025 at 1:50 PM Licensing Program Analysts (LPAs) P.Manalo and K. Nguyen conducted an unannounced Case Management visit regarding a self-reported incident. Executive Director self-reported the incident on 03/31/2025. LPAs met with Executive Director, Emily Poon, and explained the purpose of the visit. LPA P.Manalo received a self-reported incident report from facility that indicated Resident 1 (R1) was admitted for hospitalization for a UTI and internal brain bleed. LPAs record review of the After Visit Summary dated 04/01/2025 shows that R1's internal brain bleed was due to a hemorrhagic stroke. No deficiencies cited during visit. Exit interview was conducted with Executive Director, and a copy of this report was provided.
2024-09-13Annual Compliance VisitNo findings
Plain-language summary
On September 13, 2024, state inspectors visited the facility to investigate an incident and interviewed staff and a resident. The inspectors were unable to obtain details from the resident due to dementia, but staff demonstrated what happened during the incident. No violations were found.
Read raw inspector notesClose inspector notes
On this day 09/13/2024 at 2:10 pm, Licensing Program Analysts (LPAs) Patricia Manalo and Luisa Fontanilla arrived to the facility to conduct a case management visit regarding a incident report and met with Executive Director, Emily Poon and explained the purpose of the visit. During the visit, LPAs interviewed R1 and S1 by obtaining an interpreter service. LPAs attempted to interview R1. However, due to R1's dementia, LPAs were unable to obtain relevant information. LPAs interviewed S1 and S1 demonstrated to LPAs how the incident occurred. No deficiencies were cited during visit. Exit interview conducted and a copy of this report provided.
2024-06-25Other VisitNo findings
Plain-language summary
This was the facility's required annual inspection on June 25, 2024, and no violations were found. The inspector reviewed the building's safety features—including lighting, temperature controls, fire equipment, and emergency supplies—and checked resident and staff records, confirming that staff have current first aid training. The facility is approved to care for up to 85 non-ambulatory residents, with up to 48 able to be bedridden.
Read raw inspector notesClose inspector notes
On 6/25/2024 at 12:20PM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Director of Operations, Angel Lee and explained the purpose of the visit. The facility’s fire clearance was approved for 85 non-ambulatory of which 48 may be bedridden. LPA toured the facility with Director of Operations including but not limited to 6 residents apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPA observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 70 degrees F. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in a sample of residents’ shared bathroom were measured at 109.3, 117.8, 111.0 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care. Freezer temperature measured at 0 degrees F and refrigerator measured at 40 degrees F. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguishers was last serviced on 6/20/2024. Emergency Disaster Plan was last posted on 6/13/2024. First aid kit was observed to be complete. Fire drill was last conducted on 5/25/2024. At 1:00pm, LPA reviewed 6 residents records. At 2:00pm, LPA reviewed 7 staff records and 6 of 6 have current first aid training and associated to the facility. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
2024-02-15Other VisitNo findings
Plain-language summary
On February 15, 2024, state inspectors conducted an unannounced visit to deliver findings from a complaint investigation dating back to June 2023. No violations were found during the visit.
Read raw inspector notesClose inspector notes
On 2/15/2024, at 10:10am, Licensing Program Analysts (LPAs), L. Hall and T. Syess, arrived unannounced to conduct a case management visit. LPAs met with Gigi Tamayo, Health Services Director, and explained the purpose of the visit. LPAs arrived to deliver complaint findings from amended complaint dated 6/13/2023. 15-AS-20230613151024. LPAs obtained signatures on amended complaint document LIC9099 and LIC9099C. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
2023-12-13Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
An investigator looked into a complaint about the facility's services during COVID outbreaks and found evidence that residents were provided small group activities and escorted walks in the courtyard during those periods. While the complaint may have had merit, the investigator determined there was not enough evidence to prove a violation occurred. No violations were cited.
Read raw inspector notesClose inspector notes
On 12/13/2023, LPA G. Luk interviewed staff which revealed that escort services were provided to residents. S4 stated that facility was providing small group activities during the 3 COVID outbreaks. S4 stated that residents were escorted to small group activities and walks in the courtyard area. LPA G. Luk reviewed a sample of resident's service delivery records and observed that residents were provided escort services during the 3 COVID outbreaks. Facility emailed residents and family during each COVID outbreak which indicates that dining room will be closed; However, there will be small group activities and exercise in the courtyard was provided. LPA observed activity schedule where small groups activities were conducted at different times. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore these allegation is UNSUBSTANTIATED . No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.
2023-10-06Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
A complaint alleged that the facility was evicting a resident in retaliation, but the investigation found no evidence to support this claim. Staff stated the eviction was initiated because the resident's care needs had increased beyond what the facility could provide. The complaint was unsubstantiated.
Read raw inspector notesClose inspector notes
Continue from Lic9099 It was alleged that, licensee initiated eviction process in retaliation against resident. Based on interviews conducted, all three (3) staff members stated the reason for eviction is due to a higher level of care. All 3 staff stated when a resident’s care increases, and the facility can not meet a resident’s needs any longer, an eviction process is applied. This eviction process was not due to retaliation of R1. Reporting Party (RP) did not disclose any information to LPA regarding the reason the eviction process was based on retaliation. Based on Interviews record review conducted, Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview conducted with Director of Operations , and a copy of this report provided.
2023-09-29Other VisitNo findings
Plain-language summary
An unannounced case management visit was conducted on September 29, 2023 to deliver an amended report originally from August 23, 2023. No deficiencies were found during this visit.
Read raw inspector notesClose inspector notes
On 9/29/2023, starting at 10:10 AM, Licensing Program Analyst (LPA) L. Fici arrived unannounced to conduct a case management visit to deliver amended report originally dated 8/23/2023. LPA met with Gigi Tamayo, Registered Nurse (RN) and informed her the reason for visit. During visit, LPA obtained original report dated 8/23/2023 from RN. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.
2023-09-29Complaint InvestigationSubstantiatedCitation on file
Plain-language summary
A complaint alleged that staff did not give medication according to the doctor's orders. Investigators found that on two occasions, staff made errors with eye drops for a resident: in June 2023, a staff member gave multiple drops when only one was prescribed, and in August 2023, a staff member grabbed the wrong eye drop bottle but was stopped before administering it. The facility suspended the staff member involved and the complaint was substantiated.
Substantiated — the state found a violation and issued a citation. Full citation details are on file with the state.
Read raw inspector notesClose inspector notes
Continued from Lic9099... It was alleged that; Staff did not dispense medication according to doctor's orders. Based on Interviews, and record review conducted, S1, S2, S3, and S4 stated that S4 accidentally grabbed the incorrect eye drop bottle and was about to administer medication to resident on 8/19/2023. Reporting Party (RP) noticed S4 was going to use the incorrect eye drops, and RP stopped S4 before administering the eye drops into R1's eyes. S5 was a witness when RP realized S4 grabbed the incorrect eye drop bottle. The correct eye drops for R1 was grabbed and administered to R1 accordingly. S4 was suspended from the community until the investigation was finished. On 6/23/2023, a different staff had provided multiple drops into R1's right eye and should have only gotten one drop. LPA conducted record review, which confirmed that S4 made a medication error dated 6/23/2023, which was self reported to CCL. Based on LPAs interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8) are being cited on the attached LIC 9099D. Exit interview conducted with RN, and a copy of this report provided along with appeal rights.
2023-09-22Other VisitNo findings
Plain-language summary
On September 22, 2023, a state licensing analyst made an unannounced visit to deliver an updated inspection report from August 24, 2023. No violations were found. The facility manager and nursing staff were informed of the visit and given a copy of the report.
Read raw inspector notesClose inspector notes
On 9/22/2023, starting at 10:07 AM, Licensing Program Analyst (LPA) L. Fici arrived unannounced to conduct a case management visit to deliver amended report originally dated 8/24/2023. LPA met with Emily Poon, General Manager (GM) and Gigi Tamayo Registered Nurse (RN), and informed them the reason of visit. During visit, LPA obtained original report dated 8/24/2023 from RN. No deficiencies are being cited on this date. Exit interview conducted with GM, and a copy of this report provided.
2023-09-07Annual Compliance VisitNo findings
Plain-language summary
A state inspector made an unannounced visit on September 7, 2023 to deliver an amended report related to a previous inspection from June 9, 2023. No violations were found during this visit. The facility staff received a copy of the report at the time of the inspection.
Read raw inspector notesClose inspector notes
On 9/7/2023 starting at 9:05 AM, Licensing Program Analyst (LPA) L. Fici arrived unannounced to conduct a case management visit to deliver amended report originally dated 6/9/2023. LPA met with Gigi Tamayo, RN and informed her the reason for visit. During visit, LPA obtained original report dated 6/9/2023 from RN. No deficiencies are being cited on this date. Exit interview conducted and a copy of this report provided.
2023-08-30Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
A complaint alleged that staff did not seek medical attention quickly enough after a resident received the wrong medication on May 28, 2023. The investigation found that staff notified the nurse within about an hour of discovering the error, the nurse immediately assessed the resident and contacted the physician, and when the resident's condition changed, 911 was called right away; the resident was hospitalized briefly and discharged the next day. The allegation could not be substantiated based on the available evidence.
Read raw inspector notesClose inspector notes
The department received additional information from RP and all documents, and the interviews conducted by former LPA, L. Fici, was re-reviewed by LPA, L. Hall. LPA met with and delivered the amended report. Allegation: Staff did not seek medical attention for a resident in a timely manner. The RP stated it took the staff approximately 45 minutes to contact 9-1-1 for resident (R1). Based on interviews and record review, including 2 incident reports, R1 was given the wrong medication (belonging to another resident) around 8:00am on May 28, 2023. The staff (S1) notified S4 (registered nurse) around 9:24am of the error, this was the time S1 had realized the mistake had occurred. S4 immediately conducted an assessment with R1, including taking vitals in the presence of R1’s family. The vitals were stable and R4 informed R1’s doctor via fax of the error. Around 10:15 am R1 was observed to be ‘sleepy’ and vitals were rechecked and observed to have changed. At this time, 9-1-1 call was immediately made and R1 was transported to Kaiser Hospital. R1 was discharged back to the facility on May 29, 2023. Based on record review of communication between the facility and the physician. It indicates that the facility had sent notification to the physician at 10:07am on May 28, 2023, that contained the medication that was taken and R1’s vitals that were taken when S4 was first notified. The physician replied on May 30, 2023, that R1 had been seen in the emergency department. Review of previous complaint dated June 1, 2023, control #15-AS-20230601140155, the Health Service Director (HSD) submitted a plan that will provide training in medication errors, assess the medication assistance process, and make the necessary changes to prevent errors. The Health Service Director also will enforce documentation standards for medication policy per the plan submitted to Community Care Licensing Department. Based on Interviews conducted, Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview conducted with RN, and a copy of this report provided.
2023-08-24Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
A complaint alleged that the facility charged residents for services they did not receive. Investigators interviewed staff and residents' family members and reviewed billing records, which showed no extra charges were made for meal tray service, escorting, or eating supervision during COVID-19 outbreaks in late 2022 and early 2023. The complaint could not be substantiated.
Read raw inspector notesClose inspector notes
Continue from Lic9099 It was alleged that, Staff charged residents for services not received. Based on interviews and record review conducted, S1, S2, and S3 stated that tray service was complimentary during the time when the facility had a Covid-19 outbreak, and no residents were charged. All three staff stated tray service is the only service that is complimentary during a Covid-19 outbreak. LPA confirmed with S1, S2, and S3 that if tray service was charged, a refund is granted back to the residents’ representative. LPA interviewed and spoke to R1- R6’s representatives, and they have all stated that were was no extra charge made by Aegis Gardens for tray services during COVID-19 outbreak. In addition, R1-R6 were not charged for escorting and eating supervision during the time of Covid-19 outbreak dated for October 16 - November 17, 2022, January 01-23, 2023, and February 06-16, 2023 . LPA reviewed residents’ statement invoices which indicated there were no extra service charges made to the residents’ representatives by Aegis Gardens. Based on Interviews and record review conducted, Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview conducted with RN, and a copy of this report provided.
2023-07-19Other VisitNo findings
Plain-language summary
During a complaint follow-up visit on July 19, 2023, inspectors found that the facility readmitted a resident with a health condition that required a state exemption, but the facility had not obtained that exemption before the resident returned. The facility acknowledged it did not request the exemption. The inspector cited this as a violation and notified the facility that failure to correct it could result in penalties.
Read raw inspector notesClose inspector notes
On 7/19/2023 at 1:08 PM, Licensing Program Analyst (LPA) L. Fici arrived unannounced to conduct a Case Management. LPA met with Gigi Tamayo, Registered nurse (RN). When LPA L. Fici opened a 10-day initial complaint visit (15-AS-20230711115733) on 7/19/2023. R1 was hospitalized on 1/30/2023, and returned to the community on 2/4/2023. LPA observed R1 with a restricted health condition and reviewed R1's file and observed facility did not request an exemption before re-admitting R1 with a restricted health condition. S1 stated that the facility did not request an exemption. The following deficiency was observed: - On 7/19/2023, LPA reviewed R1's file and did not observed an exemption for a restricted health condition. The deficiency was observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiency may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided.
2023-07-05Other VisitNo findings
Plain-language summary
This was a routine annual inspection on July 5, 2023, where inspectors found the facility in compliance with all safety and care standards—no violations were cited. The inspector checked the building's physical condition (lighting, temperature, water safety, fire equipment, food supplies), reviewed staff and resident records, and verified medications were being managed properly. The facility was asked to submit updated administrative and emergency planning documents by mid-July.
Read raw inspector notesClose inspector notes
On 7/5/2023 starting at 1:20 PM, Licensing Program Analyst (LPA) L. Fici arrived unannounced to conduct 1-Year Annual Required Inspection. LPA met with Emily Poon, Administrator (ADM) and explained the purpose of the visit. Administrators certificate (6003257740) is valid and expires on 3/25/2024. The facility’s fire clearance was approved for eighty-five (85) non- ambulatory residents, which forty-three (43) may be bedridden and 4 residents may be on hospice. Upon entry, LPA observed five (5) staff and seven (7) residents present during inspection. Starting at 1:50 PM, LPA toured facility with ADM including but not limited to sixty-four (64) bedrooms and 69 bathrooms, kitchen, common area and backyard. The facility consists of 64 total private bedrooms which 10 bedrooms are shared. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 71 Degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents'. The hot water temperature in residents’ bathroom was measured at 117.7 Degrees Fahrenheit. Residents’ bathrooms are equipped non-skid mats. There is a minimum of one-week supply of nonperishable and 2-day supply of perishable foods. Sharps and toxins were locked and inaccessible to residents'. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was observed last serviced on 7/20/2022. First aid kit was observed to be complete. Continue on Lic809-C 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Continued from Lic809 Starting At 2:23 PM, LPA reviewed 10 of 10 staff records. At 3:16 PM, LPA reviewed 10 of 10 residents' record. At 4:26 PM, LPA reviewed a sample of 10 of 10 residents' medications. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 7/12/2023: · LIC 308 Designation of Administrative Responsibility · LIC 500 Personnel Report · LIC 610D Emergency Disaster Plan (9 Pages) · Liability Insurance No deficiencies cited during visit. Exit interview conducted with ADM, and a copy of this report provided.
2023-06-23Other VisitNo findings
Plain-language summary
On June 23, 2023, a state licensing analyst made an unannounced visit to deliver an updated inspection report from June 9, 2023. No violations were found during this visit. The facility received a copy of the report.
Read raw inspector notesClose inspector notes
On 6/23/2023 starting at 11:25 AM, Licensing Program Analyst (LPA) L. Fici arrived unannounced to conduct a case management visit to deliver amended report originally dated 6/9/2023. LPA met with Gigi Tamayo, Registered Nurse (RN) and informed her the reason for visit. During visit, LPA obtained original report dated 6/9/2023 from RN. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.
7 older inspections from 2021 are not shown above.
Get the complete record, translated into plain language — emailed to you.
Other facilities in Alameda County.
Other memory care facilities in Alameda County with similar care offerings.
Free · Facility Watch
Family reviews
No reviews yet — be the first to share your experience
Other memory care options nearby.
More options in neighboring cities
Licensed memory care in other cities within this county region — useful when your search radius crosses city limits.