Carefield Pleasanton.
Carefield Pleasanton is Ranked in the bottom 11% on citation severity among California peers with 10 CDSS citations on record; last inspected Aug 2025.
82-Bed Memory Care Community in Pleasanton, reviewed on public record.
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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
Carefield Pleasanton has 10 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.
10 deficiencies on record. Each bar is a month with a citation.
Finding distribution
10 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 Carefield Pleasanton's record and state requirements.
State records show 4 Type A deficiencies, meaning actual harm to residents was documented — what were the circumstances of these citations, and what corrective actions were implemented?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Four complaints were filed with CDSS during the inspection period — what were the subjects of those complaints, and which were substantiated?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
With 82 licensed beds operated by Sh 10 Pleasanton Opco, Llc and Crfld Management, Llc, what is the current staff-to-resident ratio during day, evening, and overnight shifts?
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Every inspection visit, verbatim.
10 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.
2025-08-12Other VisitType A · 1 finding
Plain-language summary
This was a required annual inspection on August 12, 2025. Inspectors found the facility's emergency systems, food storage, and safety equipment in order, but noted that hot water in resident bathrooms exceeded safe temperature limits (measured at 130 degrees); staff adjusted the temperature during the visit, and this was cited as a deficiency. The facility was given an opportunity to correct this issue to avoid penalties.
“Based on observation, the licensee did not comply with the section cited above by having hot water at 130.4 degrees F which poses an immediate health and safety risk to persons in care. POC Due Date: 08/13/2025 Plan of Correction 1 2 3 4 Staff lowered hot water and LPA re-measured hot water at 111.4 degrees F in the same bathroom. Deficiency cleared.”
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On 8/12/2025 at 9:45AM, Licensing Program Analysts (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Executive Director, Eunice O'Farrell and explained the purpose of the visit. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, activity room, kitchen, common areas, and outdoor area. Centrally stored medications were locked in different carts located in the med room. First Aid kit is complete. The facility has a written emergency disaster plan. Smoke detectors were interconnected with sprinkler system. Carbon monoxide detector was observed. Fire extinguishers were observed to be full and last serviced on 1/13/2025. One week supply of nonperishable and 2-day supply of perishable foods were available. Facility orders food supplies twice a week. Freezer’s temperature was registered at -1 degree F while the refrigerator’s temperature was recorded at 39 degrees F. Grab bars and non-skid mat/materials were observed. LPA reviewed 5 residents and 6 staff files starting at 11:10AM. LPA reviewed a sample of resident's medications during inspection. At 10:20AM, LPA measured hot water at 130.4 degrees F in a resident's bathroom. Staff lowered hot water and LPA re-measured hot water at 111.4 degrees F in the same bathroom. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and Health & Safety Code. Failure to correct the deficiency may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights were provided.
2025-01-24Other VisitType B · 1 finding
Plain-language summary
A case management visit on January 24, 2025 found that a resident who requires assistance to leave the facility was able to walk out through a propped-open door in the back parking lot while a vendor was delivering equipment on January 16, 2025; police located and returned the resident. The facility was cited for this deficiency related to ensuring residents cannot leave unassisted. The facility must correct this violation or face civil penalties.
“This requirement is not met as evidence by: Based on interview and record review, licensee did not comply with the section cited above by having a resident leaving the facility unassisted which poses a potential health and safety risk to the persons in care.”
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On 1/24/2025 at 2:25PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit in regards to incident report received on 1/23/2025. LPA met with Executive Director, Eunice O'Farrell and informed her the reason for the visit. Based on the incident report received on 1/23/2025, med tech noticed that R1 was not in his room and was not able to be located during safety status check around 7:20PM on 1/16/2025. The door located in the back parking lot was left propped open while a vendor was bringing in their equipment. Police department was notified and R1 was located by police. R1 was transported back to the facility by R1's family/POA. During visit, LPA interviewed staff and reviewed R1's file including physician's report, service plan, care notes, and incident report. R1's physician's report stated that R1 cannot leave the facility unassisted. 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 conducted. A copy of this report and appeal rights provided.
2025-01-24Annual Compliance VisitNo findings
Plain-language summary
On January 15, 2025, staff found a resident unresponsive in bed, called 911, and the resident was taken to the hospital where they died later that day; the cause of death was unknown. The resident had a history of atrial fibrillation. The state conducted an unannounced visit on January 24, 2025 to review the circumstances and found no violations.
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On 1/24/2025 at 12:50PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit in regards to death report received on 1/20/2025. LPA met with Executive Director, Eunice O'Farrell and explained the purpose of the visit. Death report revealed that R1 was found unresponsive by staff and 911 was called. R1 passed away at the hospital on 1/15/2025 with cause of death unknown. LPA interviewed staff and reviewed documents including R1's physician's report, care plan, and facility notes. On 1/15/2025, staff found R1 looking pale and unresponsive while in bed. R1's physician's report revealed that R1 had long standing persistent fibrillation. Staff called 911 and R1 was transported to the hospital. Family notified facility staff that R1 passed away later that day at the hospital. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.
2024-08-27Other VisitType A · 2 findings
Plain-language summary
During a routine annual inspection on August 27, 2024, inspectors found that one staff member did not have current annual training completed and another staff member had not completed fingerprint clearance. The facility otherwise maintained proper food storage temperatures, working fire safety equipment, emergency supplies, secure medication storage, and accessible common areas.
“Based on record review, the licensee did not comply with the section cited above by not having current annual training for S3 which poses a potential health and safety risk to persons in care. POC Due Date: 09/13/2024 Plan of Correction 1 2 3 4 Executive Director has agreed to obtain current annual training for S3 and submit completion document to CCLD by POC date.”
“Based on record review, the licensee did not comply with the section cited above by not having staff fingerprint cleared which poses an immediate health and safety risk to persons in care. POC Due Date: 08/28/2024 Plan of Correction 1 2 3 4 Executive Director has agreed to contact Guardian regarding S6's fingerprint clearance and submit correspondence to CCLD by POC date. Civil penalty of $500 is being assessed.”
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On 8/27/2024 at 9:00AM, Licensing Program Analysts (LPAs) G. Luk and P. Manalo arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Executive Director, Eunice O'Farrell and explained the purpose of the visit. LPAs toured the facility including but not limited to bedrooms, bathrooms, dining area, activity room, kitchen, common areas, and outdoor area. Centrally stored medications were locked in different carts located in the med room. First Aid kit is complete. The facility has a written emergency disaster plan. Smoke detectors were interconnected with sprinkler system. Carbon monoxide detector was observed. Fire extinguishers were observed to be full and last serviced on 2/13/2024. One week supply of nonperishable and 2-day supply of perishable foods were available. Facility orders food supplies once a week. Freezer’s temperature was registered at -2 degree F while the refrigerator’s temperature was recorded at 36 degrees F. Hot water temperature was measured at 111.1 degrees F in a resident's bathroom sink. Grab bars and non-skid mat/materials were observed. There were adequate lights in each room. Indoor and outdoor passages were free of obstruction. Last fire drill was conducted on 6/13/2024. LPAs reviewed 5 residents and 5 staff files starting at 10:25AM. LPAs interviewed 3 residents and 3 staff starting at 2:00PM. LPA reviewed a sample of resident's medications starting at 3:00PM. At 12:30PM, LPAs observed S3 did not have current annual training completed. At 3:30PM, LPAs observed S6 was not fingerprint cleared. LPAs reviewed Guardian system and observed S6's determination status was "closed - incomplete application". The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and Health & Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report, civil penalty, and appeal rights were provided.
2024-08-27Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
An investigator looked into a complaint that the facility was not allowing a resident to receive phone calls. After interviewing staff and residents and reviewing phone logs, the investigator found no evidence that this happened—the resident was receiving calls normally.
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Facility not allowing resident to receive phone calls. Interview with staff and residents revealed that residents are receiving phone calls. After reviewing phone logs, LPAs observed resident (R1) was receiving phone calls. 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.
2024-01-12Other VisitType A · 1 finding
Plain-language summary
During an unannounced visit on January 12, 2023, inspectors found that one staff member had not completed required fingerprint clearance. The facility was assessed a $500 civil penalty for this violation and given notice to correct the deficiency.
“Based on record review, licensee did not comply with the section cited above by having uncleared staff work at the facility which poses an immediate health and safety risk to the persons in care.”
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On 1/12/2023 at 4:30PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit. LPA met with Executive Director, Eunice O'Farrell. During the course of investigation for complaint (#15-AS-20230329161525), the following deficiency was observed. LPA reviewed Guardian and observed S1 is not fingerprint cleared. Civil penalty of $500 is being assessed. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiency may result in civil penalties. Exit interview conducted. A copy of this report, civil penalty, and appeal rights provided.
2024-01-12Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
A complaint alleged that staff delayed responding to residents who fell and left residents in soiled diapers for extended periods. Inspectors reviewed pull cord response records and found staff typically respond in less than 16 minutes, and interviewed staff who stated diaper checks occur every 2-3 hours with no incidents of extended neglect. The complaint was not substantiated.
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Facility staff did not attend to residents in a timely manner after falling. After reviewing a sample of resident's pull cord records, LPA observed staff response time to pull cords is less than 16 minutes. Interview with staff indicated there hasn't been an incident where pull cord response time is an hour or more. Facility staff leave residents in urine and feces for extended periods of time. Interview with staff revealed that resident's diaper checks are 2-3 hours and some residents are checked more frequent. Staff stated there hasn't been an incident where resident is left in soiled diaper for an extended periods of time. 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.
2023-09-29Annual Compliance VisitType A · 2 findings
Plain-language summary
During a routine annual inspection on September 29, 2023, inspectors found that the facility did not have a written agreement with a home health provider for one resident, and there was a discrepancy between a resident's prescribed medication strength (1000mg) and the bottles the facility had on hand (325mg and 500mg). The facility had already contacted the resident's doctor to clarify the correct medication and provided documentation of this to the inspector.
“Based on record review, the licensee did not comply with the section cited above not having a home health agency written agreement which poses a potential health and safety risk to persons in care. POC Due Date: 10/20/2023 Plan of Correction 1 2 3 4 Facility has agreed to obtain the home health agency written agreement and submit a copy to CCLD by POC date.”
“Based on observation and record review, the licensee did not comply with the section cited above by having a bottle of Acetaminophen 325mg when doctor's order was for Acetaminophen 1000mg which poses an immediate health and safety risk to persons in care. POC Due Date: 09/30/2023 Plan of Correction 1 2 3 4 Facility currently has another bottle of Acetaminophen 500mg. Facility has faxed R4's doctor the medication clarification/request and provided a copy to LPA during inspection. Deficiency cleared.”
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On 9/29/2023 at 2:00PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct Case Management - Annual Continuation. LPA met with Assistant Executive Director, Eunice O'Farrell and explained the purpose of the visit. During visit, LPA reviewed staff training and observed staff completed training which includes dementia, food service, resident rights, medication, hospice, ADL (Activities of Daily Living) care, and other topics. LPA interviewed 2 residents and 2 staff starting at 4:00PM. At around 5:30PM, LPA reviewed a sample of resident's medications. At 3:30PM, LPA observed facility does not have home health written agreement for a resident. At 6:00PM, LPA observed R4's doctor's order dated 4/11/2023 stated R4 is taking Acetaminophen 1000mg. However, LPA observed facility has a bottle of Acetaminophen 325mg. R4 also has a bottle of Acetaminophen 500mg. Facility has faxed R4's doctor the medication clarification/request and provided a copy to LPA during inspection. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights were provided.
2023-09-29Complaint InvestigationMixedNo findings
Plain-language summary
A complaint investigation found that a resident had six falls at the facility, four resulting in injuries, and that the facility did not always provide assistance with toileting and showering as needed; however, the investigator determined there was insufficient evidence to prove most of the alleged violations occurred. The facility did increase monitoring after a fall in May 2022, checking the resident every 30 minutes and installing fall alarms in the room. Staffing levels included 4-5 caregivers per shift during the day and evening, with 2 caregivers at night.
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Resident suffered multiple falls resulting in injuries . Interview with staff revealed that R1 had six falls while living at the facility in which four falls resulted in injuries or minor injuries. However, after R1’s fall on 5/22/2022, the facility raised R1’s level of care from a two to a four which increased resident checks to eight times, R1 is checked every 30 minutes due to fall risk, and fall alarms was installed in R1’s room. Resident was not provided assistance with toileting needs Interview with staff indicated that toileting needs are checked at least every 2 hours. Staff have not witnessed resident's toileting needs were not met. Resident was not provided assistance with showering . Interview with staff revealed that R1 would sometimes refuse showers and staff come back at a later time to assist R1 with showers. Staff stated when a resident refused showers, it would be documented on the progress notes. Inadequate staffing to meet the needs of the residents in care . LPA reviewed staff scheduled and observed AM shift have 4-5 caregivers and 1 med tech, PM shift have 4 caregivers and 1 med tech, and NOC shift have 2 caregivers and 1 med tech. Interview with staff revealed that besides the caregivers and med techs, a manager is on duty for both AM and PM shift seven days a week. Staff did not respond to resident's call bell . LPA reviewed a sample of resident's pull cord records and observed pull cord incidents from R1 were responded by facility staff. Resident cannot easily use pull cord . LPA observed R4 demonstrated how to pulled on the pull cord beside the bed and was able to pull the pull cord. 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. 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 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.
2023-08-29Other VisitType A · 3 findings
Plain-language summary
During a routine annual inspection in August 2023, inspectors found the facility generally well-maintained with proper safety equipment, food storage, and accessible accommodations, but identified three violations: hot water in a resident bathroom exceeded safe temperature (though staff corrected it during the inspection), and two residents lacked required tuberculosis tests on file, and one staff member did not have current first aid certification. The facility was cited for these deficiencies and given notice to correct them or face penalties.
“Based on record review, the licensee did not comply with the section cited above by not having TB test results for R2 and R3 which poses a potential health and safety risk to persons in care. POC Due Date: 09/13/2023 Plan of Correction 1 2 3 4 Facility has agreed to obtain TB test results for R2 and R3. Facility will submit the TB test results to CCLD by POC date.”
“Based on record review, the licensee did not comply with the section cited above by not having current first aid training for S4 which poses a potential health and safety risk to persons in care. POC Due Date: 09/13/2023 Plan of Correction 1 2 3 4 Facility has agreed to obtain current first aid training for S4 and submit a copy to CCLD by POC date.”
“Based on observation, the licensee did not comply with the section cited above by having hot water temperature at 126 degrees F in a resident's bathroom which poses an immediate health and safety risk to persons in care. POC Due Date: 08/30/2023 Plan of Correction 1 2 3 4 Staff lowered the hot water and LPA re-measured hot water temperature at 107.5 degrees F. Deficiency cleared.”
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On 8/29/2023 at 9:15AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Memory Care Director, Narcisa Gordillo. The facility’s fire clearance was approved for 82 non-ambulatory residents, of which 9 may be bedridden, and 11 residents may be under hospice care. LPA toured the facility with Narcisa including but not limited to bedrooms, bathrooms, dining area, activity rooms, kitchen, common areas, and outdoor area. Centrally stored medications were locked in different carts located in the med room. First Aid kit is complete. Smoke detectors were interconnected with sprinkler system. Carbon monoxide detectors were observed. Fire extinguishers were observed to be full and last serviced on 1/9/2023. One week of nonperishable and 2-day of perishable food supplies were available. Facility orders food once a week. Freezer’s temperature was registered at -20 degree F while the refrigerator’s temperature was recorded at 36 degrees F. Grab bars for each toilet and shower were installed. Non-skid mats/materials were observed. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. Indoor and outdoor passages were free of obstruction. Last fire drill was conducted on 6/10/2023. LPA reviewed 5 resident records and 5 staff records starting at 11:06AM. (Continue on LIC809C...) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 At around 10:30AM, LPA observed hot water was measured at 126 degrees F in a resident's bathroom. Staff lowered hot water temperature. LPA re-measured hot water at 107.5 degrees F. At around 11:45AM, LPA observed R2 and R3 does not have TB test on file during record review. At around 12:30PM, LPA observed S4 does not have current First Aid training. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies may result in civil penalties. LPA will return at a later time to complete the inspection. Exit interview conducted with Narcisa Gordillo. A copy of this report and appeal rights were provided.
3 older inspections from 2022 are not shown in the free view.
3 older inspections from 2022 are not shown in the free view.
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