Aegis Living Pleasant Hill.
Aegis Living Pleasant Hill is Ranked in the top 42% of California memory care with 7 CDSS citations on record; last inspected Jan 2026.
A large home, reviewed on public record.
Compared to 56 California facilities with a similar number of beds.
RCFE memory care · 36-month window. Higher percentile = better performance on inspection record. Source: California Dept. of Social Services · Community Care Licensing.
among peers to rank.
Rankings based on 36-month CDSS inspection data. Severity and frequency: fewer citations = higher percentile. Repeat rate: lower repeat citation share = higher percentile.
FACILITY WATCH · BETA
Aegis Living Pleasant Hill has 7 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.
7 deficiencies on record. Each bar is a month with a citation.
Finding distribution
7 total · 36 monthsScope × Severity (CMS A–L)
The rules that apply to this facility.
State requirements with the exact regulation citation, plain-language explanation, and a question to ask on tour. Rules this facility has been cited for appear first.
Plain language
Because a facility markets dementia or Alzheimer's care, state law mandates higher training standards: 12 hours of initial dementia training (6 hours before a staff member works independently with residents, 6 more within the first 4 weeks), 8 hours of annual dementia in-service every year thereafter, and an administrator must include 8 hours of dementia-specific continuing education in every 2-year recertification cycle. Training must cover individualized care plans, behavioral expressions, appropriate supervision, and the facility's dementia care philosophy.
Ask on tour
“Can you show me each direct-care staffer's most recent dementia training certificate, and tell me when their next refresher is due?”
Questions to ask before you visit.
A short pre-tour checklist tailored to Aegis Living Pleasant Hill's record and state requirements.
The facility has 2 serious citations on file across all inspections — can you provide your corrective-action plan for each cited item, and show families any documentation of remediation steps taken?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
The January 7, 2026 inspection resulted in 1 dementia-care citation under Title 22 §87705 or §87706 — can you provide your corrective-action plan for the cited regulatory requirement?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
The facility has 8 deficiencies on file across 17 inspection reports — can you walk through the most significant findings and explain what process changes were made to prevent recurrence?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Every inspection visit, verbatim.
10 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.
2026-01-07Other VisitNo findings
Plain-language summary
On January 7, 2026, state inspectors conducted an unannounced visit to investigate an unusual incident report the facility had submitted about an event that occurred on December 30, 2025. The inspectors interviewed staff, reviewed resident records, and spoke with facility leadership. No violations were found.
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On 01/07/2026 at 09:30 AM, Licensing Program Analysts (LPAs) David Doidge and Andrew Christy arrived unannounced to conduct a case management regarding an Unusual Incident Report sent in by the facility. LPAs met with Care Director Yelba Havelhorst and explained the purpose of the visit. LPAs met with staff and spoke with Executive Director Linda Fisher via phone call. LPAs interviewed staff for more information regarding the incident that occurred on 12/30/2025 around 6:30 PM. LPAs also obtained Progress Notes for the resident name in the Unusual Incident Report. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
2025-11-07Annual Compliance VisitNo findings
Plain-language summary
On November 7, 2025, a state official visited the facility unannounced to deliver an exclusion letter for a staff member, meaning that person is no longer allowed to work there. The facility confirmed the staff member had already been terminated on November 4, 2024, and was not working at the facility at the time of the visit. No violations were found during this inspection.
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On 11/7/2025 at 5:00 PM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct a case management visit to deliver an immediate exclusion letter. The LPA met with Administrator Linda Fisher and informed her of the reason for the visit. During visit, the LPA hand delivered the immediate exclusion letter for S1 to the Administrator. The LPA was informed that S1 was not working at the facility and was terminated November 4, 2024. No deficiencies cited during this visit. Exit interview conducted and a copy of this report provided.
2025-06-25Other VisitNo findings
Plain-language summary
On June 25, 2025, state inspectors conducted the facility's required annual inspection and found no violations. The inspectors reviewed resident records and staff qualifications, toured the building including resident apartments and common areas, and confirmed that safety features like grab bars, adequate lighting, and secure medication storage were in place.
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On 06/25/2025 at 12:00 PM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with General Manager, Linda Fisher and explained the purpose of the visit. The facility’s fire clearance was approved for capacity ninety (90) non-ambulatory of which five (5) may be bedridden. Hospice waiver approved for thirteen (13) residents. Administrator certificate #7017208740 expires 09/27/2026. LPA toured the facility with Care Director, Yelba Havelhorst, including but not limited to two (2) residents’ apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPA observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 74 and 76 degrees F. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in a sample of residents’ shared bathroom were measured at 108.4, and 114.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one-week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care. 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 LPA reviewed nine (9) residents records. LPA reviewed ten (10) staff records and 10 of 10 have current first aid training and associated to the facility. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 07/02/2025: LIC 308 Designation of Administrative Responsibility - Reviewed LIC 309 Administrative Organization - Reviewed LIC 500 Personnel Report - Obtained LIC 610E Emergency Disaster Plan - Reviewed Liability Insurance - Reviewed Current Administrator’s Certificate - Reviewed No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
2024-11-07Other VisitNo findings
Plain-language summary
On October 2, 2024, a fire broke out on a shared fence between the facility and neighboring property at approximately 9:50 p.m.; staff called 911 and the fire department extinguished it immediately, with no injuries reported. The fire department could not determine what caused the fire, and the damaged fence has since been boarded up while repairs are arranged with the neighboring property owner. No violations were found during the state's follow-up visit on November 7, 2024.
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On 11/07/2024 at 4:10 PM Licensing Program Analyst (LPA) L. Alexander conducted an unannounced Case Management visit regarding an incident that was reported to Community Care Licensing Division (CCLD) on 10/06/2024. LPA met with General Manager, Linda L. Fisher and explained the purpose of the visit. GM, Linda L. Fisher, had to leave and authorized Health Services Director, Davinderjit Singh, to sign the report. On 10/06/2024 CCLD received an Unusual Incident Report (UIR) that reported the community fence that is on shared property with neighbors was on fire on 10/02/2024. The report indicated that the fire department was called and blazed out the burning fire to the fence. LPA interviewed S1 that stated it was approximately 9:50pm when they were going to the parking lot and observed that there was a fire on the other side of the fence. S1 stated that they called their co-worker to call 911. S1 stated that their car was right at the fence where the fire was burning along with three (3) other cars that belong to staff members. LPA interviewed S2 that stated that approximately 10pm they were sitting in their car on the other side of the building and observed that there was a fire. S2 stated that they called 911 and asked the employees that were parked by the fence to move their cars. S2 stated that the fire department came and put the fire out immediately. LPA interviewed S3 that stated that the fire department did not find anything that caused the fire. The UIR indicates that the General Manager, Linda L. Fisher had a meeting with the homeowner regarding repairs to the fence. LPA observed that the fire damaged fence is boarded up with plywood. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
2024-11-07Annual Compliance VisitNo findings
Plain-language summary
On July 29, 2024, two residents were involved in a physical altercation at the facility; one resident was found on the floor and was taken to the emergency room, though testing showed no serious injury and the resident was able to return to the facility the same day. A state inspector visited on November 7, 2024, to investigate an incident report filed about the altercation and found that staff called 911 promptly, obtained medical care, and separated the residents to prevent further conflict. No violations were cited.
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On 11/07/2024 at 2:40 PM Licensing Program Analyst (LPA) L. Alexander conducted an unannounced Case Management visit regarding an incident that was reported to Community Care Licensing Division (CCLD) on 07/30/2024. LPA met with General Manager (GM), Linda L. Fisher and explained the purpose of the visit. GM, Linda L. Fisher, had to leave and authorized Health Services Director, Davinderjit Singh, to sign the report. On 07/30/2024 CCLD received an Unusual Incident Report (UIR) that reported that Residents (R1) and (R2) were both in a physical altercation on 07/29/2024. The report indicated that R1 was found laying on the floor with R2 standing nearby. The report further indicated that R1 and R2 were in a dispute regarding money that was allegedly removed from R2's room. LPA interviewed S1 that stated the nurse called to check on R1 while on the floor and asked R1 if they had any pain and R1 responded, "yes." S1 stated that they called 911 and R1 was transported to the emergency department for further evaluations at Kaiser Walnut Creek. S1 stated that R1 returned back to the facility, all acute testing came back normal and R1 had a doctor's order for pain management. S1 stated that staff was advised to keep both residents separated. LPA obtained a copy of resident's roster, physician's reports, medication lists and Individualized Service Assessments for R1 and R2. LPA reviewed that R1 has a diagnosis of dementia. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
2024-07-25Other VisitType B · 3 findings
Plain-language summary
On July 25, 2024, state licensing staff investigated an incident where a resident left the facility without authorization on May 26, 2024, at approximately 7:15 AM while staff were occupied at the front entrance; the resident was later found at San Francisco International Airport after his family checked his GPS watch and contacted airport security. Staff did not realize the resident was missing until airport security called the facility. The investigation found deficiencies in the facility's procedures (detailed in the accompanying violation report).
“Based on observation,interview, and review the licensee did not comply with the section cited above by not reporting to CCL within 24hrs which posed a potential health, safety or personal rights risk to persons in care.”
“Based on interview, the licensee did not comply with the section cited above by S1 stated that resident did not have "Wander Guard" on which posed a potential health and safety risk to persons in care.”
“Based on observation, interview and review the licensee did not comply with the section cited above by the agency determined that staff did not know the resident exited the facility which posed a potential health and safety risk to persons in care.”
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On 07/25/2024 at 2:50 PM Licensing Program Analyst (LPA) L. Alexander conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 05/30/2024. LPA met with Care Director, Yelba Havelhorst and Health Services Director, Davinderjit Singh and explained the purpose of the visit. CCL received an Unusual Incident Report that reported that Resident (R1) eloped from the facility on 05/26/2024 at around 7:15 AM. Staff (S1) stated that the morning shift observed R1 sitting on the front chair near the concierge area. S1 stated that they think R1 left when the morning staff was coming inside the front door. S1 stated that R1 has 2 (two) daughters that live out-of- state and the daughters check the GPS that is located on R1's watch. S1 stated that the Med Tech was looking for R1 at around 8:00 AM to give him his morning medication but he was not in his room. S1 stated that the staff were looking for R1 inside and outside the building. S1 stated that security from San Francisco International Airport (SFO) called and spoke to the facility's concierge and indicated that they found a person that matched the description. S1 stated that R1's daughters checked the GPS and that is when they discovered that R1 was at SFO. S1 stated that the daughters called SFO security and gave a description of R1. S1 stated that a friend of R1's ex-wife was the person that went to SFO to pick up R1 and brought R1 back to the facility. S1 stated that the facility did not know that R1 was missing until SFO security called them. 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... LPA obtained the following documents: Physician's Report, Residence and Care Agreement, Progress Notes, Two Hour Check, Resident Emergency Information Form, Physician's Orders, Individualized Service Assessment, Individualized Service Plan (06/13/24 and 07/09/24), Sign-out sheet and Aegis Living Elopement Response Protocol. 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
2024-06-18Other VisitNo findings
Plain-language summary
A routine annual inspection was conducted on June 18, 2024, during which inspectors toured the facility, reviewed resident and staff records, and checked safety features including lighting, temperature controls, bathroom equipment, food supplies, and medication storage. No violations were found. The facility is licensed to serve up to 90 non-ambulatory residents, with the administrator's certificate valid through September 2024.
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On 06/18/2024 at 10:45 AM, Licensing Program Analysts (LPAs) L. Alexander and L. Holmes arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Health Services Director, Davinderjit Singh and explained the purpose of the visit. General Manager (GM), Linda Fisher, arrived shortly after. The facility’s fire clearance was approved for capacity of non-ambulatory 90 (ninety) residents. In which 5 (five) may be bedridden. Hospice waiver approved for 13 (thirteen) residents. Administrator Certificate #6049700740 expires 09/27/2024. LPAs toured the facility with Maintenance and Housekeeping Director, Noel Samonte and Linda Fisher (GM) including but not limited to 6 (six) residents’ apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPAs observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 76, 75 and 71 degrees F. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in a sample of residents’ shared bathroom were measured at 112.7, 113.0, 115.2 and 114.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care. LPAs reviewed 7 residents records. LPAs reviewed 6 staff records and 5 of 6 have current first aid training and associated to the facility. 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... Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 06/25/2024: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report Liability Insurance No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
2024-01-04Other VisitNo findings
Plain-language summary
On January 4, 2024, a state licensing analyst visited the facility to follow up on a death that occurred on November 6, 2023. A resident fell in the dining room on November 4, was taken to the hospital with a forehead laceration, and returned to the facility using a wheelchair; two days later staff found the resident unresponsive and deceased in their apartment, with cause of death unknown. No violations were cited during this follow-up visit.
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On 01/04/2024 at 10:00AM Licensing Program Analyst (LPA) Lori Alexander arrived unannounced to conduct a case management visit to follow-up on a incident report and death report received by Community Care Licensing on 11/10/2023. LPA met with both General Manager, Linda Fisher and Care Director, Yelba Havelhorst and explained the purpose of the visit. Staff 1 (S1) stated that on 11/04/2023 at approx. 6pm, Resident 1(R1) fell in the dining room after getting up from dinner. S2 assessed R1 and applied first aid to R1's laceration on forehead. 911 was called and R1 was transported to John Muir Hospital In Walnut Creek (John Muir). S1 stated that she went to John Muir to pick up R1 after 9pm because R1 was getting discharged. S1 stated that the Emergency Room (ER) nurse at John Muir informed that R1 was weak and would need a wheelchair. S1 stated that R1 was independent and really did not want to use a wheelchair but went ahead and used the wheelchair. S3 stated that on 11/06/2023 they were looking for R1 to go to dinner. S3 stated that when the resident returned back from the hospital R1 was weak and using a wheelchair. S3 stated that R1 was "very independent." S3 stated at around 5pm they went to R1's apartment and found R1 unresponsive faced down on the floor. S3 stated, "knew that he was gone." S3 further stated that it appeared that R1 was trying to place his clothes on. S3 stated that the police arrived and pronounced R1 deceased. S3 stated that the paramedics also were called and arrived on the scene and pronounced R1 deceased. LIC809-C 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LIC809-C Continued.... R1 passed away on 11/06/2023 with an unknown cause of death. During today's visit LPA obtained additional information pertaining to R1's death: 1. Resident Incident Report (Aegis Living Pleasant Hill) dated 06/03/22 2. Unusual Incident Report (LIC 624) dated 10/23/23 3. Physician's Report (LIC 602A) dated 05/26/23 4. Individualized Service Plan dated 10/04/23 LPA requested from facility a copy of R1's death certificate. LPA was informed by General Manager that family will provide R1's death certificate, once available and will provide CCL a copy. No deficiencies cited during this visit. Exit interview conducted and a copy of this report provided.
2023-08-01Annual Compliance VisitNo findings
Plain-language summary
An inspector visited on August 1, 2023 to follow up on a deficiency found the previous day, specifically regarding scissors that were left in a resident's room. The facility provided updated physician reports and an amended compliance plan to address the issue.
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On 08/01/2023 at 10:42 AM Licensing Program Analyst (LPA) L. Alexander conducted an unannounced Case Management visit to amend an Deficiency/POC which was cited from the previous visit on 07/31/2023. LPA met with General Manager, Linda Fisher and explained the purpose of the visit. LPA received a copy and reviewed R1's and R2's Physicians Reports. Technical Advisory, CCR 87309(a), for scissors observed by LPA in R2's room on 07/31/2023. A copy of the amended report was provided to Linda Fisher.
2023-07-31Annual Compliance VisitType A · 4 findings
Plain-language summary
A routine annual inspection was conducted on July 31, 2023, and found several safety concerns: non-skid mats were missing from showers in both assisted living and memory care areas, cleaning supplies and medications were stored in unlocked cabinets or residents' rooms where they could be accessed unsupervised, and one staff member did not have current First Aid certification. The facility was otherwise found to maintain adequate lighting, appropriate temperatures, grab bars in bathrooms, and sufficient food supplies.
“Based on observation and record review, the licensee did not comply with the section cited above in not having 1 of 5 staff complete First Aid Training which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/14/2023 Plan of Correction 1 2 3 4 Administrator will review all staff files to ensure all staff have current First Aid/CPR training. Administrator will send in self-certification stating all staff have completed First aid and CPR training.”
“Based on observation, the licensee did not comply with the section cited above in by not having disinfectant cleaning chemicals inaccessible to residents which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/14/2023 Plan of Correction 1 2 3 4 Administrator will lock up disinfectant cleaning chemicals. Administrator will conduct a training with staff on keeping toxic chemicals inaccessible to residents. Administrator will send a copy of training and signatures of staff present to training to CCL by POC Due Date.”
“Based on observation and record review, the licensee did not comply with the section cited above in by not having vitamins and Extra Strength Tylenol inaccessible to residents which poses an immediate health and safety risk to persons in care. POC Due Date: 08/14/2023 Plan of Correction 1 2 3 4 Administrator will remove vitamins and Extra Strength Tylenol from resident's rooms. Administrator will have a discussion with residents and their families about storing medications in their rooms. Administrator will review regulations and have a training with staff. Administrator will send a copy of training with signatures of attendees to CCL by POC Due Date”
“Based on observation, the licensee did not comply with the section cited above in by not having non skid mats available in residents' showers which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/14/2023 Plan of Correction 1 2 3 4 Administrator will purchase non skid mats and place in residents' shower where non skid mats are missing. Administrator will send a copy of invoice receipt for non skid mats to CCL by POC Due Date.”
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*This is an amended report from visit 7/31/2023.* On 07/31/2023 at 12:10 PM, Licensing Program Analysts (LPAs) L. Alexander and L. Fontanilla arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Health Services Director, Maria Collado and Care Director, Yelba Havelhorst and explained the purpose of the visit. The General Manager, Linda Fisher, was not available but arrive shortly there after. The facility’s fire clearance was approved for 90 Non-Ambulatory, of which 5 may be Bedridden. Hospice Care Waiver granted for 13 residents. LPAs toured the facility with Yelba including but not limited to 8 residents’ apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 72 degrees F in assisted living and 76 degrees in memory care. The hot water temperatures in a sample of residents’ shared bathroom were measured at 118.1, 115.8, 116 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. At 1 PM, LPA reviewed 5 residents and 5 staff records. The following deficiencies were observed: At 1:45 PM LPAs observed missing non-skid mats in residents' shower located in assisted living and memory care. At 1:49 PM LPAs observed "Goof Off" Disinfectant Spray unlocked cabinet located in Laundry Room downstairs. LIC 809-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 LIC 809 Continued... At 1:51 PM LPAs observed 2 bottles of Anti-bacterial All Purpose Cleaner unlocked under kitchen cabinet in Memory Care (Aggie). At 1:55 PM LPAs observed vitamins and Extra Strength Tylenol in residents' rooms in assisted living At 1 PM, LPAs observed during record review 1 of 5 staff missing First Aid certification. 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.
3 older inspections from 2021 are not shown in the free view.
3 older inspections from 2021 are not shown in the free view.
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