California · Pleasant Hill

Pleasant Hill Oasis.

RCFE · Memory Care49 bedsDementia-trained staff
Facility · Pleasant Hill
A 49-bed RCFE · Memory Care with 20 citations on file.
Licensed beds
49
Last inspection
Nov 2025
Last citation
Nov 2025
Operated by
Ph Senior Care Llc; Northstar Senior Living Inc
Snapshot

A medium home, reviewed on public record.

Peer Comparison

Compared to 26 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.

Severity rank
24th%
Weighted citations per bed.
peer median
0
100
Repeat rank
8th%
Repeat deficiencies as share of total.
peer median
0
100
Frequency rank
0th%
Deficiencies per inspection.
peer median
0
100

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

Pleasant Hill Oasis has 20 citations on record. Know the moment anything changes.

New findings, complaint investigations, or status changes — emailed to you free.

Save for comparison:
The Record

Citation history, plotted month by month.

20 deficiencies on record. Each bar is a month with a citation.

Peer median 3 · dashed
Last citation: NOV 2025. Compared against peer median (dashed).
peer median
NOV 2025
Jul 2024as of Jun 2026

Finding distribution

20 total · 36 months

Scope × Severity (CMS A–L)

Isolated
Pattern
Widespread
Sev 4 · IJ
J
K
L
Sev 3
G3
H
I
Sev 2
D17
E
F
Sev 1
A
B
C
The Rulebook

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.

What must this facility report to the state — and how fast?22 CCR §87211 / WIC §15630
Cited Oct 2024+
Plain language

Elopements, fires, epidemic outbreaks, and poisonings must be reported immediately. Abuse with serious bodily injury requires a 2-hour phone report + 2-hour written report to CDSS, Adult Protective Services, and law enforcement. Abuse without serious bodily injury must be reported within 24 hours. A resident death requires a phone call by the next working day and a written report within 7 days. Injuries requiring medical treatment beyond first aid, and bankruptcy/foreclosure/utility shutoff notices, must also be reported. Incidents not reported on time are a separate violation — families may file a complaint directly with CDSS.

Ask on tour

When was the last incident report filed with CDSS, and may I see your incident log summary for the past 12 months?

Tour Prep

Questions to ask before you visit.

A short pre-tour checklist tailored to Pleasant Hill Oasis's record and state requirements.

01 /

The facility has 4 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.

02 /

Seven complaints are on file with CDSS — were any substantiated, and what remediation did the facility take in response to substantiated findings?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

03 /

The facility is cited under §87705 or §87706 for dementia care requirements — can you provide the written dementia-care program required by §87705, and show families how compliance is currently documented?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

Full Inspection Record

Every inspection visit, verbatim.

9 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.

9
reports on file
20
total deficiencies
3
severe (Type A)
2025-11-18
Other Visit
Type A · 3 findings

Plain-language summary

This was a follow-up inspection on November 18, 2025, to check whether the facility had corrected violations found during an August 2025 annual inspection and a subsequent October 2025 follow-up visit. The facility failed to correct the main violation and inspectors found new problems during the visit, including an unlocked and unsupervised medication room, unattended cleaning chemicals in a hallway, and various hazardous items left unattended outside (a ladder, wood, a cylinder object, and bicycles); the facility was also cited for dirty floors and cigarette butts on the grounds, and assessed a $250 civil penalty.

Type A22 CCR §87465(h)(2)
Verbatim citation text · 22 CCR §87465(h)(2)

Based on observation, the licensee did not comply with the section cited above in by not having the medication room door locked, unopened and left unattended by staff which poses an immediate health and safety risk to persons in care.

Type A22 CCR §87309(a)
Verbatim citation text · 22 CCR §87309(a)

Based on observation, the licensee did not comply with the section cited above in by not having Clorox Bleach and other cleaning disinfectants inaccessible to residents and unattended by staff which poses an immediate health and safety risk to persons in care.

Type B22 CCR §87303(a)(1)
Verbatim citation text · 22 CCR §87303(a)(1)

Based on observation, the licensee did not comply with the section cited above in by not having the residents' bathrooms clean including but not limited to the floors, toilets, sinks, bedroom floors, the kitchen, the hallway carpets deep cleaned with dirt spots, floor molding cleaned outside with cigarette butts laying on the grounds (front/side/back yards), garbage, bicycles, ladder, wood, cyclinder objects which poses a potential health, safety or personal rights risk to persons in care.

Read raw inspector notes

On 11/18/2025 at 2:25 PM Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct a Case Management. LPA met with Care Supervisor, Delia Perez, and explained the purpose of the visit. Executive Director, Liza Elegado was unavailable. LPA conducted an Annual Inspection on 08/28/2025 and cited for deficiencies. The Plan of Correction (POC) original due dates was 09/12/2025. LPA conducted a POC visit on 10/02/2025 in which there were deficiencies not cleared. Deficiencies not cleared: CCR 87303(a)(1) Repeat Violation. Civil penalty assessed $250.00. THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 2:27pm door to medication room was unlocked, door not closed and no one supervising. At 2:50pm cleaning cart located in hallway with Clorox Bleach and other cleaning chemicals left unattended 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 (Page 2) THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT CONTINUED: At 2:56PM ladder located outside unattended At 2:57pm wood located outside by a shed At 2:59pm long cylinder object laying next to fence on side yard At 3:00pm cigarette butts located outside on the grounds At 3:00pm two (2) bicycles located outside At 3:01pm floors dirty 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

2025-10-02
Annual Compliance Visit
Type B · 1 finding

Plain-language summary

This was a follow-up inspection on October 2, 2025, to check whether the facility had fixed problems found during an earlier annual inspection in August. The facility corrected most deficiencies, but two issues remained: the building and grounds were not properly maintained for resident safety (a repeat problem for which the facility was fined $250), and residents' health assessments had not been updated, though the facility was given until October 25 to complete them.

Type B22 CCR §87303(a)(1)
Verbatim citation text · 22 CCR §87303(a)(1)

Based on observation, the licensee did not comply with the section cited above in by not having the residents' bathrooms clean including but not limited to the floors, toilets, sinks, bedroom floors, the kitchen, the hallway carpets deep cleaned with dirt spots, floor molding cleanedoutside with cigarette butts laying on the grounds (front/side/back yards), garbage on the grounds, plastic gloves, old boxes, shrubbery/branches which poses a potential health, safety or personal rights risk to persons in care.

Read raw inspector notes

On 10/02/2025 at 2:15 PM, Licensing Program Analyst (LPA) L. Alexander conducted an unannounced Plan of Correction (POC) visit and met with Executive Director, Liza Elegado. LPA explained the purpose of the visit to the Executive Director. LPA conducted an annual inspection on 08/28/2025 during which the facility was cited for deficiencies. LPA was unable to return for the Plan of Correction visits with due dates of 09/11/25, 09/12/25, 09/15/25, 09/19/25, and 09/25/25. Deficiencies not cleared by today’s visit will be re-cited, and civil penalties will be assessed for failure to correct in a timely manner. Deficiencies Cleared: CCR 87411(f) CCR 87303(i)(1)(A) CCR 87303(c) CCR 87506(a) CCR 87463(a) 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 (Page 2) Deficiencies Not Cleared: CCR 87303(a)(1) – Maintenance and Operation (Buildings and Grounds) Repeat violation. During inspection, LPA observed that the facility had not repaired/maintained required physical plant conditions to ensure the health and safety of residents. Civil Penalty $250.00 CCR 87463(h)(1) – Reappraisal Requirement Facility did not provide updated reappraisals for residents. However, appointments for residents are pending. LPA granted an extension to 10/25/25 new due date. An exit interview was conducted. A copy of this report, LIC421FC, and appeal rights were provided to the Licensee.

2025-08-28
Other Visit
Type B · 7 findings

Plain-language summary

This was an unannounced annual inspection on August 28, 2025, which found the facility's basic safety features—lighting, temperature, hot water, grab bars, and medication storage—were in order, but inspectors observed deficiencies including washing machines and items stored in a trailer in the parking lot, dirty windows and blinds, and a ladder and garden tools left outside. One staff member's first aid training status could not be verified. The facility was given until September 4, 2025 to submit updated administrative documents.

Type B22 CCR §87411(f)
Verbatim citation text · 22 CCR §87411(f)

Based on record review, the licensee did not comply with the section cited above in by not having a health screening for S3 and S8 on file which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/11/2025 Plan of Correction 1 2 3 4 Administrator agreed to submit health screening for S3 and S8 to CCLD by POC due date.

Type B22 CCR §87303(a)(1)
Verbatim citation text · 22 CCR §87303(a)(1)

Based on observation, the licensee did not comply with the section cited above in by not having the residents' bathroom clean including but not limited to the floors and toilets, the kitchen, the hallway carpets which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/12/2025 Plan of Correction 1 2 3 4 Administrator will send picture of areas clean to CCLD by POC due date.

Type B22 CCR §87303(c)
Verbatim citation text · 22 CCR §87303(c)

Based on observation, the licensee did not comply with the section cited above in by not having the windows/window blinds/shades cleaned and sanitized which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/12/2025 Plan of Correction 1 2 3 4 Administrator will send photo of windows and window blinds/shades/covering clean and sanitized to CCLD by POC due date.

Type B22 CCR §87303(i)(1)(A)
Verbatim citation text · 22 CCR §87303(i)(1)(A)

Based on observation and interview, the licensee did not comply with the section cited above in by not having a signa; system for all residents which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/29/2025 Plan of Correction 1 2 3 4 Administrator will submit a receipt and video of the system installed and working to CCLD by POC due date.

Type B22 CCR §87506(a)
Verbatim citation text · 22 CCR §87506(a)

Based on record review, the licensee did not comply with the section cited above in by not having a complete file for R8 including but not limited to admission agreement, consent form, appraisal needs and services which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/10/2025 Plan of Correction 1 2 3 4 Administrator agreed to submit copies of missing documents for R8 to CCLD by POC due date.

Type B22 CCR §87463(a)
Verbatim citation text · 22 CCR §87463(a)

Based on record review, the licensee did not comply with the section cited above in by not having current Appraisal Needs and Services (ANS) for R4, R5, R6, R8, R9 and R11 which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/19/2025 Plan of Correction 1 2 3 4 Administrator agreed to submit copies of updated ANS for R4, R5, R6, R8, R9 and R11 to CCLD by POC due date. Repeat Violation Civil Penalty assesed $250.00

Type B22 CCR §87463(h)(1)
Verbatim citation text · 22 CCR §87463(h)(1)

Based on record review, the licensee did not comply with the section cited above in by not having updated medical assessments for R4, R5, R8 and R9 which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/25/2025 Plan of Correction 1 2 3 4 Administrator will submit copies of updated LIC602-A for R4, R5, R8 and R9 to CCLD by POC due date.

Read raw inspector notes

On 08/28/2025 at 12:15 PM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Executive Director, Liza "Gigi" Elegado and explained the purpose of the visit. The facility’s fire clearance was approved for forty-nine (49) residents; all may be non-ambulatory. Hospice waiver approved for ten (10). Administrator Certificate# 7015304740 Expires 03/25/2026. LPA toured the facility with Liza 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 81 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 123, 124 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 10 (ten) residents records. LPA reviewed eight (8) staff records and 7 of 8 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 (Page 2) THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 5:27pm LPA observed washing machines and bulky items located in a trailer and a broken mini refrigerator and table in parking lot At 5:30pm LPA observed window screen off window and dirty windows, and dirty dusty window blinds in the facility At 5:33pm LPA observed a ladder and garden tool outside Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 09/04/2025: LIC 308 Designation of Administrative Responsibility - Reviewed LIC 309 Administrative Organization - Reviewed LIC 500 Personnel Report - Reviewed LIC 610E Emergency Disaster Plan - Reviewed Liability Insurance - Reviewed Current Administrator’s Certificate - Reviewed 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

2025-03-12
Complaint Investigation
Unsubstantiated
No findings
Inspector · Lori Alexander-Washington

Plain-language summary

A complaint investigation was conducted on June 11, 2024, into allegations that a resident had an unexplained injury, unmet hygiene needs, unclean clothes, and inadequate bedding. The investigator interviewed the resident, who denied injuries and reported showering weekly with clean clothes and linens; the investigator also reviewed shower and laundry schedules and observed the resident appeared clean with clean clothes in their closet and proper bedding on the bed. All allegations were found to be unsubstantiated.

Read raw inspector notes

LIC9099-C (Page 2) Allegation: Resident sustained unexplained injury while in care. Finding: Unsubstantiated On 06/11/2024, LPA interviewed Witness (W) W1. W1 stated that resident (R) R1’s neck appeared to be swollen and that R1 had tears in their eyes. W1 stated that it took R1 a long time to look up, there was dried up blood on R1’s face and they were also wearing a mask. LPA interviewed R1. R1 stated that they haven’t had any injuries, falls, been hurt or felt any pain and that no one has hurt them while at the facility. Allegation: Resident's hygiene needs are not being met. Finding: Unsubstantiated On 06/11/2024, LPA interviewed W1. W1 stated that when they visited R1 they didn’t look clean. LPA interviewed R1 and R1 stated that they take showers and brush their teeth. LPA interviewed R1 that stated that they do take showers every week. LPA reviewed the Shower Schedule (as of 04/18/2024) and it shows that R1 is scheduled a shower 2 times a week on Sundays and Thursdays. Allegation: Staff did not ensure that the resident had clean clothes. Finding: Unsubstantiated On 06/11/2024, LPA interviewed W1. W1 stated that R1’s clothes didn’t look clean and that their jacket looked like it was on the ground. LPA reviewed the “Laundry Day of Residents,” that showed R1’s laundry day is scheduled on Saturdays in the 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) A.M. LPA interviewed R1 and R1 stated that their clothes get laundered weekly. LPA observed that R1 had clean clothes hanging in their closet and appeared clean during visit. Allegation: Staff does not provide resident with appropriate bed linens. Finding: Unsubstantiated On 06/11/2024, LPA interviewed W1. W1 stated that 3 weeks back R1 had a white blanket, a tarp and a flat sheet on their bed. LPA interviewed staff and S1 and S2 stated that all residents have bed linen sheets, blanket and bed spread/comforter on their beds. LPA observed flat and fitted sheets along with a blanket on R1’s bed. Although the allegations 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 allegations are UNSUBSTANTIATED. Exit interview conducted and a copy of this report provided.

2025-01-09
Annual Compliance Visit
Type B · 1 finding
Inspector · Lori Alexander-Washington

Plain-language summary

This was a follow-up inspection on January 9, 2025 to verify that the facility had corrected violations found during an earlier annual inspection in October 2024. Most of the violations were corrected and cleared, but one violation related to staff qualifications or training requirements was not corrected by the deadline and remains unresolved. The facility was notified that failure to correct this remaining violation could result in additional penalties.

Type B22 CCR §87458(c)
Verbatim citation text · 22 CCR §87458(c)

Based on record review, the licensee did not comply with the section cited above in by having Physician's Reports that were over a year old and not updated for R1-R2 which poses a potential health, safety or personal rights risk to persons in care.

Read raw inspector notes

On 01/09/2025 at 11:49 AM Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct a Case Management. LPA met with Executive Director (ED), Liza Elegado, and explained the purpose of the visit. LPA L. Alexander conducted an Annual Inspection on 10/08/2024 and cited for deficiencies. The Plan of Correction (POC) original due dates was 10/09/2024, 10/24/2024, 10/25/2024, 10/31/2024, 11/08/2024 and 11/15/2024. LPA conducted a POC visit on 11/01/2024 in which there were deficiencies not cleared. Deficiencies cleared today: CCR 87355(e)(3) CCR 87623(b)(2)(B) CCR 87411(f) CCR 87303 (a) HSC 1569.618(c)(3) HSC 1569.625 (b)(2) Deficiency not cleared today: CCR 87458(c) 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.

2025-01-09
Complaint Investigation
Unsubstantiated
No findings
Inspector · Lori Alexander-Washington

Plain-language summary

A complaint was investigated regarding a resident's death in April 2022, when staff found the resident unresponsive and performed CPR before paramedics arrived; the resident was hospitalized and died a week later. The Department reviewed medical records and interviewed staff but found no evidence that the death resulted from neglect or suspicious circumstances at the facility. The complaint was unsubstantiated.

Read raw inspector notes

LIC9099-C Continued... Allegation: Questionable Death Investigation Finding: Unsubstantiated During investigation, the Department conducted interviews of facility staff & responsible parties and reviewed resident (R1) documents. Review of R1’s medical documents showed that on 01/07/2022, R1’s primary diagnosis was unspecified depressive disorder. On 01/27/2022 R1 had an ER visit at Contra Costa Regional Medical Center for nicotine patch and redness in right ear. On 04/27/2022 Staff (S1) received a radio call approximately 1145-1300 that there was an emergency in R1’s room. S1 stated that they found R1 unresponsive while S2 was performing the Heimlich Maneuver. S1 stated that they began giving Cardiopulmonary Resuscitation (CPR) and dialed 911. S1 stated that Paramedics arrived and continued emergency resuscitation. S1 stated that R1 was admitted at John Muir Medical Center in Walnut Creek, CA. Per review of subject resident’s Needs & Services and interview resident was independent in eating and not a choking risk. Review of documents reports that R1 passed away on 05/04/2022 at 1312. Documents obtained do not suggest R1’s death was a result of neglect or lack of care for suspicious circumstances from facility staff. Based on records review, interviews conducted, and observations made, the department has investigated the above allegation of questionable death and found it to be unsubstantiated. A finding that the complaint allegation is unsubstantiated means that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation of questionable death is unsubstantiated. Exit interview conducted and a copy of this report provided.

2024-11-01
Annual Compliance Visit
No findings
Inspector · Lori Alexander-Washington

Plain-language summary

During a follow-up inspection on November 1, 2024, inspectors found that the facility had failed to correct deficiencies identified during an earlier annual inspection and had missed multiple correction deadlines set by the state. Five of the six deficiencies were corrected, but two remained uncorrected, resulting in civil penalties of $700 with ongoing daily penalties until those deficiencies are fixed.

Read raw inspector notes

On 11/01/2024 at 9:30 AM, Licensing Program Analysts (LPAs) L. Alexander and D. Doidge arrived unannounced to conduct a Plan of Correction (POC) visit. LPAs met with Business Office Manager, Reynaldo "Jun" Gutierrez and explained the purpose of the visit. Jun called the Executive Director, Liza Elegado to inform. Liza arrived shortly after. On 10/08/2024, LPA conducted an Annual visit in which deficiencies were cited. The POC due dates was 10/24/24, 10/25/24, 10/31/24, 11/08/24 and 11/15/24. Administrator failed to submit the POC by the due dates and this is why LPAs came to make a POC visit. Deficiencies cleared: 87555(b)(16) 87463(a) 87506(a)(b) 87458(b)(1) 87211(a)(1) Deficiencies not cleared: 87211(a)(1) = $100 X 6 = $600.00 87458(C) = $100 X 1 = $100.00 Civil Penalties in the total amount of $700.00 is assessed today for failure to meet POC date for deficiencies. Facility is subject to ongoing daily civil penalties until deficiencies is corrected. Exit interview conducted. A copy of this report, appeal rights provided and LIC421FC provided.

2024-10-08
Other Visit
Type A · 8 findings
Inspector · Lori Alexander-Washington

Plain-language summary

On October 8, 2024, inspectors made an unannounced routine annual inspection and found the facility generally well-maintained with adequate lighting, proper water temperature, secure medication storage, and appropriate safety features like grab bars in bathrooms. The inspection identified some maintenance issues including cracked siding and flooring in hallways and common areas, broken wood and metal on the building exterior, and items stored outside near the front entrance that should have been secured. The facility was asked to submit updated documentation by October 24, 2024.

Type A22 CCR §87355(e)(3)
Verbatim citation text · 22 CCR §87355(e)(3)

Based on record review, the licensee did not comply with the section cited above in by not having transferred and associated S3 in Guardian which poses an immediate health and safety risk to persons in care. POC Due Date: 10/09/2024 Plan of Correction 1 2 3 4 Administrator transferred S3 in Guardian during visit. Deficiency cleared. Immediate civil penalty $500 assessed today.

Type B22 CCR §87463(a)
Verbatim citation text · 22 CCR §87463(a)

Based on file review, the licensee did not comply with the section cited above in by not having updated Appraisal Needs and Services (ANS) for R2-R9 which poses a potential health and safety risk to persons in care.

Type B22 CCR §87623(b)(2)(B)
Verbatim citation text · 22 CCR §87623(b)(2)(B)

Based on observation, interview and file review, the licensee did not comply with the section cited above in by not having documentation of the foley catheter for R7 and R9 in their files including but not limited with a home health care plan, updated Appraisal Needs and Services (ANS) Plan, In-Training staff roster if applicable for whom is caring for the catheter bag which poses a potential health and safety risk to persons in care.

Type B22 CCR §87211(a)(1)
Verbatim citation text · 22 CCR §87211(a)(1)

Based on record review and interview with staff, the licensee did not comply with the section cited above by not sending notification (LIC624) to Licensing when R6 was hospitailzed which poses an immediate health and safety risk to persons in care.

Type B22 CCR §87458(c)
Verbatim citation text · 22 CCR §87458(c)

Based on record review, the licensee did not comply with the section cited above in by having Physician's Reports that were over a year old and not updated for R2, R3, R4, R6, R7 and R9 which poses a potential health, safety or personal rights risk to persons in care.

Type B22 CCR §87506(a)(b)
Verbatim citation text · 22 CCR §87506(a)(b)

Based on record review, the licensee did not comply with the section cited above in by not having on file a complete resident file for R6 including but not limited to Admission's Agreement, Physician's Report, consent form, Personal Rights, appraisal, Emergency/ID info. and medication list which poses a potential health, safety or personal rights risk to persons in care.

Type B22 CCR §87303(a)(1)(c)
Verbatim citation text · 22 CCR §87303(a)(1)(c)

Based on observation, the licensee did not comply with the section cited above in by having chest drawer furniture, chairs, ladders, wood, washing machine, recliner, wood loctaed in the front/side/back yards. Flooring in common areas including but not limited to the main hallway was not clean and in disrepair where there are cracks and edges missing/cracked. The floors in the kitchen, bathrooms, resident rooms were not clean and windows/window screens were not clean which poses a potential health, safety or personal rights risk to persons in care.

Type B22 CCR §87555(b)(16)
Verbatim citation text · 22 CCR §87555(b)(16)

Based on file review, Licensee did not comply with the section cited above in by having an updated Food Service certification on file for S4, the certificate expired in 2021 which poses a potential health and safety risk to persons in care.

Read raw inspector notes

On 10/08/2024 at 11:05 AM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Executive Director, Liza "Gigi" Elegado and explained the purpose of the visit. The facility’s fire clearance was approved for 49 Resident capacity in which all may be non-ambulatory. Approved hospice waiver for 10 Residents. LPA toured the facility with Gigi including but not limited to 4 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 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 105 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 LIC809-C Continued... 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. THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 3:20pm, chairs and chest dresser drawer outside At 3:25pm, cracked siding and flooring in hallway common area and outside resident's rooms At 3:29pm, broken wood and metal on the west side of building outside At 3:30pm, Shop-Vac, dryer/washing machine, upholstered recliner chair outside near front entrance Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 10/24/2024: LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Updated Facility Sketch Liability Insurance Exit interview conducted. Appeal Rights and a copy of this report provided.

2023-09-12
Other Visit
No findings
Inspector · Lori Alexander-Washington

Plain-language summary

During an unannounced annual inspection on September 12, 2023, inspectors toured the facility and found no deficiencies—the building had adequate lighting and temperature control, bathrooms were equipped with safety features like grab bars, medications and hazardous materials were locked and inaccessible, food supplies were sufficient, and all seven staff reviewed had current first aid training. The facility is licensed to care for up to 49 residents, including those who are non-ambulatory, and has a hospice waiver for 10 residents.

Read raw inspector notes

On 09/12/2023 at 11:05 AM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Executive Director, Liza "Gigi" Elegado and explained the purpose of the visit. The facility’s fire clearance was approved for 49 Resident capacity in which all may be non-ambulatory. Approved hospice waiver for 10 Residents. LPA toured the facility with Gigi including but not limited to 4 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 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 140.3 and 141.3 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. At 12:45 PM, LPA reviewed 10 Residents records. At 3:00 PM, LPA reviewed 7 Staff records and 7 of 7 have current first aid training but all 7 staff were associated to the facility. LIC809 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 Continued Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 09/19/2023: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Updated Facility Sketch Liability Insurance Current Administrator’s Certificate No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

6 older inspections from 2021 are not shown in the free view.

6 older inspections from 2021 are not shown in the free view.

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