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Continued from LIC9099 Investigation Findings: It was reported to the department that on two separate occasions money was taken from a resident’s purse along with a debit card. Each room in Assisted Living has a room safe, and residents are encouraged to keep their room doors locked and valuables out away. The facility did complete a Theft and Loss Record for both incidents and notify the responsible party of both incidents. The Theft and Loss Records show that Oakland Police Department was notified for the lost credit card, but not for the missing cash. R1 stated there was one hundred dollars in R1’s purse in R1’s room, given to R1 by R1’s daughter. About a week after being given the cash, it went missing. R1 feels it was taken from R1’s room while R1 was out of R1’s room. S1 spoke with R1 about the missing cash and created a Theft and Loss Record. S1 and S3 stated that R1 is forgetful and has forgotten R1’s purse in varies places throughout the facility as well as other items. S3 told LPA that R1 will repeat stories and thoughts when talking to S3, and has often times forgotten to clean up or feed R1’s cats. S1 and S3 have voiced concerns over R1’s memory. S2, S3, and S4 reported not knowing of the incident. Neither S2, S3, nor S4 reported ever taking money from a resident, nor suspecting other coworkers of such. In record review, R1 does have Mild Cognitive Impairment and a diagnosis of Bipolar. LPA did observe R1 having difficulty remembering the order of events, and lapse in recall of when the incidents occurred. Based on interviews, the allegation is UNSUBSTANTIATED, Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. No deficiencies cited during the visit. Exit interview conducted and a copy this report was provided.

Continued from LIC9099 Investigation Findings: It was reported to the department that on two separate occasions money was taken from a resident’s purse along with a debit card. Each room in Assisted Living has a room safe, and residents are encouraged to keep their room doors locked and valuables out away. The facility did complete a Theft and Loss Record for both incidents and notify the responsible party of both incidents. The Theft and Loss Records show that Oakland Police Department was notified for the lost credit card, but not for the missing cash. R1 stated there was one hundred dollars in R1’s purse in R1’s room, given to R1 by R1’s daughter. About a week after being given the cash, it went missing. R1 feels it was taken from R1’s room while R1 was out of R1’s room. S1 spoke with R1 about the missing cash and created a Theft and Loss Record. S1 and S3 stated that R1 is forgetful and has forgotten R1’s purse in varies places throughout the facility as well as other items. S3 told LPA that R1 will repeat stories and thoughts when talking to S3, and has often times forgotten to clean up or feed R1’s cats. S1 and S3 have voiced concerns over R1’s memory. S2, S3, and S4 reported not knowing of the incident. Neither S2, S3, nor S4 reported ever taking money from a resident, nor suspecting other coworkers of such. In record review, R1 does have Mild Cognitive Impairment and a diagnosis of Bipolar. LPA did observe R1 having difficulty remembering the order of events, and lapse in recall of when the incidents occurred. Based on interviews, the allegation is UNSUBSTANTIATED, Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. No deficiencies cited during the visit. Exit interview conducted and a copy this report was provided.

On 7/20/2021 at 03:30 PM, Licensing Program Analysts (LPAs), L. Hall and G. Luk arrived unannounced to conduct a case management. LPAs met with Executive Director, Deborah Savoie, and explained the reason for the visit. During complaint investigation #15-AS-20210715162512, LPAs observed facility did not report incident to CCLD. Staff stated that incident was reported to Ombudsman and not CCLD. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiency may result in civil penalties. Exit interview conduct. Appeal rights and a copy of report provided.

Continued from LIC9099 While riding the elevators, LPA spoke with multiple staff and residents also riding the elevators who all confirmed neither elevator had been down for longer than a few hours for service. ED provided the elevators scheduled maintenance records showing that on 11/21/2025 passenger elevator 2 got stuck between floors with no one on board. A technician arrived at 9:23 AM and by 1:08 PM left with the elevator back in service. Records show at no point either elevator being out of service for longer than a few hours. Based on the information obtained and observation, this allegation is unsubstantiated. Allegations: Staff do not ensure residents are provided supervision Investigation Findings: It was reported to the department that a resident will spend hours outside picking up leaves and no staff member or person ever goes out to help that resident. During the investigation, LPA walked around in front of the facility and encountered R1 getting ready to pick up leaves. R1 informed LPA that R1 enjoys cleaning up leaves as it provides exercise and fresh air, R1 checks the weather, dresses appropriately for comfort and mobility, and has the sense to not go out when it is raining. R1 was lucid, oriented and showed no signs of dementia or cognitive impairment. R1 is independent and prefers independent activities to social activities. LPA spoke with ED who confirmed R1 is checked on by staff and is not fond of social activities in the facility. A review of R1’s physicians Report shows R1 may leave independently with no escort and has no cognitive impairment. Based on the information obtained, observation and interviews, this allegation is unsubstantiated. Allegations: Administration qualifications Investigation Findings: It was reported to the department that the administrator quit. LPA spoke with the administrator, ED, and verified the ED had not quit. Based on observation and interview, this allegation is 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 conducted, a copy of this report provided.

On 8/25/2021 at 2:15pm, Licensing Program Analysts (LPAs) Catherine Lin and Grace Luk arrived unannounced to conduct an annual required/infection control inspection. LPAs met with the administrator, Deborah Savoie and informed her the purpose of the visit. LPAs toured the facility with Deborah through all 6 floors of facility including memory care units. LPAs inspected the lobby, storeroom, activity rooms, common areas, kitchen, dining areas, and bathrooms. Bathrooms were observed with trash bins with lids, liquid soap, paper tower, and hand-washing signs. Each floor hallway has PPE (masks, gloves, hand sanitizer and gowns) available with trash bins. Medication were locked in the Med room. Facility has sufficient PPE and food supplies. COVID-19 postings were observed in common areas and hallways. Facility has hand sanitizer available by the entrance door. Staff screens visitors prior to allowing entry. Facility has visitor's log. Facility has a copy of LIC808 Mitigation Plan and Emergency Disaster Plan on file. Exit interview conducted. The copy of this report provided

Continued from LIC9099 The request comes from the responsible party’s attorney who does not have standing to request those documents, therefore this allegation is unsubstantiated. The facility has since provide all requested documents. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted, a copy of this report provided.

LIC9099-C (Page 2) On 12/11/2024, LPA interviewed Residents (R2 and R3). Both residents stated that it can take up to 30 minutes for staff to respond to their call lights. LPA reviewed the facility’s call pendant report for December 2024, which showed no record of R1 activating their call pendant on 12/03/2024, 12/05/2024, or at any time during the month. The report also indicated an average response time of approximately 20 minutes. Allegation: Staff are not providing adequate food service for residents Finding: Unsubstantiated On 12/07/2024, LPA Alexander interviewed W1, who stated that on 11/26/2024, the dining room was messy around 12:30 p.m. W1 reported that the facility provides a menu to order from, but the food tastes as if it came out of a plastic bag. W1 further stated that the facility has served hot dogs in cold buns with potato chips and that the food quality is not reflective of what residents pay for. W1 also stated that a pasta dish was once served cold and expressed concern that R1 was not drinking enough water. On 12/11/2024, LPA interviewed Residents (R2 and R3), who stated that the food is sometimes cold and not always good. R3 further stated that the facility provides an “Anytime Menu” offering six entrees and five salads, which residents enjoy. LPA interviewed Staff (S2), who stated that the kitchen offers a variety of dishes daily and that residents can also order from the alternative menu. 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) LPA reviewed the facility menu dated 10/28/2024 through 12/15/2024, which shows three meals per day with varying options. During observation of lunch and dinner service, LPA observed dining staff clearing dishes promptly and cleaning tables. Residents R4–R7 were also interviewed and reported that their meals were good and generally served on time according to the posted menu. Allegation: Staff did not ensure the elevator was not in disrepair Finding: Unsubstantiated On 12/07/2024, LPA Alexander interviewed W1, who stated that only one of the facility’s two elevators was working and that it was reported repairs could take approximately two months. On 12/11/2024, LPA interviewed Staff (S1), who confirmed that elevator #2 was not operational and that a service call had been placed with KONE for repair. S1 stated that the elevator would remain out of service pending the delivery of necessary parts. LPA reviewed a KONE service order dated 12/04/2024, which indicated the installation of a new elevator drive system for elevator #2. The report stated that the existing drive had failed and was obsolete, requiring engineering and manufacturing of a compatible replacement. Due to this, the repair process was expected to take several weeks to months. Although the allegations may have occurred or may be valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur. Therefore, all allegations are UNSUBSTANTIATED. Exit interview conducted and a copy of this report provided.

On 07/16/2025 at 11:00 AM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Executive Director Anna Reddy and explained the purpose of the visit. LPA toured the facility including but not limited to residents’ apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. LPA observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 76 degrees Fahrenheit. The hot water temperature in a shared bathroom was measured at 120 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxics are locked and inaccessible to residents in care. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguishers were last serviced on 07/10/2025. Emergency Disaster Plan was last posted on 07/16/2025. First aid kit was observed to be complete. Emergency disaster drills conducted monthly, last on 07/02/2025. LPA reviewed five (5) residents records and five (5) staff records; all were complete. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct a case management due to a complaint visit. LPA request facility to conduct an in-service training for all care staff including but not limited to ADL and resident personal rights submitted to CCLD by 2/21/25 including all care staff signature attending the training. No deficiency issue today. Exit interview is conducted and a copy of this report is provided.

Allegation: Staff hurt resident. Unsubstantiated During the course of investigation LPA interviewed 3 residents (R) that are in care of S3. LPA interviewed 3 staff (S) that are on the same shift as S3, and one Witness (W). R1 stated that S3 assisted R1 well. R1 stated “There have not been any time that I felt that a staff hurt me. Staff and myself get along and I do get my needs meet. No staff hurt me. Staff don’t do anything intentional that hurt me. Staff treat me well”. LPA reviewed documents that facility provided related to the above allegation. Facility follow protocol and put S3 on leave while conducting the investigation. Facility concluded that S3 did not hurt R1 intentional. LPA conducted interview 3 staff that worked the same shift as S3. 3 out of 3 stated they have not witnessed nor heard S3 hurt any residents. LPA conducted interviewed with W. W stated S3 “she didn’t not hurt resident intentional, and resident was speaking to low”. Allegation: Staff do not clean the facility properly. Unsubstantiated During the investigation LPA interviewed 2 housekeeping staff, and review housekeeping daily schedule, and housekeeping cleaning check list. LPA toured the facility including but not limited to 6 residents’ apartments, bathrooms, multiple activity rooms, kitchen, common areas and courtyard. LPA observe lighting in all rooms are adequate for the comfort and safety of the residents. This agency has investigated the complaint alleging staff hurt resident, and staff do not clean the facility properly. We have found that the complaint was unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted, a copy of this report provided.

LPAs interviewed S2, who also stated staff in the memory care unit will take breaks in the dinning area. S3, S4 and S5 all stated that NOC staff sometimes take breaks in the dining room area and may close their eyes to get some rest. All staff stated that they have never seen NOC staff sleeping while on duty. This agency has investigated the complaint alleging staff are sleeping during the evening shifts. We have found that the complaint was unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted, a copy of this report provided.

On 1/15/2025 at approximately 4:15 PM, Licensing Program Analyst (LPA) James Sampair arrived unannounced at the facility for this collateral visit to have an Amended copy of the LIC 9099 and LIC 9099-C from Complaint 15-AS-20241106155241 signed by a member of the management team. Upon entry into the facility, the LPA stated the purpose of the visit to Executive Director (ED) Becca Black. The LPA reviewed the LIC 9099 and LIC 9099-C with the ED, after which the ED signed the amended documents. Exit interview conducted and a copy of this report was provided.

...Continued from LIC 9099 The complaint alleges that staff did not prevent a resident from inappropriately grabbing another resident. The LPAs interviewed Witness W1 and Director Foy. The LPAs reviewed email messages concerning the incident between Residents R1 and R2 as well as facility records and health records for Resident R2. The data reviewed did not support the allegation. 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.

On 02/03/2026 at 01:30 PM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to conduct a health and safety check. LPA met with Executive Director Anna Reddy 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. Multiple fire extinguishers were observed; last serviced on 07/10/2025. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

Continued from LIC9099. care. R1 stated that S4 would come in her room and tell her that he wanted to be her boyfriend and lifted her shirt and kissed her breast. R1 also stated S4 made inappropriate sexual comments referring to her private areas. S4 was employed through an agency called Serving Seniors Care from May 2020 to December 2021. Staff member (S5) revealed that R1 had complained that one of the outside agency staff was inappropriate towards her, but S5 never heard what the inappropriate behavior was. On April 27, 2023, the Department interviewed W1. W1 stated R1 had told him that one of the male staff members said disgusting things to her and the male staff member also kissed her breasts. An interview with Serving Senior Care staff, (S7), revealed that he/she was aware that S4 was harassing R1 and was aware that S4 had said something sexual to R1. During an interview with suspect, S4, admitted that he told R1 that he wanted to be her boyfriend, asked if he could kiss her, and stated that he made inappropriate sexual comments while he was changing her. S4 said he told R1 those things as a joke and that he knows that it was inappropriate. Allegation: Staff made sexually inappropriate comments toward a resident. Interview with R1 on April 3, 2023, revealed that S4 would come into R1’s room and tell R1 that he wanted to be her boyfriend and look at her naked body, which made R1 uncomfortable. S4 also used inappropriate sexual language to refer to R1’s private area. During an interview with S4 on June 15, 2023, S4 admitted to using sexual language and making inappropriate sexual comments towards R1. S4 stated he was joking and admits he was wrong in making those comments. Continued on LIC9099C. 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 on from LIC9099C. Allegation: Staff left resident on the floor after a fall for a prolonged period of time Based on an interview with S1 it indicated that R2 was receiving services through an agency called SafelyYou . This service is used to monitor resident unwitnessed falls. S1 stated the system is that if a resident falls, SafelyYou is alerted and immediately contacts the facility and if no one at the facility answers SafelyYou has an additional contact number for the staff at the facility. The staff answering the call from SafelyYou goes to check on the resident. On the day in question, the Department reviewed the time sequence received from the facility regarding R2’s unwitnessed fall and the total time to respond to R2 was 1 hour and 10 minutes. S10 stated she received three (3) calls from SafelyYou to check on R2 and she had notified the person on duty each time a call was received. During the interview with S2, she stated she was working on both floors on the day of the incident, and she did not answer the phone when the agency called because she thought it was a scam call. S2 also stated when S10 told her to check on the resident she then went upstairs to check on her. Deficiencies are 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. Exit interview conducted. Appeal rights and a copy of 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. residents. The med techs stated the steps are to push the cart to each room, pour the medication into a cup, pass the cup to the resident, and make sure the resident takes the medication. All three (3) also stated the medication cart is never left unlocked when unattended. The allegation is Unsubstantiated. Allegation: Questionable death During record review the Department reviewed the death report received from the facility on December 21, 2 023, that stated R2 had expired, but did not state a cause of death. During the investigation the Department obtained a copy of R2’s death certificate; it stated R2’s cause of death as natural causes. Allegation: Staff did not ensure resident's dietary needs were met. The Department interviewed three (3) staff that worked in the kitchen. S13 stated he is given a form from the residents for room service which specifies the residents’ request. If a resident requests diary to be added to their food, it is put on the side not into the food. S14 stated the food that is taken to the residents’ rooms is put on trays and condiments are put on the side for them to add themselves. Based upon the interviews and information obtained during investigation. The above allegations are unsubstantiated. 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. Exit interview conducted and a copy of this report provided.

On 11/12/2024 at 12:00pm, Licensing Program Analysts (LPAs), D. Doidge and J. Sampair arrived unannounced to conduct a case management visit regarding an incident concerning R1 that occurred on 10/30/2024 that was reported to the Department on 11/02/2024. The LPAs met with Ebony Foy, Generations Program Director, and explained the reason for the visit. The incident on 10/30/2024 involved R1 injuring R2. LPAs reviewed R1s Physician's report, Service Plan and Progress notes. Ebony informed LPAs that facility is starting the process of evicting R1. Exit interview conducted. A copy of this report provided

Based on LPA's information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED . California Code of Regulations, Title 22, are being cited on the attached LIC9099D. Exit interview conducted. A copy of this report and appeal rights provided. 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 Staff do not provide adequate supervision to residents in care Interview with residents revealed that staff would always respond to call buttons and staff are available when needed. Interview with staff indicated facility has been using a third party agency to provide additional caregivers as needed. S1 stated there are a set of caregivers and med techs for Assisted Living and Memory Care separately for AM shift, PM shift, and NOC shift. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did occur, therefore the allegations are UNSUBSTANTIATED . Exit interview conducted. A copy of this report provided.

On 08/08/2024 at 2:20 pm , Licensing Program Analyst (LPAs) Ardalan Gharachorloo and David Doidge arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Executive Director, Stephanie Brice and explained the purpose of the visit. LPA toured the facility including but not limited to 4 residents’ apartments, 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 68 degrees F. The hot water temperature in a residents’ shared bathroom was measured at 116 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 07/11/2024. Emergency Disaster Plan was last posted on 06/28/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 06/28/2024. LPAs reviewed 5 residents records and 5 staff records, and all were complete. LPAs also reviewed a sample of resident’s medications. LPAs also reviewed the following files:LIC 500 Personnel Report,LIC 610E Emergency Disaster Plan, Current Administrator’s Certificate. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

On 1/30/24 at 3:15 p.m., Licensing Program Analyst (LPA) Greg Clark conducted an unannounced case management visit as a result of this facility receiving residents from Vista Terrace of Belmont (VTB). LPA met with Stephanie Brice, Administrator (ADM) and explained the purpose of the visit. There are currently 2 residents from VTB remaining at this facility. ADM stated that R1 and R5 decided to stay at this facility. During the visit, LPA toured the facility including but not limited to the apartments where the residents from VTB resided (R2, R3, R4, R6 and R7). LPA observed that all the apartments were empty. There were no health/safety concerns during today's visit. No deficiencies cited during visit. Exit interview conducted and copy of this report provided.

...Continued from 9099 On the allegation of: Facility elevator does not work Based on records review and interview with S1 the facility has always had at least one working elevator. The facility has two elevators and if one is having issues, they communicate with Kone Response Service who is contracted to preform maintenance. S1 stated that they were having issues with one of the elevators at the end of February and was serviced on March 4 th . On the allegation of : Staff does not timely assist resident Based on records review and interview with S1 the facility has a call log showing response times of all the residents who activate their waterproof pendants. This call log also records all of the door sensors for the stairwells, doors and garage. It is a different process to reset the sensors and it takes much longer than the call buttons, so it skews their average response time. Even with the skewed numbers their average time is 23 minutes. We have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. No deficiency observed or cited during this visit. Exit interview conducted and a copy of this report provided.

On 11/30/23 at 10:57 a.m., Licensing Program Analyst (LPA) G. Clark arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Executive Director, Stephanie Brice and explained the purpose of the visit. The facility’s fire clearance was approved for 186. LPA toured the facility including but not limited to 6 residents’ apartments, bathrooms, multiple activity rooms, kitchen, common areas and courtyard. There are no bodies of water observed. LPA observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 70 degrees F. The hot water temperature in a residents’ bathroom were measured at 116.8 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care. LPA reviewed 5 residents records and 5 staff records; all were complete. LPA also reviewed a sample of resident’s medications. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct a case management visit 12/18/23 to verify if an individual is currently not employed at the facility. Based on evidence obtained during today’s visit, the LPA has verified the individual is not present, employed, or residing at the facility. LPA has advised the licensee to disassociate the individual from their roster and submit an updated LIC 500. Exit interview conducted and a copy of this report provided via email.

On 11/30/23 Licensing Program Analyst (LPA) Greg Clark conducted an unannounced case management visit as a result of this facility receiving residents from Vista Terrace of Belmont (VTB). LPA met with Stephanie Brice, Administrator (ADM) and explained the purpose of the visit. There are currently 7 residents from VTB residing at this facility. During the visit, LPA toured the facility including but not limited to the 6 apartments where the residents from VTB reside. All apartments were fully furnished with a bed, chair, night stand, lamp and personal belongings. LPA observed an adequate supply of hygiene items in the resident's bathrooms. During the tour LPA spoke to 5 out of 7 residents. All residents expressed that they had all the supplies they need at this time. ADM reported that the VTB residents are tentatively scheduled to return to VTB in December 2023. Food, staffing and hygiene supplies were all observed to be adequate during visit. There were no imminent health/safety concerns on today's date. No deficiencies cited during visit. Exit interview conducted and copy of this report provided.

On 10/26/23 at 11:00 a.m., Licensing Program Analyst (LPA) Greg Clark conducted an unannounced case management visit as a result of this facility receiving residents from Vista Terrace of Belmont (VTB). LPA met with David Ayala, Resident Care Director (RCD) and explained the purpose of the visit. There are currently 7 residents from VTB residing at this facility. During the visit, LPA toured the facility including but not limited to the 6 apartments where the residents from VTB reside. All apartments were fully furnished with a bed, chair, night stand, lamp and personal belongings. LPA observed an adequate supply of hygiene items in the resident's bathrooms. During the tour LPA spoke to 5 out of 7 residents. All residents expressed that they had all the supplies they need at this time. Food, staffing and hygiene supplies were all observed to be adequate during visit. There were no imminent health/safety concerns on today's date. No deficiencies cited during visit. Exit interview conducted and copy of this report provided.

On 8/17/23 at 11:15 a.m., Licensing Program Analyst (LPA) Greg Clark conducted an unannounced case management visit as a result of this facility receiving residents from Vista Terrace of Belmont (VTB). LPA met with Stephanie Brice, Administrator and explained the purpose of the visit. There are currently 7 residents from VTB residing at this facility. R2 passed away at the facility on 8/18/23. LPA reviewed the LIC624 and LIC624A for R2 while at the facility. During the visit, LPA toured the facility including but not limited to the 7 apartments where the residents from VTB reside. All apartments were fully furnished with a bed, chair, night stand, lamp and personal belongings. LPA observed an adequate supply of hygiene items in the resident's bathrooms. During the tour LPA spoke to 6 out of 7 residents. All residents expressed that they had all the supplies they need at this time. Food, staffing and hygiene supplies were all observed to be adequate during visit. There were no imminent health/safety concerns on today's date. No deficiencies cited during visit. Exit interview conducted and copy of this report provided.

On 7/12/23 at 1:45 PM, Licensing Program Analyst (LPA) Greg Clark conducted an unannounced case management visit as a result of this facility receiving residents from Vista Terrace of Belmont (VTB). LPA met with Stephanie Brice, Administrator (ADM) and explained the purpose of the visit. There are currently 8 residents from VTB residing at this facility. During the visit, LPA toured the facility including but not limited to the 7 apartments where the residents from VTB reside. All apartments were fully furnished with a bed, chair, night stand, lamp and personal belongings. LPA observed an adequate supply of hygiene items in the resident's bathrooms. During the tour LPA spoke to 7 out of 8 residents. All residents expressed that they had all the supplies they need at this time. LPA confirmed that R7 moved out on 6/01/23 to a facility in Millbrae and is is no longer at the facility. LPA observed that R4 and R5 had many of their belongings from VTB moved to their apartment at this facility. ADM is pursuing a storage unit for the belongings. Food, staffing and hygiene supplies were all observed to be adequate during visit. There were no imminent health/safety concerns on today's date. No deficiencies cited during visit. Exit interview conducted and copy of this report provided.

On 8/17/23 at 1:05 PM, Licensing Program Analyst (LPA) Greg Clark conducted an unannounced case management visit as a result of this facility receiving residents from Vista Terrace of Belmont (VTB). LPA met with David Ayala, Resident Care Director (RCD) and explained the purpose of the visit. There are currently 8 residents from VTB residing at this facility. During the visit, LPA toured the facility including but not limited to the 7 apartments where the residents from VTB reside. All apartments were fully furnished with a bed, chair, night stand, lamp and personal belongings. LPA observed an adequate supply of hygiene items in the resident's bathrooms. During the tour LPA spoke to 4 out of 8 residents. All residents expressed that they had all the supplies they need at this time. R4 confirmed that there is a plan to store some of his and his wife's belongings from VTB off site. Food, staffing and hygiene supplies were all observed to be adequate during visit. There were no imminent health/safety concerns on today's date. No deficiencies cited during visit. Exit interview conducted and copy of this report provided.

On 7/12/23 at 1:00 p.m., Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct a case management visit due to receiving a death report with incorrect dates. LPA met with Stephanie Brice, Administrator and explained the purpose of the visit. LPA interviewed Resident Care Director (RCD) who wrote the death report. The death report stated R1 was found unresponsive on May 31st in her apartment by care staff. R1 was transported to Kaiser Oakland. The report then states R1's responsible party called the facility on May 1st to report R1 passed away due to a cerebral stroke. The correct date should have been June 1,2023. LPA reviewed R1's file: move-in date 1/28/22 with a diagnosis of TRA (transient ischemic attack), a DNR dated 2/16/22. R1 was categorized as independent. No other outstanding health conditions or concerns were noted. LPA advised RCD to submit a corrected death report. Corrected report received during visit. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

On 7/7/2023 at 12:30PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a health and safety check as a result of a priority 2 complaint. LPA met with Executive Director, Stephanie Brice. LPA toured facility including but not limited to the resident bedrooms, bathrooms, kitchen, laundry area, common area, and outdoor area. Hot water temperature was measured at 116.0 degrees F in a resident's bathroom sink. One week of non-perishable and 2-day of perishable food supplies were sufficient. Facility order food supplies twice a week. Resident's medications were kept locked in the medication room. Smoke detectors are interconnected with sprinkler system. Carbon monoxide detectors observed. First-aid kit was complete. Fire extinguisher was observed to be full. There are no accessible bodies of water observed. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report was provided.

On this day at around 11:50 am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct case management visit in connection with a suicide incident that occurred at the facility. LPA met with Resident Care Director (RCD) David Ayala and explained the purpose of visit. LPA obtained the following records for Resident 1 (R1): 1. Physician's Report 2. Preplacement Appraisal 3. Admission's Agreement 4. Psychiatric Evaluation 5. Service Plan 6. Emergency Information 7. Letter A referral to Investigations Branch (IB) has been made. LPA advised RCD to send all incident/death reports to CCL via fax at 510-286-4204 or email to CCLASCPOaklandRO@dss.ca.gov and not to send to any LPA email address. A copy of this report was provided to RCD.

On 6/01/23 at 2:00 PM, Licensing Program Analyst (LPA) Greg Clark conducted an unannounced case management visit as a result of this facility receiving residents from Vista Terrace of Belmont (VTB). LPA met with Stephanie Brice, Administrator and explained the purpose of the visit. During the visit, LPA toured the facility including but not limited to the 9 apartments where the residents from VTB reside. All apartments were fully furnished with a bed, chair, night stand, lamp and personal belongings. LPA observed an adequate supply of hygiene items in the resident's bathrooms. During the tour LPA spoke to 9 out of 10 residents. All residents expressed that they had all the supplies they need at this time. 9 out of 10 residents expressed that they felt welcome, comfortable, and safe at the facility. R10 moved out on 5/31/23 to a facility in Millbrae. LPA confirmed R10 is no longer at the facility. R7 is scheduled to move out today, 6/01/23, to the same facility in Millbrae. Food, staffing and hygiene supplies were all observed to be adequate during visit. There were no imminent health/safety concerns on today's date. No deficiencies cited during visit. Exit interview conducted and copy of this report provided.

On 5/24/23 at 1:15 PM, Licensing Program Analyst (LPA) K. Nguyen conducted an unannounced case management visit as a result of this facility receiving residents from Vista Terrace of Belmont (VTB). LPA met with Stephanie Brice, Administrator and explained the purpose of the visit. During the visit, LPA toured the facility including but not limited to the 10 apartments where the residents from VTB reside. All apartments were fully furnished with a bed, chair, night stand, lamp and personal belongings. LPA observed an adequate supply of hygiene items in the resident's bathrooms. During the tour LPA spoke to 9 out of 10 residents. All residents expressed that they had all the supplies they need at this time. 9 out of 10 residents expressed that they felt welcome, comfortable, and safe at the facility. Food, staffing and hygiene supplies were all observed to be adequate during visit. There were no imminent health/safety concerns on today's date. LPA obtained current residents (VTB) roster. Exit interview conducted and copy of this report provided.

On 5/17/23 at 2:10 p.m., Licensing Program Analyst (LPA) Greg Clark conducted an unannounced case management visit as a result of this facility receiving residents from Vista Terrace of Belmont (VTB). LPA met with Stephanie Brice, Administrator and explained the purpose of the visit. During the visit, LPA toured the facility including but not limited to the 10 apartments where the residents from VTB reside. All apartments were fully furnished with a bed, chair, night stand, lamp and personal belongings. LPA observed an adequate supply of hygiene items in the resident's bathrooms. During the tour LPA spoke to all 10 residents. All residents expressed that they had all of the supplies they need at this time. Food, staffing and hygiene supplies were all observed to be adequate during visit. There was no imminent health/safety concerns on today's date. Exit interview conducted and copy of this report provided.

On 5/11/23 at 1:40 p.m., Licensing Program Analyst (LPA) Greg Clark conducted an unannounced case management visit as a result of this facility receiving residents from Vista Terrace of Belmont (VTB). LPA met with Stephanie Brice, Administrator and explained the purpose of the visit. The facility initially received 11 VTB residents on 4/28/23. On 4/29/23 one VTB resident arrived at the facility after a hospital stay. On 4/30/23 one resident was sent out to the hospital per her request and will not be returning. Another VTB resident was 5150'd on 5/01/23 and will not be returning. Current census of VTB residents at the facility is 10. During the visit, LPA toured the facility including but not limited to the 10 apartments where the residents from VTB reside. All apartments were fully furnished with a bed, chair, night stand, lamp and personal belongings. LPA observed an adequate supply of hygiene items in the resident's bathrooms. During the tour LPA spoke to all 10 residents. All residents expressed that they had all of the supplies they need at this time.. Food, staffing and hygiene supplies were all observed to be adequate during visit. There was no imminent health/safety concerns on today's date. Exit interview conducted and copy of this report provided.

On 5/05/23 at 1:35 p.m., Licensing Program Analyst (LPA) Greg Clark conducted an unannounced case management visit as a result of this facility receiving 12 residents from Vista Terrace of Belmont (VTB). LPA met with Stephanie Brice, Administrator and explained the purpose of the visit. During the visit, LPA toured the facility including but not limited to 7 of the 11 apartments where the residents from VTB reside. There is one married couple who share an apartment. All apartments were fully furnished with a bed, chair, night stand, lamp and personal belongings. LPA toured the kitchen and observed an adequate food supply. All residents were observed to be well groomed and in good sprits. Food, staffing and hygiene supplies were all observed to be adequate during visit. There was no imminent health/safety concerns on today's date. Exit interview conducted and copy of this report provided.

On 4/29/23 at 11:40 a.m., Licensing Program Analyst (LPA) Greg Clark conducted an unannounced case management visit as a result of this facility receiving 11 residents from Vista Terrace of Belmont (VTB). LPA met with Stephanie Brice, Administrator and explained the purpose of the visit. During the visit, LPA toured the facility including but not limited to the 11 apartments where the residents from VTB reside. All apartments were fully furnished with a bed, chair, night stand, lamp and personal belongings. LPA observed an adequate supply of hygiene items in the resident's bathrooms. During the tour of the dining room LPA observed 8 of the VTB residents eating lunch. The 3 other VTB residents were in their rooms. LPA confirmed during today's visit that a total of 11 residents from VTB have moved into this facility. Food, staffing and hygiene supplies were all observed to be adequate during visit. There was no imminent health/safety concerns on today's date. Exit interview conducted and copy of this report provided.

On 10/31/2024 at 11:15am, Licensing Program Analysts (LPAs), L. Hall and David Doidge arrived unannounced to conduct a case management visit. LPAs met with Ebony Foy, Generations Program Director and explained the reason for the visit. While LPAs were conducting a complaint investigation 15-AS-20230224104657 on 10/31/2024, during record review LPAs observed S2 was not fingerprinted or associated to the facility. LPAs were also informed the facility did not have a qualified and certified administrator. 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

Deficiency is cited from Title 22 California Code of Regulations and Health and Safety Code (see 9099D). Failure to submit proof of correction by plan of correction due date and any repeat violation within 12 month period may result in civil penalty. Deficiency and plan and proof of correction were discussed with interim ED. Exit interview conducted. Appeal Rights, LIC9099D, 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 Allegation: Resident was left in soiled bedding for a long period of time - Unsubstantiated The Department has investigated this allegation and per records review and interviews, found staff denied resident was left in soiled bedding for a long period of time. Staff stated that they frequently checked on residents and changed residents as needed. Since resident R1 has no updated physician’s report on file, the most recent physician’s report dated on 9/30/2021 indicated that R1 was able to care for own toileting needs. Allegation: Resident's hygiene needs are not being met - Unsubstantiated The Department has investigated this allegation and per records review, observation, and interviews, found that facility staff washed residents’ laundry every day. Dirty laundry was observed in different location each room, some were placed inside or outside the closet, some were placed in the living room, and some were placed in bathroom. Staff stated that laundry was placed in the location where resident preferred. Although the allegations may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did occur, therefore the allegations are UNSUBSTANTIATED. No deficiency cited. Exit interview conducted with interim ED and a copy of this report provided.

On 2/6/23 at 11:42 am, Licensing Program Analyst (LPA) Catherine Lin conducted case management, met with interim executive director (ED) and explained the purpose of visit. During the course of investigation on a complaint, the Department observed the following deficiencies. · Staff did not update needs & service plan (LIC625) when R1's health condition was changed. · Staff did not have annual needs & service plan (LIC625) for residents. · Staff did not have annual physician’s report for residents who were diagnosed dementia. · Staff did not report incidents to licensing when resident R1 sustained falls and was admitted to hospital on 11/7/22 and 11/8/22. This is a repeating violation, a civil penalty $250 is assessed on today’s day. Deficiencies are cited per Title 22 California Code of Regulations. Please refer to LIC 809D. Failure to submit proof of correction by plan of correction due date and any repeat violation within 12-month period may result in civil penalty. Exit interview conducted with ED, Appeal Rights and a copy of this report were provided.

On this day 11/29/22, Licensing Program Analyst (LPA) C. Lin conducted a case management visit and met with Administrator Kathleen Knox. LPA explained the purpose of the visit. During an investigation conducted by the Department, LPA observed 2 bottles of chemical supplies in memory care residents room 201 and room 205. Administrator removed bottles from the rooms and instructed staff to lock them up during visit. Deficiency is cited per Title 22 California Code of Regulations and listed on LIC809 D. Failure to submit proofs of correction (POC) by plan of correction due date and/or any repeat deficiency within a 12-month period may result in civil penalties . Exit interview conducted with Administrator. LIC809D, Appeal Rights and a copy of this report provided.

On 4/28/23 at 3:30 p.m., Licensing Program Analyst (LPA) Greg Clark conducted an unannounced case management visit as a result of this facility receiving 11 residents from Vista Terrace of Belmont (VTB). LPA met with Stephanie Brice, Administrator and explained the purpose of the visit. During the visit, LPA interviewed facility administrator and 1 resident (R1) from VTB. R1 stated that she felt safe, the facility is beautiful and that her needs were being met. Remaining residents are due at the facility around 5 p.m. Beds are due to arrive between 7 and 8 p.m. LPA confirmed that a total of 11 residents from VTB will be moving to this facility. Facility staff will be providing care and supervision of the residents from VTB today, agency staff (The Key) will be providing care, in addition to facility staff, over the weekend. There was no imminent health/safety concerns on today's date. LPA will return to the facility tomorrow to confirm arrival of beds, belongings and that staffing is covered. Exit interview conducted and copy of this report provided.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are unsubstantiated. No deficiency cited. Exit interview conducted and a copy of this report provided to Building Services Director.

On 9/23/22, Licensing Program Analyst (LPA) C. Lin conducted a case management visit and met with Administrator and explained the purpose of the visit. During an investigation conducted by the Department, records review and interview found that subject resident's fall resulted to be admitted to hospital on 9/8/2022 was not reported to CCLD, no record of LIC624 for this incident was found during visit. A deficiency was observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiency may result in civil penalty. Exit interview conducted with Administrator. LIC809D, appeal rights, and a copy of this report provided.