Opal Care Llc.
Opal Care Llc is Ranked in the bottom 1% on repeat-citation rate among California peers with 68 CDSS citations on record; last inspected May 2026.
Licensed Memory Care Home in Oakland's Temescal Neighborhood, reviewed on public record.
© Google Street View
Compared to 152 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.
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 · BETA
Opal Care Llc has 68 citations on record. Know the moment anything changes.
New findings, complaint investigations, or status changes — emailed to you free.
Citation history, plotted month by month.
68 deficiencies on record. Each bar is a month with a citation.
Finding distribution
76 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 Opal Care Llc's record and state requirements.
State records show three Type A deficiencies, meaning actual harm to residents was documented — what were the circumstances of each citation, and what corrective actions were implemented?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Fifteen complaints have been filed with CDSS during the period on file — how many were substantiated, what were their subjects, and what operational changes resulted from the investigations?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
The facility has been cited under §87705 or §87706 for dementia care requirements — what was the specific nature of that citation, and how has the facility addressed compliance since then?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Every inspection visit, verbatim.
50 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.
2026-05-04Other VisitNo findings
Read raw inspector notesClose inspector notes
On 05/04/2026 at 2:40 PM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to deliver an amended report for a complaint dated 02/03/2026. LPA met with Administrator Ferdinand Gutierrez and explained the purpose of the visit. Amended 9099 to correct missing information. LPA left Amended 9099 with Administrator Ferdinand Gutierrez. No deficiencies cited during the visit. Exit interview conducted and a copy of this report provided.
2026-04-23Other VisitType A · 1 finding
Plain-language summary
An analyst conducted a health and safety check in April 2025 after a resident who required supervised care walked out of the facility unnoticed; staff did not discover the resident was gone for about 30 minutes before calling police, and the resident was later moved out by their case manager. The facility was cited for failing to maintain adequate supervision and assessed a $1,000 penalty.
“Based on interview, the licensee did not comply with the section cited above by not having enough supervision which posed a potential health and safety risk to persons in care.”
Read raw inspector notesClose inspector notes
On 04/22/2025 at 09:45 AM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to conduct a health and safety check regarding an elopement as reported to the department by the facility through an Unusual Incident Report (LIC624) received by the department on 04/16/2026. LPA met with Administrator Ferdinand Gutierrez and explained the purpose of the visit. Administrator Ferdinand Gutierrez called Licensee/Administrator Victoria Puruganan, for a three-way call. LPA spoke with the Administrator regarding the elopement of a resident (R1). R1 has a Physician’s Report (LIC602) stating that the residents cannot leave unattended. Licensee/Administrator Victoria Puruganan informed LPA that the resident had earlier in the day spoken to R1’s case manager and was upset by that conversation. R1 went to Licensee/Administrator Victoria Puruganan later that day to have a further discussion. After leaving the facility’s office, R1 walked out the front door. Staff did not notice R1 had left for about thirty (3) minutes. Staff then went to look for R1 and called the police. Licensee/Administrator Victoria Puruganan informed LPA that R1 was moved out of the facility by R1's case manager. The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code. Failure to correct deficiencies by POC date may result in additional Civil Penalties. An immediate and repeat civil penalty of $1,000 is hereby assessed. Exit interview conducted. A copy of this report, LIC421IM and appeal rights provided.
2026-04-23Complaint InvestigationUnsubstantiatedNo findings
2026-04-13Other VisitNo findings
Plain-language summary
A health and safety check was conducted on April 13, 2026, with tours of bedrooms, bathrooms, common areas, kitchen, and outdoor spaces. Residents were appropriately groomed with no visible injuries, the facility had adequate food supplies and working utilities, and no violations were found.
Read raw inspector notesClose inspector notes
On 04/13/2026 at 3:15 PM, Licensing Program Analysts (LPA) David Doidge arrived unannounced to conduct a health and safety check. LPA met with Administrator Ferdinand Gutierrez and explained the purpose of the visit. LPA toured the facility including but not limited to bedrooms, bathrooms, common area, kitchen, and outdoor area. Administrator informed LPA that 2 residents have moved out since the first of April. Administrator called Licensee Victoria Puruganan. Victoria informed LPA by phone that the new buyer is signing the application today by 4:30 PM. Licensee informed LPA that the LPA observed residents to be appropriately groomed and attired with no visible bruising or marks. LPA observed no trash piled, electricity and gas operational. Water was running. One week supply of nonperishable and 2-day supply of perishable foods were available. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
2026-03-13Other VisitNo findings
Plain-language summary
On March 13, 2026, inspectors made an unannounced visit to check health and safety conditions at the facility. They toured bedrooms, bathrooms, common areas, kitchen, and outdoor spaces, and found adequate food supplies and proper notification procedures in place. No violations were found.
Read raw inspector notesClose inspector notes
On 03/13/2026 at 11:50 AM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to conduct a health and safety check. LPA met with Administrator Victoria Puruganan and explained the purpose of the visit. LPA toured the facility including but not limited to bedrooms, bathrooms, common area, kitchen, and outdoor area. There was sufficient supply of perishable and nonperishable foods. LPA also verified with Administrator Victoria Puruganan that on March sixth the notices to all responsible parties and residents was sent out. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
2026-02-17Other VisitNo findings
Plain-language summary
A state inspector visited the facility on February 17, 2026, to follow up on four problems that had been identified in a previous inspection and required correction. The inspector found that all four issues had been fixed: residents appeared clean and healthy with no bruises or marks, the facility was clean and well-maintained, utilities and water were working, and there was an adequate supply of food on hand. No new problems were found.
Read raw inspector notesClose inspector notes
On 02/17/2026 at 2:30 PM, Licensing Program Analysts (LPA) David Doidge arrived unannounced to conduct a plan of correction visit. LPA met with Administrator Victoria Puruganan and explained the purpose of the visit. LPA toured the facility including but not limited to bedrooms, bathrooms, common area, kitchen, and outdoor area. LPA observed residents to be appropriately groomed and attired with no visible bruising or marks. LPA observed no trash piled, electricity and gas operational. Water was running. One week supply of nonperishable and 2-day supply of perishable foods were available. LPA cleared all four deficiencies cited during the 02/11/2026 visit. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
2026-02-11Other VisitType B · 4 findings
“Based on observation, the licensee did not comply with the section cited above by not having adequate amount of toilet paper and paper towels available which poses a potential health and safety risk to persons in care.”
“Based on record review, the licensee did not comply with the section cited above by not tracking and recording incontinent checks which poses a potential health and safety risk to persons in care.”
“Based on observation, the licensee did not comply with the section cited above by not having staff scheduled Monday to Sunday 2:00 Am to 7:00 AM which poses a potential health and safety risk to persons in care.”
“Based on observation, the licensee did not comply with the section cited above by not having an adequate supply to cover all residents which poses a potential health and safety risk to persons in care.”
Read raw inspector notesClose inspector notes
Continued from LIC9099 Investigation Findings: It was reported to the department that there was no toilet paper or paper towels in any of the residents’ bathrooms, and residents were using writing paper and newspapers as toilet paper. S2 reported that staff are instructed to put out only one roll of toilet paper per day. S2 has seen magazine and newspaper in toilets while cleaning, as did other staff members. LPAs observed only one roll of toilet paper in each bathroom and no paper towels in any bathroom. S3 informed LPAs that staff limit the amount of toilet paper and paper towels in each bathroom to prevent colgs as residents have been clogging toilets. Based on observation and interviews, the allegation is SUBSTANTIATED. Allegations: Facility is not meeting the resident’s incontinent care needs Investigation Findings: It was reported to the department that staff are not changing a resident with incontinence frequently. LPAs interviewed R1, who was not alert nor oriented enough to provide adequate information. The facility has a changing chart near the bed. Upon review, LPAs observed gaps between changing as long as 14 hours, and there is no log of staff checking R1’s diaper. Based on observation and record review, the allegation is SUBSTANTIATED. Allegations: Licensee does not ensure staff are present at all times Investigation Findings: It was reported to the department that the facility has no staff coverage on Monday through Sunday from 2:00 AM to 7:00 AM. LPAs reviewed the facility’s LIC 500 and confirmed there is no staff scheduled 2:00 Am to 7:00 AM Monday through Sunday, therefore this allegation is SUBSTANTIATED. Allegations: Staff do not ensure that residents have adequate hygiene supplies Continued on LIC9099-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 LIC9099 Investigation Findings: it was reported to the department that there is a lack of basic necessities, such as soap and shampoo in the facility. LPAs observed one bottle of shampoo and 1 bar of soap in a supply cabinet, but none in any bathroom. The facility’s Admission Agreement specifies that basic needs, including soap and shampoo, are included in the rent. S2 informed LPAs that some residents will buy their own products based on personal preference, however the facility does not have an adequate supply to cover residents that do not buy their own or run out. Based on observation, the allegation is SUBSTANTIATED. Deficiencies are cited from Title 22 California Code of Regulations (see 9099D). Failure to submit proof of corrections by plan of correction due date and any repeat violation within 12 month period may result an additional civil penalty. An Immediate and repeat Civil penalty of $1000.00 is assessed. Deficiencies, plan and proof of corrections were discussed with Administrator Ferdinand Gutierrez Exit interview conducted, Appeal Rights, and copy this report provided. 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 LIC9099 A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. No deficiencies cited during the visit. Exit interview conducted and a copy of this report provided.
2026-02-02Other VisitNo findings
Plain-language summary
State inspectors made an unannounced health and safety visit on February 2, 2026, and found no deficiencies. They toured the facility including bedrooms, bathrooms, kitchen, and outdoor areas, observed residents in good condition with no visible bruising or marks, and confirmed adequate food supplies and working utilities.
Read raw inspector notesClose inspector notes
On 02/02/2026 at 12:00 PM, Licensing Program Analysts (LPA) David Doidge and Licensing Program Manager (LPM) Jeremy Fong arrived unannounced to conduct a health and safety check. LPA and LPM met with Administrator Victoria Puruganan and explained the purpose of the visit. LPA and LPM toured the facility including but not limited to bedrooms, bathrooms, common area, kitchen, and outdoor area. LPA and LPM inspected the kitchen and pantry as well as refrigerators and freezers. LPA and LPM observed residents to be appropriately groomed and attired with no visible bruising or marks. LPA and LPM observed no trash piled, electricity and gas operational. Water was running, and five staff observed. One week supply of nonperishable and 2-day supply of perishable foods were available. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
2026-01-09Other VisitType B · 2 findings
Plain-language summary
Inspectors conducted an unannounced health and safety check on January 9, 2026, and found that all four bathrooms lacked toilet paper and paper towels, and moldy cauliflower was stored in the pantry. The facility's resident files were complete and the rest of the facility appeared acceptable during the tour. The facility has been cited for these deficiencies and must correct them by the deadline noted in the report.
“Based on observation, the licensee did not comply with the section cited above by having moldy food which poses an immediate health, safety or personal rights risk to persons in care.”
“Based on observation, the Licensee did not comply with the section above by not having sufficient amount of hygiene supplies for the number of residents in the facility, which poses a potential health and safety risk to persons in care.”
Read raw inspector notesClose inspector notes
On 01/09/2026 at 02:20 AM, Licensing Program Analysts (LPAs) David Doidge and Andrew Christy arrived unannounced to conduct a health and safety check. LPAs met with Administrator Victoria Puruganan and explained the purpose of the visit. Administrator informed LPAs that a new resident moved in on 12/23/2025. LPAs reviewed resident’s file; it was complete. LPAs toured the facility including but not limited to bedrooms, bathrooms, common area, kitchen, and outdoor area. LPAs inspected the kitchen and pantry as well as refrigerators and freezers. At: 2:15 PM, LPAs observed no toilet paper or paper towels in any of the four bathrooms. At 2:45 PM LPAs observed moldy cauliflower in the pantry. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code. Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted and a copy of this report provided.
2025-11-26Other VisitNo findings
Plain-language summary
On November 26, 2025, inspectors conducted an unannounced visit to investigate an elopement that occurred on November 24, 2025, when a resident who requires supervision left the facility unattended around 1:15 AM; staff followed the resident to Kaiser and called 911. No violations were found during the inspection.
Read raw inspector notesClose inspector notes
On 11/26/2025 at 11:45 AM, Licensing Program Analysts (LPA) Ardalan Gharachorloo arrived unannounced to conduct a health and safety check regarding an elopement as reported by the night staff (S2) on 11/24/2025 . LPA met with Administrator, Victoria Puruganan and explained the purpose of the visit. LPA spoke with the Licensee regarding the elopement of the resident (R1). R1, as previously reported, cannot leave unattended. LPA and Licensee/Administrator Victoria Puruganan spoke about the latest elopement. Licensee submitted the incident report to CCLD on 11/24/2025. On 11/24/25 at around 1:15 AM, R1 left the facility unattended. S2 stated that he attempted to prevent resident from leaving the facility but was not successful. S2 followed R1 as R1 went to Kaiser. S2 called 911 and filed the police report. LPA reviewed the facility’s LIC500 and obtained a copy of the resident roster. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
2025-11-19Other VisitNo findings
Plain-language summary
On November 19, 2025, state inspectors conducted an unannounced health and safety check of the facility, including tours of bedrooms, bathrooms, common areas, kitchen, and outdoor spaces. Inspectors reviewed staffing levels and food storage conditions and found no violations.
Read raw inspector notesClose inspector notes
On 11/19/2025 at 09:10 AM, Licensing Program Analysts (LPAs) David Doidge and Andrew Christy arrived unannounced to conduct a health and safety check. LPAs met with Administrator Ferdinand Gutierrez and explained the purpose of the visit. LPAs toured the facility including but not limited to bedrooms, bathrooms, common area, kitchen, and outdoor area. LPAs inspected the kitchen and pantry as well as refrigerators and freezers. LPA reviewed the facility’s LIC500 to confirm there is enough staff on duty to provide coverage for residents. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
2025-11-14Other VisitNo findings
Plain-language summary
An unannounced health and safety check was conducted on November 14, 2025, which included tours of bedrooms, bathrooms, common areas, the kitchen, and outdoor spaces. No violations were found during the inspection.
Read raw inspector notesClose inspector notes
On 11/14/2025 at 10:20 AM, Licensing Program Analysts (LPAs) David Doidge and Andrew Christy arrived unannounced to conduct a health and safety check. LPAs met with Administrator Ferdinand Gutierrez and explained the purpose of the visit. LPAs toured the facility including but not limited to bedrooms, bathrooms, common area, and outdoor area. LPAs inspected the kitchen and pantry as well as refrigerators and freezers. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
2025-11-07Other VisitNo findings
Plain-language summary
An unannounced health and safety inspection was conducted on November 7, 2025, during which the inspector toured the facility's bedrooms, bathrooms, common areas, kitchen, and outdoor spaces. No violations were found.
Read raw inspector notesClose inspector notes
On 11/07/2025 at 12:50 PM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to conduct a health and safety check. LPA met with Licensee/Administrator Victoria Puruganan and explained the purpose of the visit. LPA toured the facility LPA toured the facility including but not limited to bedrooms, bathrooms, common area, and outdoor area. LPA inspected the kitchen and pantry as well as refrigerators and freezers. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
2025-10-31Other VisitType A · 1 finding
Plain-language summary
On October 31, 2025, inspectors conducted an unannounced health and safety check after the facility reported that a resident who requires supervision left the facility unattended. The facility was cited for a failure to prevent elopement and assessed a $1,000 penalty. The facility must take steps to prevent this from happening again.
“Based on interview, the licensee did not comply with the section cited above by not having the supervision which posed a potential health and safety risk to persons in care.”
Read raw inspector notesClose inspector notes
On 10/31/2025 at 12:50 PM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to conduct a health and safety check regarding an elopement as reported by Center for Elders' Independence (CEI) PACE Temescal to CCLD. LPA met with Licensee/Administrator Victoria Puruganan and explained the purpose of the visit. LPA spoke with the Licensee regarding the elopement of a resident (R1). R1, as previously reported, cannot leave unattended. LPA and Licensee/Administrator Victoria Puruganan spoke about the elopements and what steps are to be taken to prevent future elopements. The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code. Failure to correct deficiencies by POC date may result in additional Civil Penalties. An immediate and repeat civil penalty of $1,000 is hereby assessed. Exit interview conducted. A copy of this report, LIC421IM and appeal rights provided.
2025-10-28Other VisitType A · 1 finding
Plain-language summary
During an unannounced health and safety inspection on October 28, 2025, inspectors found moldy vegetables in the refrigerator and inadequate food supplies, including insufficient cereal and snacks for the nine residents living at the facility. The facility was required to submit a plan to correct these food safety and supply issues and was assessed a $1,000 civil penalty.
“Based on observation and interview, the licensee did not comply with the section cited above in not having snacks, nonperishable foods for a minimum of one week and perishable foods for a minimum of two days which poses an immediate health, safety or personal rights risk to persons in care.”
Read raw inspector notesClose inspector notes
On 10/28/2025 at 12:00 PM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to conduct a health and safety check. LPA met with Licensee/Administrator Victoria Puruganan and explained the purpose of the visit. LPA toured the facility including but not limited to bedrooms, bathrooms, common area, kitchen, and outdoor area. LPA obtained copy of facility’s menu for the last month. LPA inspected the kitchen and pantry as well as refrigerators and freezers. The following deficiency was observed: · At 12:30 PM, LPA observed Inadequate food supply. Vegetables in the refrigerator were moldy. There was not enough cereal nor snacks for 9 residents. Deficiency is cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. An immediate and repeat civil penalty of $1,000 is hereby assessed. Exit interview was conducted, a copy of this report and Appeal Rights provided.
2025-09-29Complaint InvestigationSubstantiatedType A · 2 findings
Plain-language summary
A complaint investigation found that the facility is housing a resident in a living room converted to a bedroom that was not approved by the fire marshal and does not appear on the original facility layout. Inspectors also confirmed that no staff members are scheduled on the premises between 10:00 PM and 6:00 AM, leaving residents unattended during nighttime hours.
“Based on observation, the licensee did not comply with the section cited above by having a resident's sleeping quarters in commmon area which posed a potential health and safety risk to persons in care.”
“Based on interview, the licensee did not comply with the section cited above by not having staff scheduled 10:00 PM to ^:00 AM which posed a potential health and safety risk to persons in care.”
Read raw inspector notesClose inspector notes
Continued from LIC9099 During investigation, LPAs toured the facility and observed a resident, R1, occupying a space in the living room that has been converted into a bedroom that is not fire cleared nor on the original facility sketch. Therefore, this allegation is SUBSTANTIATED. Allegations: Staff leave residents unattended. Investigation Findings: It was reported to the department that there are no night staff on the premises. LPAs reviewed the staff schedule for August and September, and found there were no specific times listed for staff shifts. LPAs spoke with S1 and discovered that there are no listed times for the shifts due to inconsistent number of staff on shift S1 also reported that there are no staff scheduled 10:00 PM to 6:00 AM. Therefore, this allegation is SUBSTANTIATED. The preponderance of evidence is met; therefore, the allegations are substantiated. Deficiencies are cited from Title 22 California Code of Regulations and listed on 809-D. Failure to submit proof of correction by plan of correction due date and any repeat violation within 12-month period may result in civil penalties. Deficiency plan and proof of correction were discussed with Licensee/Administrator Victoria Puruganan. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.
2025-09-26Other VisitNo findings
Plain-language summary
On September 26, 2025, a state licensing representative made an unannounced visit to deliver a 10-day correction letter to the facility. No new deficiencies were found during this visit. The administrator received the letter and was provided a copy of the inspection report.
Read raw inspector notesClose inspector notes
On 9/26/2025 at 12:15 PM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to deliver a 10-day letter to correct. LPA met with Licensee/Administrator Victoria Puruganan and explained the purpose of the visit. LPA printed the letter and left it with the Licensee/Administrator. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
2025-09-24Other VisitType A · 3 findings
Plain-language summary
On September 24, 2025, state inspectors arrived unannounced to investigate a complaint and found three deficiencies: a bedridden resident was in a room that had not been cleared for fire safety, the resident's care plan had not been updated since March 2023 despite changes in their needs, and inspectors found a urine-soiled blanket in a bedroom closet that was causing odors throughout the second floor. The facility was cited for these violations and informed that failure to correct them could result in civil penalties.
“Based on observation, the licensee did not comply with the section cited above by having a bedridden resident in a non-cleared room.”
“Based on record review, the licensee did not comply with the section cited above by not performing a reappraisal since March 2023.”
“Based on observation, the licensee did not comply with the section cited above by not removing soiled linens in bedroom.”
Read raw inspector notesClose inspector notes
On 09/24/2025 at 4:001 PM, Licensing Program Analysts (LPAs) David Doidge and Andrew Christy arrived unannounced to open a 10-day initial visit for complaint number 15-AS-20250917130441 . LPAs met with Licensee/Administrator Victoria Puruganan and explained the reason for the visit. During the complaint investigation, LPAs noted and cited for the following deficiencies: At 12:45PM, LPAs observed a resident (R1) in a room that is not fire cleared. LPAs evaluated the resident and came to the conclusion that the resident is bedridden. At 1:00PM, LPAs reviewed R1's file. The Appraisal Needs And Services Plan (ANS) had not been updated March 2023 while needs have clearly changed. At 1:15 PM, LPAs observed in the closet of bedroom 5 a blanket that had been soiled with urine, emitting a urine smell throughout the second floor of the facility. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in civil penalties. Exit interview conducted. A copy of this report, civil penalty, and appeal rights provided.
2025-09-24Complaint InvestigationSubstantiatedType A · 1 finding
Plain-language summary
A complaint investigation found exposed wires hanging in a resident's room next to the door and a strong paint smell in another room, creating unsafe conditions. The facility was cited for these deficiencies and given a deadline to submit a correction plan. The administrator was notified that failure to correct the problems or any repeat violations within 12 months could result in civil penalties.
“Residents whose condition becomes nonambulatory shall not remain in rooms restricted to ambulatory residents Based on observation, the licensee did not comply with the section cited above by having a bedridden resident in a non-cleared room.”
Read raw inspector notesClose inspector notes
Continued fro LIC9099 R1 has since moved out of the facility. LPAs observed exposed wires hanging in the corner of the room next to door, and room 13 smells of paint. The preponderance of evidence is met; therefore, the allegation is substantiated. Deficiency is cited from Title 22 California Code of Regulations and listed on 809-D. Failure to submit proof of correction by plan of correction due date and any repeat violation within 12-month period may result in civil penalties. Deficiency plan and proof of correction were discussed with Licensee/Administrator Victoria Puruganan. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.
2025-09-15Other VisitType A · 3 findings
Plain-language summary
On September 15, 2025, inspectors investigated an elopement that occurred on August 24, 2025, when a resident who requires assistance left the facility unattended for three to four hours; the resident was found and returned safely, but the facility failed to report the incident to the state. Inspectors also found that a bedridden resident was placed in a room that had not been approved for that use, and the facility was assessed a $1,500 civil penalty for the elopement, failure to report it, and the improper room placement.
“Based on interview, the licensee did not comply with the section cited above by not having the supervision which posed a potential health and safety risk to persons in care.”
“Based on observation, the licensee did not comply with the section cited above by having a bedridden resident in a non-cleared room.”
“Based on interview and record review the licensee did not comply with the section cited above by not reporting to CCL within 24hrs R1's elopement which posed a potential health, safety or personal rights risk to persons in care.”
Read raw inspector notesClose inspector notes
On 09/15/2025 at 12:00 PM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to conduct a health and safety check regarding an elopement that occurred 08/24/2025 as reported by Oakland Police to CCLD. LPA met with Victoria Puruganan, Licensee/Administrator and explained the purpose of the visit. LPA interviewed staff and Licensee regarding the elopement of a resident (R1). R1 is back, was gone for three (3) to four (4) hours. Staff and Licensee/Administrator know R1 cannot leave unassisted. R1 left the facility for a walk after breakfast. 911 was called around 10:30 AM and R1 walked back to the facility while staff were on the phone with 911. While interviewing, LPA learned a new resident (R2) moved in on 09/09/2025. R2 is bedridden roomed in a non-fire cleared room. Licensee/Administrator did not submit the Unusual Incident Report (LIC624) to CCLD for the 08/24/2025 elopement. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code. Failure to correct deficiencies by POC date may result in additional Civil Penalties. An immediate and repeat civil penalty of $1,500 is hereby assessed for elopement, not reporting elopement to CCLD, and having a bedridden resident in a non-cleared room. Exit interview conducted. A copy of this report, LIC421IM and appeal rights provided.
2025-09-04Other VisitNo findings
Plain-language summary
On September 4, 2025, state regulators made an unannounced health and safety check of the facility and met with the administrator and staff. The facility currently has 7 employees, and the administrator discussed potential staffing changes that may or may not happen. No violations were found during the visit.
Read raw inspector notesClose inspector notes
On 09/04/2025 at 11:15 AM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to conduct a health and safety check of the facility. LPA met with Victoria Puruganan, Licensee/Administrator and explained the purpose of the visit. Three (3) staff and the Licensee/Administrator were present. LPA spoke with the Licensee/Administrator about staffing. Facility now has 7 staff total. Administrator/Licensee informed LPA that potential new hire, and potential new administrator, may not start after all. LPA obtained copy of new LIC500. No citations issued during visit. Exit interview conducted and a copy of this report provided.
2025-08-21Other VisitType A · 1 finding
Plain-language summary
A licensing analyst conducted an unannounced inspection on August 21, 2025, after a resident left the facility on August 19, 2025 and did not return. The facility's own records showed staff knew the resident needed assistance to leave safely, but the facility failed to prevent the elopement and initially delayed reporting the incident. The state cited violations and imposed a $1,000 penalty.
“Based on interview, the licensee did not comply with the section cited above by not having the supervision which posed a potential health and safety risk to persons in care.”
Read raw inspector notesClose inspector notes
On 08/21/2025 at 2:30 PM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to conduct a health and safety check regarding an elopement that occurred 08/19/2025. LPA met with Victoria Puruganan, Licensee/Administrator and explained the purpose of the visit. LPA interviewed staff and Licensee regarding the elopement of a resident (R1). R1 is not back and may not return. LPA obtained R1’s Physician’s report (602). Physician’s Report shows resident able to leave unassisted. Staff and Licensee/Administrator know resident cannot leave unassisted. Licensee/Administrator had the Unusual Incident Report (UIR LIC624) created, but had not yet sent in the report due to a computer issue. LPA obtained a copy. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code. Failure to correct deficiencies by POC date may result in additional Civil Penalties. An immediate and repeat civil penalty of $1000 is hereby assessed. Exit interview conducted. Appeal Rights and a copy of this report provided.
2025-08-19Other VisitNo findings
Plain-language summary
On August 19, 2025, state licensing conducted an unannounced health and safety check of the facility and found no violations. The facility reported staffing changes, including a recent resignation and a new hire who the administrator plans to promote to an administrative role once another staff member completes clearance. No citations were issued.
Read raw inspector notesClose inspector notes
On 08/19/2025 at 11:15 AM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to conduct a health and safety check of the facility. LPA met with Victoria Puruganan, Licensee/Administrator and explained the purpose of the visit. Three (3) staff and the Licensee/Administrator were present. LPA spoke with the Licensee/Administrator about staffing. New hire, S1, started 08/18/2025. Licensee/Administrator is going to make S1 the new administrator. S1 will be joined by S2, once cleared. One staff, S5, has put in a resignation letter with a last day of August sixteenth. No citations issued during visit. Exit interview conducted and a copy of this report provided.
2025-08-15Other VisitNo findings
Plain-language summary
This was a follow-up inspection on August 15, 2025, conducted after a compliance meeting earlier in the year. The inspector toured the facility, checked hot water temperatures, food supplies, and resident records, and found no deficiencies.
Read raw inspector notesClose inspector notes
On 08/15/2025 at 1:15 PM, Licensing Program Analyst (LPA) L. Alexander conducted a Health & Safety inspection as a result continuing Non-Compliance Conference meeting which was held 03/26/2025. LPA met with Licensee/Administrator, Victoria Puruganan and explained the purpose of the visit. Upon entry LPA observed three (3) residents and two (2) staff. The three (3) residents were sitting and walking in the front common area. LPA toured facility including but not limited to the bedrooms, bathrooms, common area, kitchen, and outdoor area. Hot water temperatures was measured at 105.8 and 108.3 degrees F in the upstairs shared bathroom. LPA observed 7-day of non-perishable and 2-day of perishable food supplies were sufficient. LPA obtained a copy of current LIC 500 and Progress Report for Resident (R) R5. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
2025-08-11Other VisitNo findings
Plain-language summary
On August 11, 2025, a state inspector conducted an unannounced health and safety check of the facility. The inspector met with the administrator, reviewed a resident's recent hospital discharge, and discussed staffing plans; no violations were found.
Read raw inspector notesClose inspector notes
On 08/11/2025 at 1:30 PM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to conduct a health and safety check of the facility. LPA met with Victoria Puruganan, Licensee/Administrator and explained the purpose of the visit. During this visit, the LPA interviewed the Licensee/Administrator Victoria Puruganan regarding R1’a return from the hospital. R1 returned on 08/08/2025 in the evening with no new condition. Two staff and the Licensee/Administrator were present. LPA spoke with the Licensee/Administrator about staffing. New staff to join 08/19/2025, and another on 08/14/2025. S1 has left as of 08/10/2026. No citations issued during visit. Exit interview conducted and a copy of this report provided.
2025-08-08Other VisitType B · 1 finding
Plain-language summary
On August 8, 2025, state licensing staff conducted an unannounced health and safety inspection following a resident's elopement on August 4, 2025. The resident returned safely with no injuries, but the facility was cited for deficiencies in its policies or procedures related to preventing elopement and resident safety. The facility has been given a deadline to correct these issues or face additional penalties.
“Based on Interviews and document review, Administrator did not update the Appraisal Needs and Services Plan for R1 nor train staff on new conditions from 602.”
Read raw inspector notesClose inspector notes
On 08/08/2025 at 2:30 PM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to conduct a health and safety check regarding an elopement from an Unusual Incident Report (UIR) dated 08/04/2025. LPA met with Victoria Puruganan, Licensee/Administrator and explained the purpose of the visit. LPA interviewed staff and Licensee regarding the elopement and return of resident (R1). R1 is back with no injuries. LPA obtained R1’s after care report and spoke to R1. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code. Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.
2025-08-06Other VisitNo findings
Plain-language summary
On August 6, 2025, state inspectors conducted a follow-up visit to check whether the facility had corrected violations found in a previous inspection. The facility successfully corrected five violations but failed to correct five others by the required deadline, including issues related to administration, reporting, and resident care practices. The state assessed $1,900 in civil penalties and will continue to impose daily penalties until these violations are corrected.
Read raw inspector notesClose inspector notes
On 08/06/2025 at 9:25 am, Licensing Program Analysts (LPAs) L. Alexander and D. Doidge arrived unannounced to conduct a Plan of Correction (POC) visit. LPAs met with Licensee/Administrator, Victoria Puruganan and explained the purpose of the visit. Deficiencies cleared: 87355(e)(3) 87555(b)(3)(26) 87307(a)(3)(D) 80075(k)(1) 87303(a) Deficiencies not cleared: 87621(2)(b) $100 x 1 day = $100.00 HSC 1569.605 $100 x 1 day = $100.00 87608(a)(3) $100 x 1 day = $100.00 87628(a) $100 x 8 days = $800.00 80086 (a)(c) $100 x 8 days = $800.00 Civil Penalties in the total amount of $1,900.00 is assessed today for failure to meet POC date for deficiencies. Facility is subject to ongoing civil penalties until deficiency is corrected. Exit interview conducted. Appeal Rights, Deficiency cleared letters, LIC421FC, and a copy of this report provided.
2025-08-06Annual Compliance VisitNo findings
Plain-language summary
On August 6, 2025, a licensing representative made an unannounced visit to review resident records for all 10 residents at the facility. No violations were found during the inspection. The administrator was informed of the findings at the conclusion of the visit.
Read raw inspector notesClose inspector notes
On 08/06/2025 at 02:00 PM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to conduct case management to obtain documents on residents. LPA met with Victoria Puruganan, Licensee/Administrator and explained the purpose of the visit. LPA obtained records for all 10 residents. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
2025-07-29Other VisitType A · 9 findings
Plain-language summary
During a follow-up inspection on July 29, 2025, inspectors found multiple violations including a resident in a hospital bed without a doctor's order, another resident with half bed rails without a doctor's order, unlocked medications in a refrigerator, expired and spoiled food stored improperly throughout the facility, unfinished construction in four bedrooms, hazardous chemicals stored in an unlocked laundry room, and various equipment and tools left unsecured in outdoor areas. The facility had been given a previous deadline to correct deficiencies in June 2025 but these issues persisted. The administrator was notified and provided with information about appeal rights.
“Based on observation and record review, the licensee did not comply with the section cited above in not having S3 associated with Guardian systems which poses an immediate health, safety or personal rights risk to persons in care.”
“Based on observation and interview, the licensee did not comply with the section cited above in not having snacks, nonperishable foods for a minimum of one week and perishable foods for a minimum of two days which poses an immediate health, safety or personal rights risk to persons in care.”
“Based on observation, record review and interview, the licensee did not comply with the section cited above in not having exception request for R5's ostomy bag with documents that an appropriately skilled professional is caring for ostomy bag which poses an immediate health and safety risk to persons in care.”
“Based on observation the licensee did not comply with the section cited above in not having backyards clean, refrigerators/freezers clean which poses an potential health, safety or personal rights risk to persons in care.”
“Based on observation and interview the licensee did not comply with the section cited above in not having toilet paper in shared bathrooms for residents which poses an potential health, safety or personal rights risk to persons in care.”
“Based on observation, record review and interview the licensee did not comply with the section cited above in not having doctor's orders for hospital bed and bed rails for R4 and R5 respectively which poses an potential health, safety or personal rights risk to persons in care.”
“Based on record review and interview conducted, R7 is diabetic and per dr's medication orders requires insulin injections daily at night. However, R5 and R6 is unable to check own blood sugar and administer own injections per current physician's report, which poses an immediate health and safety risk to persons in care.”
“Based on observation there was unlocked insulin located in the refrigerator which poses an immediate health and safety risk to persons in care.”
“Based on observation, the licensee did not comply with the section cited above in by not notifying Licensing of the renovations, providing a copy of building permit and ensuring that residents will be safe during renovation which poses an health and safety risk to persons in care.”
Read raw inspector notesClose inspector notes
On 07/29/2025 at 10:00 AM Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct case management inspection as part of on-going monitoring plan from Non-Compliance Conference (NCC) held on March 26, 2025. LPA met with House Manager, Jezrael Pascual, and explained the purpose of the visit. Jezrael phoned Licensee/Administrator, Victoria Puruganan to inform. Victoria arrived approximately an hour later. On 06/17/2025 LPA's L. Alexander and D. Doidge conducted a Case Management visit in which deficiencies were cited with a Plan of Correction (POC) due date of 06/24/2025. LPAs were unable to return before 10 days POC visit. Deficiencies will be re-cited. LPA L. Alexander obtained copies of Residents (R) R1-R11 Medication Administration Records (MARs) for July 2025, Resident Registry List, Medical Assessment (LIC602-A) for R11, Emergency Disaster Plan (signed 02/27/2025) and screenshot print of building permit (filed 03/18/2024). THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 10:09 am LPA observed R4 in a hospital bed without a doctor's order At 10:09 am LPA observed unfinished wall constructions in bedrooms #9-12 including upstairs bedrooms. At 10:14 am LPA observed unlocked medications in refrigerator located in sun porch At 10:15 am LPA observed foods in containers, food bags/freezer bags unlabeled without dates located in refrigerators on sun porch that was expired and spoiled LIC809-C Continued... 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 LIC809-C Continued... (Page 2) At 10:20am LPA observed meats in rear refrigerator not contained in proper storage and freezer was not cleaned At 10:21 am LPA observed expired opened boxed Cherrios Cereal, salad dressing bottles, eggplants that was spoiled located in rear sunroom porch At 10:23 am LPA observed bottle Awesome Window Clean At 10:27 am LPA observed 1/2 bed rails on R5's bed without doctor's orders At 10:38 am LPA observed three (3) ladders, window screens, crutches, yard shovels, hoes, lawn mower, dolly, rakes, wood, sink, cooking pot in rear backyard At 10:39 am LPA observed laundry room door unlocked where Fabuloso Multi Cleaner, bleach, toxic chemicals were located At 10:39 am LPA observed screens, wheelchair in rear side backyard At 10:40 am LPA observed spoiled vegetables, expired gallons of milk, bottles of milk, unlabeled foods in refrigerator and freezers located on side back yards At 10:48am LPA observed four (4) boxes of laminate flooring upstairs, in which laminate flooring was unwrapped laying on hallway floor At 10:52 am LPA observed missing shower mats and no toilet paper in two (2) shared bathrooms located upstairs At 11:02 am LPA observed Lysol Disinfectant Spray located in locked closet with dried foods At 11:03 am LPA observed expired Velveeta Shells & Cheese, opened waffle cones and bagged brown rice At 11:05 am LPA observed toilet paper, bag of fruits, boxes of hot dog buns, Brownie Bars located in locked closet with fans, tool boxes, lotions, sprays, antiseptic rinse The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights, LI421BG, LIC421FC, LIC421IM and a copy of this report provided.
2025-07-29Annual Compliance VisitNo findings
Plain-language summary
On July 29, 2025, inspectors conducted an unannounced follow-up inspection to check on corrections the facility had promised to make after a March 2025 meeting about violations. Two violations from the earlier inspection had not been corrected: the facility did not have a properly qualified administrator on duty, and residents' personal rights were not being protected as required. Because the facility failed to meet its correction deadline, it continues to face daily penalties of $15,400.
Read raw inspector notesClose inspector notes
On 07/29/2025 at 10:00 AM Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct case management inspection as part of on-going monitoring plan from Non-Compliance Conference (NCC) held on March 26, 2025. LPA met with House Manager, Jezrael Pascual, and explained the purpose of the visit. Jezrael phoned Licensee/Administrator, Victoria Puruganan to inform. Victoria arrived approximately an hour later. Upon entry to the facility, LPA observed three (3) residents (R), which R1 was sitting outside front patio, and R2 and R3 were sitting inside the front living room area watching television. Deficiencies not cleared: 87405(a)(b) Administrator - Qualifications and Duties $100.00 x 77 days = $7,700.00 87468.2(a)(4) Additional Personal Rights of Residents in Privately Operated Facilities $100.00 x 77 days = $7,700.00 Civil Penalties in the total amount of $15,400.00 is a continuation of a daily penalty that was first assessed on 04/10/2025 for failure to meet Plan of Correction (POC) dates for deficiencies. Facility is subject to ongoing civil penalties until deficiency is corrected. Exit interview conducted. Appeal Rights, LIC421FC, and a copy of this report provided.
2025-07-11Other VisitType A · 1 finding
Plain-language summary
On July 11, 2025, state inspectors conducted an unannounced investigation after the facility reported that a resident walked away from the property on July 8 while waiting for a van to an appointment. Staff and the administrator did not see the resident leave, but police later found the resident; the facility's own medical records indicated the resident required assistance to leave the facility. The state assessed a $250 penalty for a repeat violation of exit safety requirements.
“Based on interview, the licensee did not comply with the section cited above by not having the supervision which posed a potential health and safety risk to persons in care.”
Read raw inspector notesClose inspector notes
On 07/11/2025 at 10:45 AM Licensing Program Analysts (LPAs) David Doidge and Andrew Christy arrived unannounced to conduct a Case Management Incident due to an Unusual Incident Report submitted to CCLD on 07/08/2025 regarding a resident that eloped. LPAs met with Jezrael Pascual, House Manager and explained the purpose of the visit. Licensee/Administrator, Victoria Puruganan was called and informed of the visit, and arrived at 12:00 PM. LPAs interviewed Jezrael and another staff about incident. Neither saw R1 elope. Licensee/Administrator Victoria was present, but did not see R1 walk away. Staff reported that R1 had an appointment with Center for Elders Independence (CEDI) and was last seen waiting for the van in front of the house. Upon learning of elopement staff walked the block to look for resident. R1 was later found by the police. LPAs obtained a copy of R1’s Physician’s report (602) and a staff schedule for that day. The 602 confirms resident is unable to leave the facility unassisted. An immediate civil penalty of $250 is hereby assessed for a repeat violation Exit interview was conducted with Licensee/Administrator, Victoria Puruganan, copy of this report and Appeal Rights provided.
2025-06-17Other VisitType B · 6 findings
Plain-language summary
This was a follow-up inspection in June 2025 to check on care planning and medical management after previous violations were found. Inspectors found that the facility did not have adequate documentation for several residents' medical needs: one resident with tuberculosis lacked confirmation from a doctor about contagiousness, another could not self-administer insulin but had no care plan addressing this, a third resident who fell and went to the emergency room had no incident report on file, and a diabetic resident with a medical device was missing a care plan for insulin management. The facility was assessed a $500 penalty for repeat violations.
“Based on interview, the licensee did not comply with the section cited above by not having the supervision which posed a potential health and safety risk to persons in care.”
“Based on interview and record review the licensee did not comply with the section cited above by not reporting to CCL within 24hrs R4's elopement which posed a potential health, safety or personal rights risk to persons in care.”
“Based on interview, and record review the licensee did not comply with the section cited above by not having appropriate documentation and care plan on file for R5's ostomy bag which poses a potential health and safety risk to persons in care.”
“Based on interview, and record review the licensee did not comply with the section cited above by not having on file for R5 if the injections are administered by an appropriately skilled professional which poses a potential health and safety risk to persons in care.”
“Based on interview, record review the licensee did not comply with the section cited above by not having written doctor's order indicating if R1 has active TB which poses a potential health and safety risk to persons in care.”
“Based on interview and record review the licensee did not comply with the section cited above by not having a record (MAR) for R1-R5 on file which poses a potential health and safety risk to persons in care.”
Read raw inspector notesClose inspector notes
On 06/17/2025 at 3:30 PM Licensing Program Analysts (LPAs) L. Alexander and D. Doidge arrived unannounced to conduct a Case Management inspection as part of monitoring plan from Non-Compliance Conference (NCC) held on March 26, 2025. LPAs met with Licensee/Administrator, Victoria Puruganan, and explained the purpose of the visit. LPAs received and reviewed updated medical assessments for 5 (five) residents (R). During the review, LPAs observed R1 tested positive with Tuberculosis, and is currently taking a course of antibiotics for 4 months. Licensee did not have confirmation from R1's primary care physician if they were contagious or not. LPAs observed that R2's physician's report indicated that they can not administer their own insulin nor check their own blood glucose. LPAs observed that R4 had a recent Emergency Room visit of 06/07/2025 in which the After Visit Summary indicated that R4 was seen for a fall. During interview with S1, S1 stated that R4 had eloped and that the hospital called. S1 stated that they had notified CCLD but they did not have a copy of the Incident Report (LIC624). LPAs observed that R5 is diabetic on insulin and also has a ostomy bag. S1 stated that there is a nurse from Kaiser that comes to monitor R5 for the osotmy bag but S1 did not have care plan to address R5's insulin use for diabetes and ostomy. 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 LPAs obtained copies of medical assessments for R1-R5, MAR for R3, Admission Agreement and Emergency Identification Form for R5. Civil penalties were assessed today of $500.00 for repeat violations. The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report, LIC421FC and appeal rights provided.
2025-05-13Other VisitType B · 4 findings
Plain-language summary
This was a follow-up visit on May 13, 2025, to check whether the facility had corrected violations from an earlier compliance meeting held in March. The facility failed to fix four areas of non-compliance by the required deadlines: administrator qualifications, staff training program requirements, medical assessments for residents, and resident rights protections, and will pay $7,100 in civil penalties with additional penalties continuing until these issues are resolved.
“Based on observation, record review and interview the licensee did not comply with the section cited above in by hiring a qualified administrator that will be present at the facility for 40 hours a week which poses a potential health, safety or personal rights risk to persons in care.”
“Based on observation, record review and interview the licensee did not comply with the section cited above in by completing staff training with a approved CCLD approved vendor which poses a potential health, safety or personal rights risk to persons in care.”
“Based on observation, record review and interview the licensee did not comply with the section cited above in by not submitting updated physician's reports for all eleven (11) residents which poses a potential health, safety or personal rights risk to persons in care.”
“Based on observation, record review and interview the licensee did not comply with the section cited above in by not submitting a comprehensive plan for adequate staffing and to identify, document and mitigate elopements which posed a potential health and safety risk to persons in care.”
Read raw inspector notesClose inspector notes
On 05/13/2025 at 1:30 pm, Licensing Program Analysts (LPAs) L. Alexander and D. Doidge arrived unannounced to conduct a Plan of Correction (POC) visit. LPAs met with House Manager, Jezrael Pascual , and explained the purpose of the visit. Jezrael called Licensee/Administrator, Victoria Puruganan, to inform. On 03/26/2025, the Department held a Non-Compliance Conference (NCC) meeting with the Licensee, Victoria Puruganan. The Plan of Corrections (POC) was discussed with Licensee to get the facility in compliance. The due dates were 04/09/25, 04/30/25 and an extension was granted per the Licensee's request for 05/02/25. Deficiencies not cleared: 87405(a)(b) Administrator - Qualifications and Duties $100.00 x 13 days = $1,300.00 87788(h)(1)(A) Continuing Education Training Program Vendor Requirements $100.00 x 13 days = $1,300.00 87458(c) Medical Assessments $100.00 x 11 days = $1,100.00 87468.2(a)(4) Additional Personal Rights of Residents in Privately Operated Facilities $100.00 x 34 days = $3,400.00 Civil Penalties in the total amount of $7,100.00 is assessed today for failure to meet POC date for deficiencies. Facility is subject to ongoing civil penalties until deficiency is corrected. Exit interview conducted. Appeal Rights, LIC421FC, and a copy of this report provided.
2025-05-09Other VisitType A · 6 findings
Plain-language summary
This was an unannounced monitoring inspection on May 9, 2025, following up on a previous non-compliance conference. The inspector found multiple safety hazards including unlocked cleaning supplies and prescription insulin in the kitchen and refrigerator, construction materials and equipment scattered in yards and against the house, and active construction work in a bedroom where a resident was sleeping in an uncertified room.
“Based on observation, the licensee did not comply with the section cited above in by having R1 located in a staff room without a fire clearance which poses an immediate health and safety risk to persons in care.”
“Based on observation, the licensee did not comply with the section cited above in by having bleach and Clorox spray unlocked under kitchen cabinet which poses an immediate health and safety risks to persons in care.”
“Based on record review and interview conducted, R4 is diabetic and per dr's medication orders requires insulin injections daily at night. However, R2 and R3 is unable to check own blood sugar and administer own injections per current physician's report, which poses an immediate health and safety risk to persons in care.”
“Based on observation there was unlocked insulin located in the refrigerator which poses an immediate health and safety risk to persons in care.”
“Based on observation, the licensee did not comply with the section cited above in by not having the back yards cleaned up with ladders, mattresses, paint cans, doors removed and inaccessible to residents which poses an health and safety risk to persons in care.”
“Based on observation, the licensee did not comply with the section cited above in by not notifying Licensing of the renovations, providing a copy of building permit and ensuring that residents will be safe during renovation which poses an health and safety risk to persons in care.”
Read raw inspector notesClose inspector notes
On 05/09/2025 at 10:30 AM Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct case management inspection as part of monitoring plan from Non-Compliance Conference (NCC) held on March 26, 2025. LPA met with Licensee/Administrator, Victoria Puruganan, and explained the purpose of the visit. LPA left the facility to complete the report and returned back for Licensee to sign documented report. Upon entry to the facility, LPA observed four (4) residents (R) sitting in the common area watching television. LPA was greeted by House Manager, Jezrael Pascual. LPA entered the office where Licensee/Administrator, Victoria Puruganan, was sitting at her desk. During the visit LPA reviewed six (6) current physician's reports out of eleven (11) residents. During the review, LPA observed two (2) of the residents are diabetic and need to take insulin daily. The physician's reports for both residents indicated that they are not able to administer their own injections nor take their own glucose readings. LPA left the facility to complete the report and returned back for Licensee to sign LPA observed the following deficiencies: At 12:36 pm a large bottle of bleach and a spray bottle labeled "Clorox" was unlocked under kitchen sink 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 LIC809-C At 12:38 pm prescription insulin unlocked in refrigerator located on back sun porch At 12:40 pm wood planks laying out side in the side/back yards, buckets, ladder propped up against the outside exterior on the eastern side of house At 12:41 pm box mattress, top mattress and pillows stacked up against stairs in back yard At 12:42 pm doors, ladder, more wood, lawn mower, lawn rake, paint cans, buckets, dresser chest drawer with a missing top drawer At 12:44 pm glass window frame, buckets, boxes, bottle of bleach and spray bottles located on the western side of the house At 12:45 pm construction in Room #12 where there was a ladder, bottles of DAP repair, the floor was taped and wires were loose hanging out from the ceiling. At 12:50 pm R1 laying in a full hospital bed located in a bedroom not fire cleared for residents. Licensee stated that the room was for staff. The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided
2025-04-02Other VisitType A · 1 finding
Plain-language summary
During an investigation into a complaint, inspectors found that one resident did not have required planning documents completed before admission, and another resident left the facility without authorization on January 14, 2025, and was later admitted to Kaiser Hospital with pneumonia and hypothermia—an incident the facility failed to report to the licensing agency. The facility was cited for these violations.
“R2 eloped from the facility on January 14, 2025 and ended up at Kaiser Hospital for pneumonia and hypothermia”
Read raw inspector notesClose inspector notes
On this day while at the facility conducting investigation in connection with complaint 15-AS-20250324113724, LPAs observed the following: R1 did not have completed preplacement and Appraisal Needs and Services Plan R2 eloped from the facility on January 14, 2025 and ended up at Kaiser Hospital for pneumonia and hypothermia the facility did not report incident to CCL Deficiencies are cited per Title 22 California Code of Regulations (refer to Lic 809D). Exit interview was conducted with Pascual and Appeal Rights was provided.
2025-04-02Complaint InvestigationMixedType B · 3 findings
Plain-language summary
This complaint investigation found that the facility properly manages residents' hygiene, bedding, and personal items—residents' missing items were either misplaced by the resident or located during the visit, and no harassment by staff was substantiated. However, inspectors found that a resident admitted in January 2025 had not been seen by a doctor or had a necessary medication refilled, and the facility was cited for failing to seek medical attention as needed.
“Based on interview conducted with staff, when Licensee is on site, Licensee will monitor residents in the security cameras located in the office but will not interact with residents directly.”
“This requirement was not met as evidence by: S1 had taken pictures of R1's soiled underwear and bedsheet and texted them to R1's friend with R1 included in text thread without R1's permission.”
“R1 has not had any visit with a doctor because R1 does not have a primary doctor assigned yet. S1 states there is a medication that needs refill but has not been filled yet.”
Read raw inspector notesClose inspector notes
Continued from LIC9099 Allegation: Staff do not ensure that resident's hygiene needs are being met while in care. Findings: Per Physician's report and interviews, R1 is able to bathe self. R1 has preference to frequency of taking showers, and is able to take care of self. Allegation: Staff do not ensure that resident is provided with clean bedding while in care. Findings: Per interviews with resident and staff, bed are changed at least once a week, and more frequently as needed. Beds were observed by LPA to be clean and good repair. Facility has more than adequate linens for all beds. Allegation: Staff do not safeguard resident's personal possessions while in care. Findings: Facility maintains Client/Resident Personal Property and Valuables, LIC 621. R1 has reported missing an ATM card, however R1 admitted to placing ATM card in a book and not being able to remember which book it was placed in. R1 reported missing noise canceling headphones. LIC621 has headphones, but house manager mentioned that headphones was written by mistake, package that arrived had ear buds. Staff have not seen R1 with noise canceling headphones. R1 reported missing an Iphone. Staff found Iphone in R1's bed and was handed to R1 during visit. Allegation: Staff member harasses resident in care. Findings: During the visit, LPAs interviewed 3 residents. There was no disclosure of harassment made by staff against any resident. Resident denied harassment by staff. Although the allegations may have happened, or are valid, there is not a preponderance of evidence to prove them; therefore, the allegations are UNSUBSTANTIATED. No deficiencies were issued. Exit interview conducted and a copy of this report was provided. 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 LIC9099 Allegation: Licensee leaves resident(s) unsupervised while in care. Findings: Based on interview conducted with staff, when Licensee is on site, Licensee will monitor residents in the security cameras located in the office but will not interact with residents directly. Allegation: Staff are not seeking medical attention for resident in care as necessary. Findings: Based on interviews and record reviews conducted, R1 was admitted to the facility on January 12, 2025. LPAs were informed that R1 has not had any visit with a doctor because R1 does not have a primary doctor assigned yet. S1 states there is a medication that needs refill but has not been filled yet. Based on LPAs observations and interviews which were conducted and record reviews, 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. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview was conducted. A copy of the appeal rights and , and this report provided.
2024-12-30Other VisitType A · 7 findings
Plain-language summary
An unannounced case management visit on December 30, 2024 found that a resident had left the facility without permission on December 15, 2024, but this incident was not reported to the state, and the facility did not have current medical documentation or care plans for the resident. The inspector also found that the facility lacked required food supplies, all refrigerators were unsanitary, a common area was blocked with stored items, and the facility had made alterations without obtaining the required permit.
“Based on interviews the Licensee did not comply with the section cited above in having a sufficient number of staff which posed an immediate health and safety risk to persons in care.”
“Based on record review the Licensee did not comply with the section cited above in report an elopement to CCLD, which poses a potential health and safety risk to persons in care.”
“Based on observation the Licensee did not comply with the section cited above in having a minimum of 1 week perishable and 2 day non perishable foods on premises, which poses a potential health and safety risk to person in care.”
“Based on observation the Licensee did not comply with the section cited above with having all four (4) refrigerator/freezers sanitary, which poses a potential health and safety risk for persons in care.”
“Based on observation the Licensee did not comply with the section above in have solarium area blocked with 2 refrigerators, a couch, clothing and other items, which poses a potential health and safety risk to persons in care.”
“Based on record review the Licensee did not comply with the section cited above in having a permit for alterations in facility, which poses a potential health and safety risk to persons in care.”
“Based on record review the Licensee did not comply with the section cited above in having R1 an annual medical assessment and reappraisal done, which poses a potential health and safety risk to persons in care.”
Read raw inspector notesClose inspector notes
On 12/30/2024 at 1:15pm Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct a Case Management visit. LPA met with Jazrael Pascual, House Manager and explained the purpose of the visit. While LPA L. Hall was conducting a complaint investigation 15-AS-20241221181547 on 12/30/2024, it was stated R1 had eloped from the facility. LPA toured the first level of the facility, obtained R1's physician's report (LIC602), appraisal needs and services plan, and identification and emergency information. LPA observed the following deficiencies during the visit. LPA observed during interview R1 had eloped. LPA observed during record review the elopement incident that occurred on 12/152024, had not been reported. LPA observed R1 did not have an current annual physician's report or appraisal needs and services plan. LPA observed during record review facility did not have a permit for the alterations of the facility. LPA observed plan the area called the solarium is blocked with a couch, 2 refrigerators, clothing, and other items. Continued on LIC809C. 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. LPA observed facility did not have a s upplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days. LPA observed the facility had four (4) refrigerator/freezer and all were unsanitary. Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided
2024-12-30Complaint InvestigationSubstantiatedType A · 1 finding
Plain-language summary
A complaint investigation found that a resident went missing from the facility on December 15, 2024, after staff did not notice he had left; staff believed he was in a supervised outdoor area, but he was not being watched. The facility was cited for failing to provide adequate supervision and was assessed a $1,000 civil penalty for repeating this violation.
“This requirement was not met as evidence by: Based on interviews the Licensee did not comply with the section cited above in having sufficient supervision for residents, which posed an immediate health and safety risk to persons in care.”
Read raw inspector notesClose inspector notes
Continued from LIC9099. Based on interviews with S2 and S3 there were three (3) staff during the day. Staff noticed that R1 was missing before dinner, which is around 4pm, because R1 didn't come to eat. S2 also stated staff thought R1 was outside in the front area. S2 stated R1 goes outside into the front area without supervision. S1 stated she was not working on 12/15/2024, the day of the incident; however, S1 received a call from R1's responsible party stating R1 was missing from the facility. Based on interviews the d eficiency is cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. *An immediate Civil Penalty of $1,000 is being assessed on today's date for a repeat violation* Exit interview conducted. A copy of the appeal rights, LIC421M, and this report provided.
2024-12-20Other VisitType B · 1 finding
Plain-language summary
An unannounced case management visit on December 20, 2024 found that the facility could not provide required records for a resident, including the admission agreement, medical assessments, care plan, emergency information, doctor's orders, and incident reports. The facility received one citation for this deficiency. The inspector met with the house manager to explain the findings.
“Based on record review, the licensee did not comply with the section cited above by not having the resident's records available at the facility for LPA to inspect during regular business hours. LPA was informed that resident’s records was moved to another facility in which resident was transferred to which poses a potential health, safety or personal rights risk to persons in care.”
Read raw inspector notesClose inspector notes
On 12/20/2024 at 2:45 PM, Licensing Program Analyst (LPA) D. Doidge conducted an unannounced Case Management visit based on information received by the agency on (the date of visit). LPA met with Jezrael Pascual, House Manager, and explained the purpose of the visit. LPA D. Doidge tried to obtain the following documents for R1. 1. Admissions Agreement (Opal) 2. Medical Assessments 3. Appraisal Needs and Services 4. Emergency & Identification 5. Any copies of Doctor’s Orders 6. Incident Reports if any The facility did not have any of the records available. One citation issued.. Exit interview conducted and a copy of this report was provided.
2024-12-11Other VisitNo findings
Plain-language summary
A licensing analyst visited this facility on December 11, 2024 to investigate a complaint and found that a resident was issued an eviction notice citing high level of care needs, but the facility had not performed any reassessment of the resident's condition and the eviction notice did not meet legal requirements. The facility also failed to follow proper procedures in handling the eviction. The facility was cited for these violations and given time to correct them.
Read raw inspector notesClose inspector notes
On 12/11/2024 at 6:00 PM Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct a Case Management visit. LPA met with House Manager, Jezrael Pascual, and explained the purpose of the visit. While LPA L. Alexander was conducting a complaint investigation (15-AS-20241113155956 ) on 12/11/2024. During interview and record review LPA observed that R1 was issued a 30-Day Eviction notice dated 11/21/2024. The reason for the eviction was due to "High Level of Care and Change of Medical Condition." LPA interviewed Administrator, Victoria Puruganan, and confirmed that no new re-assessments have been performed on R1. LPA observed that Licensee has a Plan of Operation that indicates Care of Dementia. Further, the eviction notice lacked all appropriate requirements. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.
2024-12-11Complaint InvestigationSubstantiatedType B · 1 finding
Plain-language summary
A complaint investigation found that staff did not provide adequate supervision when a resident left the facility undetected on November 12, 2024; the resident was found in San Jose the next morning and taken to the hospital with an infection and disoriented mental status. This was the third time the same resident had left the facility. The facility initially issued a 30-day eviction notice but was required to readmit the resident after discharge.
“Based on observation, interviews and record review, the licensee did not comply with the section cited above in by not performing re-evaluations of R1 who was diagnosed with dementia on 02/03/24 and later AWOLd a total of 3 times in which this last AWOL R1 traveled over 50+ miles and found disoriented and confused by EMS which posed a potential health and safety risk to persons in care.”
Read raw inspector notesClose inspector notes
LIC9099-C (Page 2) Allegation: Staff did not provide adequate supervision resulting in resident eloping from facility Finding: Substantiated During the investigation, the LPA conducted interviews of facility staff (S), and witnesses (W). On 11/18/2024 LPA interviewed W1. W1 stated that R1 arrived at Regional Medical Center of San Jose (RMC) on 11/13/2024 at around 3:00 AM. W1 stated that R1 was found in San Jose and that the Emergency Medical Services (EMS) transported R1 to the Emergency Department (RMC) for evaluation. W1 stated that R1 was disoriented and presented with an altered mental status. W1 stated that R1 was hospitalized and was receiving treatment for an infection before they would get discharged. W1 stated that they found out that Opal Care LLC (facility) have gave notice of 30-Day eviction to R1 and that they were not going to accept R1 back after being discharged. W1 stated that they spoke with the Administrator and advised that they have to accept R1 back to the facility. W1 stated that a Missing Persons Report was filed by the family and not the facility. On 11/20/2024 LPA interviewed S2. S2 stated that on 11/12/2024 the staff did a “roll call” for dinner at around 4:15 PM to 4:30 PM. S2 stated that S2, S4, S5 and S6 noticed that R1 was not in the facility. S2 stated that S2, S4, S5 and S6 searched all the rooms, the neighborhood and S3 drove to MacArthur Bart Station to look for R1. S2 stated that on 11/17/2024, another resident, R2, was admitted to Kaiser Permanente Oakland Emergency Department (ED) after being found. S2 stated that the ED Physician called them and said that they attempted a call to the administrator at the facility but there was no answer. S2 stated that they received the call and that they called the facility to confirm if R2's was missing and staff confirmed that R2 was not at the facility. LIC9099-C Continued 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 LIC9099-C (Page 3) On 12/02/2024 LPA interviewed W2. W2 stated that this was the 3 rd time that R1 has left the facility. W2 stated that they don’t know how R1 traveled to San Jose. W2 stated that the facility did call them to notify that R1 was missing and that they filed a Missing Person’s Report with OPD. W2 stated that they are trying to find another placement facility for R1. W2 stated that they received notice of 30-Day Eviction for R1. On 12/02/2024 LPA interviewed S1. S1 stated that R1 was at the facility at around 4:00 PM, but the staff were calling R1 for dinner at 5:00 PM and that is when the staff discovered that R1 was missing from the facility. S1 stated that two (2) groups went out to search for R1. Which was S3 that drove to MacArthur Bart Station to look for R1. S1 stated that R1 “knows what he’s doing”. S1 stated that R1 goes out, then the staff will call the police, call the bus line and the family was informed. Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegation 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. Appeal Rights and a copy of this report provided.
2024-11-20Other VisitType B · 1 finding
Plain-language summary
During an unannounced case management visit on November 20, 2024, inspectors discovered that the facility failed to report an incident in which a resident eloped (left the facility) on November 12, 2024. This violation was found while investigating a separate complaint. The facility was cited for this reporting failure and given a deadline to correct it.
“Based on interview and record review the licensee did not comply with the section cited above by not reporting to CCL within 24hrs that resident eloped which posed a potential health, safety or personal rights risk to persons in care.”
Read raw inspector notesClose inspector notes
On 11/20/2024 at 10:45AM Licensing Program Analyst (LPA) L. Alexander conducted an unannounced Case Management visit. LPA met with House Manager, Jezrael Pascual, and explained the purpose of the visit. Jezrael phoned, Administrator, Victoria Puruganan to inform. While LPA was conducting a complaint investigation, #15-AS-20241113155956, on 11/20/2024, LPA observed during record review and interview that Licensee had not reported an incident where R1 eloped on 11/12/2024. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.
2024-10-24Other VisitType B · 1 finding
Plain-language summary
On October 24, 2024, inspectors conducted a routine annual inspection and found the facility generally well-maintained, with adequate lighting, proper temperature control, secure medication storage, and working fire safety equipment. Inspectors identified one deficiency: trash cans in a shared bathroom lacked lids, which the facility was required to correct by a specified deadline.
“Based on observation, the licensee did not comply with the section cited above as trash bins in shared bathrooms were uncovered which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/31/2024 Plan of Correction 1 2 3 4 Provide coverd trash bins for shared bathrooms and provide photos to LPA.”
Read raw inspector notesClose inspector notes
On 10/24/2024 at 10:00 AM, Licensing Program Analysts (LPAs) D. Doidge and A. Gharachorloo arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Jezrael Pascual Office Manager and explained the purpose of the visit. LPAs toured the facility including but not limit to, bedrooms, bathrooms, multiple activity rooms, kitchen, common area and courtyard. LPAs observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 69 degrees Fahrenheit. The hot water temperature in a common bathroom was measured at 107 degrees Fahrenheit. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps 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 10/01/2024. Emergency Disaster Plan was last posted on 06/06/2023. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 08/07/2024. LPAs reviewed 5 residents records and 5 staff records, and all were complete. LPAs also reviewed a sample of resident’s medications. The following reports were reviewed: LIC 500 Personnel Report, LIC 610E Emergency Disaster Plan, Liability Insurance, and Current Administrator’s Certificate. At 10:38 AM, LPAs inspected the shared bathroom and observed no lids on trash cans. The above deficiency was observed (see LIC809D) and cited from the California Code of Regulations, Title 22and/or health safety Code failure to correct deficiency by POC date may result in additional civil penalties. Exit interview conducted and a copy of this report provided.
2024-09-24Other VisitNo findings
Plain-language summary
On September 24, 2024, state regulators visited the facility to deliver an amended civil penalty of $400, which replaced a previously issued penalty from September 12. The facility management was informed of the penalty and provided information about their appeal rights. This was an unannounced visit to address administrative matters related to the penalty.
Read raw inspector notesClose inspector notes
On 9/24/2024 at approximately 8:45 am, LPAs James Sampair and David Doidge conducted an Unannounced Case Management visit to deliver an amended civil penalty originally issued on 9/12/24, in the amount of $1,400. The LPAs met with Office Manager Jezrael Pascual and explained the purpose of the visit. The amended civil penalty issued today is in the amount of $400 and supersedes the previous civil penalty of 9/12/24. This report and the amended civil penalty were reviewed with the facility, and Appeal Rights were provided. .
2024-09-12Other VisitNo findings
Plain-language summary
This was a follow-up inspection on September 12, 2024, to check whether the facility had corrected problems found in a previous inspection. The facility had not submitted proof that the corrections were made. A $1,400 civil penalty was issued.
Read raw inspector notesClose inspector notes
On 09/12/2024 at 8:45 AM, Licensing Program Analysts (LPAs) D. Doidge and J. Sampair arrived to conduct an unannounced Plan of Correction (POC) inspection. Upon entry into the facility, the LPAs identified themselves and the purpose of the visit to Office Manager Jezrael Pascual. At facility Administrator Victoria Puruganan was called and asked if proof of correction had been sent. It had not. . Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC 421F.. A $1,400 civil penalty is assessed today; Exit interview conducted and a copy of this report was provided. .
2024-09-12Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
A complaint was investigated at this facility, but inspectors found insufficient evidence to prove the allegations. While the complaint may have raised valid concerns, there was not enough documentation or corroborating information to substantiate a violation. An exit interview was conducted with facility staff.
Read raw inspector notesClose inspector notes
...Continued from LIC 9099 Although the allegations may have happened, or are valid, there is not a preponderance of evidence to prove them; therefore, the allegation is UNSUBSTANTIATED. Exit interview conducted and a copy of this report was provided.
2024-08-28Other VisitIJ · 2 findings
Plain-language summary
During a case management visit, inspectors found that the facility was housing more non-ambulatory residents than it had fire safety approval for—six residents instead of the approved three—and had converted a living room into a bedroom for a non-ambulatory resident without obtaining the required fire clearance for that space. Staff also lacked sufficient training in medication handling. The facility was cited for these violations and assessed civil penalties.
“Based on interview conducted, the facility is approved for 3 nonamb residents. However, the actual number of nonamb residents is 6 which poses an immediate risk to the health and safety of clients under care.”
“The facility converted the formal dining room to a nonamb room with a nonamb resident occupant without an approved fire clearance.”
Read raw inspector notesClose inspector notes
On this day at around 3:45 pm, LPAs Luisa Fontanilla and David Doidge conducted a case management visit and met with the Administrator. While conducting file reviews related to complaint #15-AS-20240820101350, LPAs observed the following: facility has an approved fire clearance for 3 non ambulatory but actual count of non ambulatory residents is 6 (one resident in a skilled nursing facility) facility converted the formal living room to a non ambulatory room with one non ambulatory resident occupant without an approved fire clearance staff does not have sufficient medication training Deficiencies are cited per Title 22 California Code of Regulations (refer to Lic 809D). Civil penalties are assessed for this visit. Exit interview was conducted with the Administrator and Appeal Rights was provided.
2024-08-28Complaint InvestigationMixedType B · 1 finding
Plain-language summary
A complaint investigation found that the facility failed to list itemized charges in the admission agreement as required by state regulations. Two other allegations—about medication dispensing and resident supervision—were investigated and found to be unsubstantiated based on staff interviews, resident interviews, and observation of staff monitoring residents; a third allegation about not providing a copy of the admission agreement was also unsubstantiated, as the administrator and housing authority representative confirmed copies are given to responsible parties.
“Based on record review conducted, the facility did not have an admission agreement that is compliant to the section cited. The facility is using a revised form that is not approved by the department and is missing required itemized charges which poses a potential risk to the health and safety of clients under care.”
Read raw inspector notesClose inspector notes
indicate itemized charges as required in the admission agreement that was approved by the Department. Based on record review conducted, the above allegation is substantiated. Based on LPAs observations and record reviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22, is being cited on the attached LIC 9099D. Exit interview was conducted with the Administrator and Appeal Rights was provided. 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 Facility staff did not dispense medications as prescribed During interview, the House Manager explained to the LPAs procedure when giving medications to the residents. House Manager also states that staff giving medications make sure that the residents take their medications. Residents interviewed state they get all their medications on time. Facility staff did not properly supervise resident resulting in resident wandering away from facility During interview conducted, the Administrator and House Manager state the facility has an auditory device that gets turned off during the day and turned on at night. During the day when the alarm is off, staff monitor the residents. The Administrator will install additional auditory device (Ring) by tomorrow, 8/29/2024. While at the facility, LPAs observed a staff watching over the residents in the front yard. The facility's last AWOL was recorded on 7/21/2023. Facility staff did not provide written copy of admissions agreement to responsible person. Based on interviews conducted, the Administrator states after admissions agreement are signed, a copy has always been given to the resident's responsible person. During the visit, LPAs interviewed Housing Authority of the County of Alameda (HACA) Supervisor (W1) who states that the office has a copy of all the clients' admission agreements. Based on interviews and record reviews conducted, the above allegations are unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated . Exit interview was conducted with the Administrator and a copy of this report was provided.
2024-08-14Complaint InvestigationSubstantiatedType B · 2 findings
Plain-language summary
A complaint alleged that staff did not keep the facility free of pests, and residents were bitten. The investigation confirmed this happened—the facility had a bed bug infestation and residents were bitten. The facility has since hired a pest control company for monthly treatment and bed bugs have been cleared, though the facility remains on monthly monitoring.
“Based on records review and interview, the licensee did not comply with the section above for not having sufficient staff which poses a potential safety and personal rights risks to persons in care.”
“This requirement was not met as evidenced by: Based on staff, resident, and reporting party interviews, facility failed to prevent bed bugs which poses a potential personal rights of residents in care.”
Read raw inspector notesClose inspector notes
Allegation: Staff does not ensure facility is free of pests resulting in residents being bit The facility has entered into an agreement on 5/01/24 with Orkin for a monthly pest control treatment for the entire facility. LPA’s reviewed the agreement and that Orkin will be monitoring the facility for roached, ants, rate and mice. LPAs also reviewed a report from Orkin dated 4/18/24 for the bed bug treatment. The report states that facility is now clear of bedbugs and is monitored by Orkin monthly. This allegation is substantiated. Based on LPAs observations and interviews which were conducted and record reviews, 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.CCLD1515 . Exit interview conducted, a copy of this report and appeal rights provided.
2024-04-10Complaint InvestigationSubstantiatedType B · 1 finding
Plain-language summary
A complaint investigation found a violation at this facility that had occurred before. The facility was assessed a $500 civil penalty for the repeat violation. The facility received notice of appeal rights and a copy of the inspection report.
“Based on records review and interview, the licensee did not comply with the section above for not having sufficient staff which poses a potential safety and personal rights risks to persons in care.”
Read raw inspector notesClose inspector notes
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, is being cited on the attached LIC 9099-D. Civil penalty in the amount of $500 assessed for repeat violation. Exit interview conducted. A copy of this report and appeal rights provided.
Other facilities in Alameda County.
Other memory care facilities in Alameda County with similar care offerings.
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.