Good Shepherd Vista

Staff are neglecting resident Interview with residents revealed that staff are available when residents needs assistance. Interview with S1 indicated there are 3 caregivers in the AM shift, 2 caregivers in the PM shift, and 1 awake staff for night shift. S1 stated that AM and PM shifts overlaps and there are live-in caregivers on call for night shift. Interview with witnesses revealed that R1 has an outpatient team and home health nurse to assist R1 with medical and dental needs. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore these allegations are UNSUBSTANTIATED . No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.

On 3/17/22 at 2:35 p.m. Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct Infection Control Inspection. LPA met with Administrator, Hasmin Koo and explained the purpose of the visit. During the Infection Control Inspection, LPA toured facility including but not limited t:o front entrance, screening station, hand washing stations, bedrooms, common areas, kitchen and backyard. Facility has a sufficient 2-day perishable and one week non-perishable food supply. Visitors policy is posted on the front entrance. There is one central entry point for universal screening for staff, residents and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Cough/sneeze etiquette, social distancing and hand washing posters were observed. Facility staff were observed to be wearing proper PPE. Facility has a 30-day supply of PPEs maintained at central location and easily accessible for staff. Facility has a mitigation plan and maintains record of routine screening for residents and staff. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

On 02/05/2026 at 8:30AM, Licensing Program Analysts (LPAs) Andrew Christy and Grace Luk arrived unannounced to conduct the 1-Year Annual Required inspection. LPA met with Lead Staff, Stephanie Griffiths, and explained the purpose of the visit. Administrator Hasmin Koo arrived at 9:30AM. The facility currently houses 20 residents with a max capacity of 22 residents. LPAs toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. No bodies of water were observed. A comfortable indoor temperature is maintained at 68.0 degrees Fahrenheit. The hot water temperature in the residents’ shared bathroom was measured at 107.8 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 01/08/2025 with a new appointment for servicing on 02/12/2026. At 11:15AM, LPA reviewed five (5) resident files and five (5) staff files, all found to be complete. The emergency disaster plan was last reviewed 08/10/2025. Quarterly emergency drills were last conducted 12/01/2025. A review of resident medications and the Medication Administration Record (MAR) found no outstanding errors. No deficiencies cited during visit. Exit interview conducted and a copy of this report was provided to the administrator.

On 2/13/24, Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Hasmin Koo, Administrator and explained the purpose of the visit. LPA toured the facility including but not limited to residents’ bedrooms, bathrooms, activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 70 degrees F. The hot water temperature in the kitchen sink was measured at 110.5 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. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 1/8/25. Emergency Disaster Plan was last posted on 2/01/25. First aid kit was observed to be complete. Fire drill was last conducted on 12/20/24. LPA reviewed 5 residents records and 5 staff records, and all were complete. LPA also reviewed a sample of resident’s medications. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

LPA interviewed S2 who stated he was on duty but not feeling well on the morning of 7/28/24 and was in the bathroom when Oakland Fire arrived at the facility. He estimates that it took him several minutes to get to the front gate. When he arrived there, he found the egress alarm had been triggered and saw R1 with Oakland Fire personnel being evaluated. S2 stated that Oakland Fire took R1 to Alta Bates ER to be evaluated. LPA interviewed R1 who was in her bedroom at the facility. LPA observed that R1 had a cell phone on her night table. LPA asked R1 how she was feeling and R1 replied that she was “fine.” LPA asked R1 about calling 911. R1 stated that she calls 911 on her own because she “doesn’t want to bother the staff.” R1 had no complaints about her care at the facility. This agency has investigated the complaint alleging staff did not follow proper emergency procedures as necessary. We have found that the complaint was unsubstantiated. 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, a copy of this report provided.

The facility does laundry for the residents on a daily basis for most residents. R1 has his own laundry basket which the staff pick up upon request in the evening and return in the morning. Upon admission the facility puts the residents name in all of their clothing to help identify what items belong to what residents. R1 often accuses other residents of wearing his clothing and staff have to show him the name in the clothing to prove the clothing is not his. LPA reviewed R1’s file. R1 has been at the facility since 11/07/2022 and is able to leave the facility unassisted. The facility manages R1’s medication. R1 needs help with most of his activities of daily living. LPA also interviewed R1. R1 was able to tell LPA that he gets a $30 check weekly and cashes the checks at a check cashing place and buys cigarettes and personal items. R1 stated “they take everything I got” but was unable to provide LPA with any details. This agency has investigated the complaint alleging that facility staff did not safeguard resident's property. We have found that the complaint was unsubstantiated. 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, a copy of this report provided.

On 1/23/23 at 2:00 p.m., Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct Infection Control Inspection. LPA met with Esther Llanos, Care Staff and explained the purpose of the visit. LPA spoke with Hasmin Koo by phone. Ms. Koo gave permission for care staff to sign the report. During the Infection Control Inspection, LPA toured facility including but not limited to: front entrance, screening station, bathrooms, bedrooms, common areas, kitchen and backyard. Facility has a sufficient 2-day perishable and one week non-perishable food supply. Visitors policy is posted on the front entrance. There is one central entry point for universal screening for staff, residents and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Cough/sneeze etiquette, social distancing and hand washing posters were observed. Facility staff were observed to be wearing proper PPE. Facility has a 30-day supply of PPE maintained at central location and easily accessible for staff. Facility has a mitigation plan and maintains record of routine screening for residents and staff. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

On 6/13/22 at 1:45 p.m., Licensing Program Analyst (LPA) G. Clark arrived unannounced to conduct a health and safety check as a result of a priority 2 complaint. LPA met with Administrator, Hasmin Koo. LPA toured facility including but not limited to the bedrooms, bathrooms, common area, kitchen, and outdoor area. Hot water temperature was measured at 115 degrees F in the kitchen sink. A 7-day of non-perishable and 2-day of perishable food supplies were observed. Resident's medications were kept locked in a kitchen cabinet. Smoke and Carbon monoxide detectors observed. Fire extinguisher was last serviced on 2/7/22. First-aid kit was complete. There are no accessible bodies of water observed. No deficiencies noted. Exit interview conducted. A copy of this report and was provided.