California · San Leandro

San Leandro Senior Living.

RCFE · Memory Care90 bedsDementia-trained staff
San Leandro Senior Living
San Leandro Senior Living — photo 2
San Leandro Senior Living — photo 3
San Leandro Senior Living — photo 4
© Google · San Leandro Senior Living
Facility · San Leandro
A 90-bed RCFE · Memory Care with 14 citations on file.
Licensed beds
90
Last inspection
Apr 2026
Last citation
Apr 2026
Operated by
P San Leandro Lp; San Leandro Mgr Llc
Snapshot

90-Bed RCFE with Memory Care in San Leandro, reviewed on public record.

San Leandro Senior Living

© Google Street View

Map showing location of San Leandro Senior Living
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Peer Comparison

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.

Severity rank
9th%
Weighted citations per bed.
peer median
0
100
Repeat rank
Not enough repeat citations
among peers to rank.
Repeat deficiencies as share of total.
Frequency rank
24th%
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

San Leandro Senior Living has 14 citations on record. Know the moment anything changes.

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

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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 Jan 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 San Leandro Senior Living's record and state requirements.

01 /

State records show 2 Type A deficiencies, meaning citations for actual harm to residents — what were the circumstances of those citations, what corrective actions were taken, and what safeguards now prevent recurrence?

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

02 /

Seventeen complaints have been filed with CDSS during the period on file — how many were substantiated, what were the primary concerns raised, and what operational changes resulted?

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

03 /

The 2 Type B deficiencies on record indicate potential for harm — what specific regulatory sections were cited, and how has the facility addressed those gaps?

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

Full Inspection Record

Every inspection visit, verbatim.

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

19
reports on file
14
total deficiencies
5
severe (Type A)
2026-04-16
Annual Compliance Visit
Type A · 2 findings

Plain-language summary

During an unannounced inspection on April 16, 2026, the facility reported two medication errors involving the same resident: expired medication (Amlodipine) given from March 5 to March 29, 2026, and an under-dose of the same medication given from December 29, 2025 to April 3, 2026 because staff did not update their records to reflect a changed physician order. The resident did not experience injury or illness from either incident, and the facility provided staff retraining after discovering each error.

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

Based on Interview and record review, the licensee did not comply with the section cited above in administering the incorrect dosage of medication to R1 which poses an immediate health and safety risk to persons in care.

Type A22 CCR §87465(h)(1)(3)
Verbatim citation text · 22 CCR §87465(h)(1)(3)

Based on Interview and record review, the licensee did not comply with the section cited above in administering expired medication to R1 which poses an immediate health and safety risk to persons in care.

Read raw inspector notes

On 4/16/2026 at 11:00 am, Licensing Program Analyst (LPA) Y. Brown conducted an unannounced case management visit regarding two self reported incidents that were reported to CCLD on 4/7/2026 and 4/10/2026. LPA met with Executive Director Glenda Bertucci and explained the purpose of the visit. The first incident report stated that on 3/29/2026 around 9:00 am, Staff two (S2) was preparing resident (R1's) medication when S2 observed that the expiration date on the medication bottle indicated that it expired on 3/5/2026. The incident report indicated that R1 was given expired medication of Amlodipine 2.5 mg from 3/5/2026- 3/29/2026. On 3/29/2026, S2 noticed the expired medication and notified S3 to verify the expired medication and S3 re-confirmed that the medication was expired. R1's order is Amlodipine 2.5 mg: take 1 tablet by mouth 2x daily at 9:00 am. Physician and POA were notified of the incident. R1 was not resulted injury or medical problem due to this incident. In-service training was provided to staff on 3/30/2026. The second incident report stated that on 4/3/2026 around 10:00 am, S1 was reviewing R1's Centrally Stored Medication and Destruction Record and observed that there was a discrepancy with medication dosage of R1's medication of Amlodipine 2.5 mg. S1 observed that R1 was given the Amlodipine 2.5mg but staff only gave R1 1 tablet per day due to the previous physicians order dated on 9/10/2025 that indicated to give R1 Amlodipine 2.5mg 1 tablet by mouth daily. When S1 was reviewing R1's documents S1 realized that the medication dosage was changed to Amlodipine 2.5mg: take 1 tab daily by mouth two times a day on the physicians order dated 12/29/2025 that was received from the Skilled Nursing facility when R1 returned back to the facility. Continued on LIC809C. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Continued from LIC809. S1 stated that R1 was given 1 tablet of Amlodipine 2.5 mg daily as opposed to 1 tablet two times a day from 12/29/2025 to 4/3/2026. S1 stated that R1 was sent out to the hospital on 11/21/2026 and was later admitted to a Skilled Nursing Facility from 11/26/2025 - 12/29/2025. S1 stated that the Skilled Nursing Facility changed the dosage amount on 12/8/2026 while R1 was still attending the Skilled Nursing Facility. Physician and POA were notified of the incident. R1 did not result in injury or obtain ill side effects due to this incident. In-service training was provided to staff on 4/3/2026. S1 acknowledged that both the under dosage and the expired medication was overlooked by staff. LPA interviewed S1 and S2. LPA attempted to interview S3. LPA reviewed and obtained R1's MAR (Medication Administration Record) from September 2025 - April 2026, updated Needs and Services Plan, Alert Charting report, Prescriber notification medication error report regarding Wrong Time and Wrong Dose, Physicians Order dated 9/10/2025, and Order Summary Report (Change of dosage) dated 12/29/2025. LPA also reviewed and obtained the Med Tech to Med Tech Communication Log, LIC500 (personnel Report), Resident Roster, and staff training. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies and/or repeat deficiencies within a 12-month period may result in civil penalty. Exit interview conducted with Glenda. Appeal Rights and a copy of this report provided.

2026-01-28
Other Visit
Type A · 3 findings

Plain-language summary

During a routine annual inspection on January 28, 2026, inspectors found the facility generally well-maintained with adequate lighting, proper water temperatures, working safety equipment, and sufficient food supplies, but noted four deficiencies: a resident's shower contained debris and their room had a strong odor of feces, a handicapped door button was broken, cleaning chemicals were stored in an unlocked cabinet in a resident's room, and four staff files were incomplete. The facility must submit corrective action plans and proof of corrections by the required deadline.

Type A22 CCR §87309(a)(1)
Verbatim citation text · 22 CCR §87309(a)(1)

Based on observation, the licensee did not comply with the section cited above in that comet bleach powder and Endust Dust & Clean multi-surface spray was found unlocked in a residents room which poses an immediate safety risk to persons in care. POC Due Date: 01/29/2026 Plan of Correction 1 2 3 4 Administrator removed the comet bleach powder and Endust Dust & Clean multi- surface spray and put it in a locked cabinet. Deficiency cleared during visit.

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

The licensee did not comply with the section cited above by having the residents shower with debris, resident’s room with a strong odor of feces, and the handicapped button in the front door in disrepair, which poses a potential safety risk to persons in care. POC Due Date: 02/06/2026 Plan of Correction 1 2 3 4 By POC date, the administrator agrees to clean the resident's room and bathroom, and repair the door.

Type B22 CCR §87412(a)
Verbatim citation text · 22 CCR §87412(a)

Based on record review, the licensee did not comply with the section cited above in that S1, S3, S4, and S5 files were incomplete which poses a potential safety risk to persons in care. POC Due Date: 02/04/2026 Plan of Correction 1 2 3 4 By POC date, the administrator agrees to complete S1, S3, S4, and S5's files and make sure documents are up top date and send self-certification to CCLD.

Read raw inspector notes

On 1/28/2026 at 1:45 PM, Licensing Program Analysts (LPAs) Y. Brown and P. Manalo arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Administrator (ADM), Glenda Bertucci and explained the purpose of the visit. The facility’s fire clearance was approved for ninety (90) residents, of which forty (40) may be non ambulatory. LPAs toured the facility with the ADM, including but not limited to 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. The hot water temperature in a sample of resident's bathrooms were measured at 120.0 and 113.4 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. Carbon monoxide detector were in operating condition during visit. Fire alarm was last inspected on 07/11/2025. Fire extinguisher all around the facility was last serviced on 4/4/2025. LPAs reviewed six (6) resident and five (5) staff records. LPAs reviewed a sample of resident medication. Continued on LIC809C. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Continued from LIC809. Th e following forms will be updated and submitted to CCLD by 2/4/2026: LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance The following deficiencies was observed: At 2:18 PM, LPAs observed a residents shower with debris and the resident's room with a strong odor of feces. LPAs also observed that the handicapped button in the front door is in disrepair. At 2:36 PM, LPAs observed comet bleach powder and Endust Dust & Clean multi-surface spray in an unlocked cabinet in a residents room. At 4:44 PM, LPAs observed that S1, S3, S4, and S5 files are incomplete Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Administrator Glenda Bertucci gave authorization for Lisa Lostica to sign today's report . Exit interview conducted with Lisa Lostica . A copy of the appeal rights and this report provided.

2025-09-25
Complaint Investigation
No findings
Inspector · Gregory Clark
2025-03-20
Annual Compliance Visit
No findings
Inspector · Grace Luk

Plain-language summary

On March 20, 2025, state inspectors conducted an unannounced visit following an incident report about a resident who left the facility on March 10 without notifying staff; police were called to file a missing person's report, and the family has been providing updates on the investigation. The resident's doctor had determined he was able to leave the facility on his own, and inspectors found no violations after reviewing staff interviews and the resident's records. Inspectors may return for a follow-up visit.

Read raw inspector notes

On 3/20/2025 at 4:05PM, Licensing Program Analysts (LPAs) G. Luk and Y. Brown arrived unannounced to conduct a case management visit in regards to an incident report. LPAs met with Executive Director (ED), Glenda Bertucci and explained the purpose of the visit. Based on the incident report, facility have been sending emails and tried to call R1 without response. On 3/10/2025, facility observed R1 was not in his apartment. Facility contacted R1's family and they did not know R1's whereabouts. R1's family informed facility that he will contact the police to file a missing person's report. Police made a visit to the facility to conduct investigation. During visit, LPAs interviewed staff and reviewed R1's file including physician's report, decline services document, and incident report. R1's physician's report stated that R1 can leave the facility unassisted. Interview with staff revealed that family have been providing updates on police investigation. No deficiencies are being cited on this date. LPAs may return on a later date. Exit interview conducted with Glenda Bertucci. A copy of this report provided.

2025-02-25
Complaint Investigation
Mixed
Type B · 1 finding
Inspector · Grace Luk

Plain-language summary

A complaint investigation found that staff left a resident in a wheelchair for an extended period without adequate justification, though staff explained the resident sometimes preferred to remain in the wheelchair to watch television. Two other complaints about an unclean bed with urine stains and a dirty room with feces under the bed could not be substantiated; inspectors toured several resident rooms and found them clean, and staff said bedding is changed when soiled and rooms are cleaned weekly.

Type B22 CCR §87468.2(a)(4)
Verbatim citation text · 22 CCR §87468.2(a)(4)

This requirement is not met as evidence by: Based on investigation, licensee did not comply with the section cited above by staff not properly care for resident's pressure injury which poses a potential health and safety risk to the persons in care.

Read raw inspector notes

Based on LPA's information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED . California Code of Regulations, Title 22, 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 left resident in wheelchair for an extended period of time. Interview with staff revealed that R1 can transfer to bed and sometimes need help with transfer. S6 stated that R1 likes being in the wheelchair all the time. Sometimes when S6 put R1 to bed, R1 wants to stay in the wheelchair to watch TV. Staff did not provide resident a clean bed. Interview with witness indicated that R1’s bed is not clean and mattress has urine stain. However, LPA toured a few resident’s rooms and observed the beds are clean. Interview with staff revealed that resident’s beddings would be changed when it’s soiled or wet. Staff did not ensure resident's room was clean and sanitized. Interview with witness indicated that R1’s room was uncleaned and feces were found under the bed. However, LPA toured a few resident’s rooms and observed resident rooms were cleaned. Interview with residents and staff revealed that resident’s rooms are cleaned once a week. Residents stated they did not have any issue of having the room cleaned. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore these allegations are UNSUBSTANTIATED . No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.

2025-01-07
Other Visit
No findings
Inspector · Lisha Holmes

Plain-language summary

An unannounced annual inspection was conducted on January 7, 2024, and no violations were found. The facility was observed to be clean, safe, and well-maintained, with adequate lighting, proper temperature control, functioning fire safety equipment, and appropriate supplies including food, first aid materials, and laundry facilities. Staff and residents were actively engaged in the common areas, and all required records reviewed were complete.

Read raw inspector notes

On 01/07/24 around 10:45 AM, Licensing Program Analyst (LPA) L. Holmes conducted an unannounced annual inspection. LPA met with Glenda Bertucci, Executive Director (ED) and explained the purpose of the visit. ED currently holds a standard certificate (#7016878740 ) exp. 08/13/2026. The facility’s fire clearance was approved for forty (40) non-ambulatory residents. Upon arrival, LPA observed several residents in the main lobby conversing and lounging together. Additional staff and residents were also in the dining area for breakfast. Staff and residents were moving about throughout the facility's common areas as well. LPA toured the facility including, but not limited to the common areas, bathroom, dining area, nurses station, front courtyard, 1st, 2nd and 3rd floors. The facility consists of individual apartments; each floor has an activities area, tabletop games, books, music, and a television on the 1st floor. All outdoor and indoor passageways were free of obstruction. There were no bodies of water present. A comfortable temperature was maintained at the facility. The facility has an emergency food supply on site and contracts with US Foods twice weekly for deliveries. LPA observed lighting in all areas to be adequate for the comfort and safety of the residents. Hot water temperature in the shared bathroom was measured at 109.8 degrees Fahrenheit (F) with hand washing signs, soap, paper towels, and garbage cans; the areas were safe, and sanitary. On site laundry facilities are available. PPE, sanitizer, and paper goods remain sufficient. Safety drill completed 12/18/24, fire extinguisher observed full and last inspected 04/15/24. Continued on LIC809C... 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 ...continued from LIC809. Smoke detectors and carbon monoxide were in operating condition during visit. Emergency Disaster Plan was current. Five (5) staff and seven (7) residents records were reviewed and were complete. The following forms are to be updated and submitted to CCLD: -Resident Roster (Reviewed) -LIC500 Personnel Report (Reviewed) -LIC308 Update Designation of Administrative Responsibility (Reviewed) -LIC610D Emergency Disaster Plan (Reviewed) Exit interview conducted and a copy of this report provided to ED.

2024-12-04
Other Visit
No findings
Inspector · Carol Fowler

Plain-language summary

An allegation was investigated that staff inappropriately locked a resident's room. The facility explained that resident apartments are locked as standard practice, with all staff having master keys for care and emergencies; the Department found insufficient evidence to substantiate the complaint.

Read raw inspector notes

Continue from LIC 9099 It was reported to the Department that staff inappropriately locked resident’s room. The department conducted interviews and reviewed documents which reveal that residents apartments are locked and all responsible staff has master keys to get into the apartments for care and emergency services if needed. Therefore, this allegation is un-substantiated. This agency has investigated the complaint alleging Staff inappropriately locked resident’s room. 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 .

2024-10-28
Complaint Investigation
Substantiated
Type B · 1 finding
Inspector · Gregory Clark
Type B22 CCR §87224(5)(A)
Verbatim citation text · 22 CCR §87224(5)(A)

This requirement is not met as evidenced by the 60-day notice letter given to residents was not in compliance with regulation which poses a potential health, safety or personal rights risk to persons in care.

2024-10-24
Other Visit
Type B · 1 finding
Inspector · Jill Clancy-Czuleger

Plain-language summary

On October 24, 2024, inspectors visited the facility after it notified the state of plans to convert the third floor into independent housing for people age 55 and older while keeping licensed assisted living residents in other areas. The facility was advertising for these independent renters on its website without obtaining state approval for this change to its operations, which is required when a facility plans to mix different types of residents. The facility was cited for this violation and informed that failure to correct it could result in penalties.

Type B22 CCR §87208
Verbatim citation text · 22 CCR §87208

Based on observations, interviews and record review, the licensee did not comply with the section cited above in by changing the plan of operation without CCLD approval which poses a potential health, safety or personal rights risk to persons in care.

Read raw inspector notes

On 10/24/24 at approximately 09:35 am, Licensing Program Analyst (LPA) J. Clancy-Czuleger conducted a case management visit pertaining to a letter received by the Oakland CCLD ASC Regional Office from the facility. LPA met with Executive Director (ED), Glenda Bertucci and explained the purpose of the visit. On July 11, 2024, the Oakland CCLD ASC Regional Office received from the facility a letter of intent to de-license the third floor of the physical plant and convert those units for Independent Individuals who are 55 years of age and older. The letter did not specifically request approval from CCLD and had insufficient detail pertaining to how the co-mingling of Independent aged 55+ renters, and licensed RCFE Assisted Living residents, would be managed to ensure the Health & Safety of the Assisted Living residents. On 10/16/24 LPM Jeremy Fong and on 10/24/24 LPA J. Clancy-Czuleger and ED confirmed that the facility’s website is advertising for independent renters aged 55 and older, which constitutes a change to the Plan of Operation without having obtained approval from Community Care Licensing. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided.

2024-09-18
Complaint Investigation
Unsubstantiated
No findings
Inspector · Grace Luk

Plain-language summary

A complaint alleged that the facility failed to prevent a pressure injury on a resident who had a history of skin problems. The investigation found that staff repositioned the resident every 1-2 hours and that outside nurses provided wound care, and there was insufficient evidence to prove a violation occurred. No deficiencies were cited.

Read raw inspector notes

Resident developed pressure injury while in care. R1's physician's report dated 7/31/2023 revealed that R1 has a history of skin condition or breakdown. R1 has home health that would assist with R1's wound care. Outside agency documentation indicated that a nurse have provided wound care for R1. Interview with staff revealed that R1 was repositioned every 1-2 hours. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore these allegations are UNSUBSTANTIATED . No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.

2024-09-05
Complaint Investigation
Substantiated
Type B · 1 finding
Inspector · Gregory Clark

Plain-language summary

A complaint investigation found violations of state regulations for residential care facilities. The investigator conducted observations and interviews and determined the allegations were substantiated. Details of the specific violations are listed in the regulatory citation.

Type B22 CCR §87465(a)(4)
Verbatim citation text · 22 CCR §87465(a)(4)

Based on interviews conducted the licensee did not comply with the section cited above. Medications were found under R3's bed which poses an potential health, safety or personal rights risk to persons in care.

Read raw inspector notes

Based on LPA’s observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D.CCLD1515

2024-07-30
Annual Compliance Visit
No findings
Inspector · Luisa Fontanilla

Plain-language summary

On July 14, 2024, a resident with mild cognitive impairment left the facility unattended and was found at a nearby supermarket about a third of a mile away; the resident was not harmed. The facility conducted staff training and had the resident reassessed by a doctor to prevent future incidents, though if the resident is diagnosed with dementia, they would need to move since the facility does not serve residents with dementia. A technical violation advisory was issued during the licensing visit.

Read raw inspector notes

On this day at around 2:20 PM, Licensing Program Analyst (LPA) Luisa Fontanilla arrived at the facility to conduct a case management visit related to an incident reported by the facility. LPA met with Gendelle Camarillo, Resident Services Director. Executive Director (ED) Glenda Bertucci arrived at around 3pm. . On July 14, 2024, a stranger came to the facility and dropped off R1. R1 was found at the Safeway Supermarket on Washington Ave. which is 0.3 miles from the facility. R1's Physician's Report indicates R1 has Mild Cognitive Impairment (MCI) and is not able to leave the facility unattended. Based on interview with RSD, R1 was not harmed from the incident. RSD added that staff training was conducted and R1 has been reassessed by R1's doctor. Pending the release of R1's updated Physician's Report, the facility has plans in place to ensure R1's safety while at the facility. If R1 is diagnosed with Dementia, R1 will need to be moved out of the facility because the facility does not have a dementia program. A technical violation advisory was issued during the visit. A copy of this report was provided to the Executive Director.

2024-05-29
Other Visit
Type B · 1 finding
Inspector · Grace Luk

Plain-language summary

During a case management visit on May 29, 2024, inspectors found that a staff member who had passed a background check was not properly registered with the facility in the state system; the facility corrected this during the visit. No other violations were noted during the inspection.

Type B22 CCR §87355(e)(2)
Verbatim citation text · 22 CCR §87355(e)(2)

Based on record review, licensee did not comply with the section cited above by not associating S1 to the facility which poses a potential health and safety risk to the persons in care.

Read raw inspector notes

On 5/29/2024 at 2:30PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit. LPA met with Interim Executive Director, Jeralyn May and explained the purpose for the visit. While LPA G. Luk was at the facility for a complaint investigation (#15-AS-20240523150242), the following deficiency was observed. After reviewing Guardian system, LPA G. Luk observed staff (S1) was fingerprint cleared, but not associated to the facility. Facility contacted RO (Regional Office) and associated S1 to the facility during visit. LPA re-checked Guardian system and observed S1 has been associated to the facility as of today, 5/29/2024. 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 and appeal rights provided.

2024-03-20
Other Visit
Type A · 1 finding
Inspector · Alicia Delmundo

Plain-language summary

During an investigation of another complaint, inspectors found the laundry room door was unlocked, creating access to cleaning supplies that should be secured. The facility was notified of this violation and must submit a plan to correct it. Failure to fix the problem or submit proof of correction by the deadline could result in a financial penalty.

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

-Based on observation, the licensee did not comply with the section above for unlocked laundry room which posed an immediate health and safety risks to persons in care.

Read raw inspector notes

While at the facility investigating a complaint (Control # 15-AS-20240311152642), Licensing Program Analyst (LPA) Delmundo observed the laundry room where laundry supplies are kept was unlocked. LPA informed staff, Gendelle Nebril Camarillo who was on the floor at the time. LPA also informed Lisa Lostica. Deficiency is cited from Title 22 California Code of Regulations, and listed on 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. Deficiency and plan and proof of correction were discussed with the Jeralyn May. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.

2024-03-20
Complaint Investigation
Substantiated
Citation on file
Inspector · Alicia Delmundo

Plain-language summary

A complaint investigation found that the facility started charging residents a fee for doing their personal laundry in March 2024, even though state law requires laundry services to be provided without extra charges. The facility had notified residents 60 days before implementing the fee, but two residents interviewed confirmed they had not been charged for laundry before and were being charged starting in March 2024. The facility must submit a plan to correct this violation.

Substantiated — the state found a violation and issued a citation. Full citation details are on file with the state.

Read raw inspector notes

Jeralyn May stated that a fee for residents' personal laundry is being charge effective March 1, 2024, and the 60-day notification was provided to all resident which was confirmed with copy of the notification obtained by LPA. Copies of records for personal laundry with corresponding charges were obtained by LPA on this same day. Staff (S1, S2 and S3) stated residents are started to be charge for laundry of clothing starting March 2024. Two of the 3 residents interviewed stated they were not charge before and confirmed they are being charge for laundry of their clothing effective March 2024. Based on LPA review of records and interviews, the preponderance standard has been met, therefore the allegation of "Licensee is not assuring the provision of laundry services for residents' clothing without additional cost" is substantiated. Deficiency is cited per Title 22 California Code of Regulations, and listed on LIC9099D. 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 the Jeralyn May. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.

2024-01-31
Other Visit
Type A · 1 finding
Inspector · Jill Clancy-Czuleger

Plain-language summary

An unannounced annual inspection on January 31, 2024 found the facility's physical condition, safety features, lighting, temperature, bathrooms, food supply, and medication storage all appropriate for residents. One staff member had not completed required fingerprinting clearance, resulting in a $500 civil penalty.

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

Based on record review, the licensee did not comply with the section cited above by having a staff member not fingerprint cleared which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 02/02/2024 Plan of Correction 1 2 3 4 The facility agrees to remove the staff until they are fingerprint cleared and associated to the facility. A civil penalty of $500.00 is assessed on this day. Proof of correction will be sent to CCLD by POC date.

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On 01/31/24 at 08:55 am Licensing Program Analysts (LPA) J. Clancy-Czuleger arrived unannounced to do an annual inspection. LPA meet with Adiam Welday, Executive Director and explained the purpose of the visit. LPA inspected the facility inside out. There is no body of water. Physical plant is consistent with the facility sketch received by Central Application Bureau (CAB) and approved by the fire department. LPA inspected the facility including but not limited to 6 residents’ apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Hallway was maintained at a comfortable temperature. 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 10:02 am LPA reviewed 5 residents records. At 11:45 am, LPA reviewed 5 staff records and 4 of 5 were fingerprint cleared and associated to the facility. The following deficiency was observed during the visit: One staff was not fingerprinted A $500.00 civil penalty is assessed. Failure to submit proof of correction by plan of correction due date may result in additional civil penalty. The Facility was cited, and citations can be found on the LIC 809-D. Exit interview conducted. Appeal Rights and a copy of this report provided.

2024-01-18
Other Visit
Type B · 1 finding
Inspector · Lori Alexander-Washington

Plain-language summary

This was a follow-up visit on January 18, 2024, after a resident passed away on November 2, 2023, with an unknown cause of death; the family reported the resident had episodes of collapsing, though facility staff did not witness them. The inspector found deficiencies related to how the facility handled the death reporting and documentation, which are detailed in a separate violations report. The facility was told that failure to correct these deficiencies may result in civil penalties.

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

This requirement is not met evidenced by: Based on record review, the Administrator did not comply with the section above for not submitting the death report within 7 days which posed potential personal rights risk to person in care.

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On 01/18/2024 at 12:00pm Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct a case management visit to follow-up on a death report received by Community Care Licensing that was faxed on 11/10/2023. LPA met with Executive Director, Adiam Welday and explained the purpose of the visit. R1 passed away on 11/02/2023 with an unknown cause of death. Administrator stated that R1 had episodes of collapsing while R1 was with the family. R1 stated that the family is the one that reported the collapsing per the Death Report. Administrator stated that no one at the facility witnessed the collapsing. During today's visit LPA obtained additional information pertaining to R1's death: Physician's Report Resident Assessment Face Sheet Assessment for Medication Self-Management Needs and Services Plan Internal Incident Report 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-C Continued... LPA requested from facility a copy of R1's death certificate. LPA was informed by Administrator that they phoned the family and left a message requesting the death certificate. 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

2023-10-20
Complaint Investigation
Unsubstantiated
No findings
Inspector · Jill Clancy-Czuleger

Plain-language summary

A complaint was investigated regarding wound care for a resident. The facility stated it is not a medical facility and offered options including waiting for the wound to heal before the resident's return or obtaining hospice services for wound care. The investigator found insufficient evidence to substantiate the allegations.

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...Continued from 9099 The facility informed R1 and family that they are not a medical facility and are unable to care for the wounds of this seriousness. The facility said that they could wait for the wound to heal for R1 return or to obtain hospice services to care for the wound. Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED . Exit interview conducted and a copy of this report provided.

2023-08-02
Complaint Investigation
Unsubstantiated
No findings
Inspector · Daisy Panlilio

Plain-language summary

This was a complaint investigation into three allegations: that staff were not assisting residents with transfers, not checking on residents regularly, and that impaired staff posed a risk to residents. The investigator found no evidence to support any of these allegations—residents confirmed staff provided assistance when needed, call buttons were available and staff conducted regular status checks, and interviews with both staff and residents showed no signs of impaired workers on duty.

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Allegation: Staff are not assisting residents with transfers as needed Investigation Finding: Unsubstantiated During investigation, LPA observed resident’s (R1) level of care assessment (Level 2) dated 11/24/21 show R1 is able to transfer independently and ambulates independently with or without an assistive device. Other residents stated that staff always assist them when needed. Based on interviews and record reviews which were conducted, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation that staff are not assisting residents with transfers as needed is unsubstantiated. Allegation: Staff are not checking on residents as needed Investigation Finding: Unsubstantiated During investigation, LPA observed residents have a call button to use whenever they need staff assistance. Staff (ADM, S2) stated residents are checked at least 3 times per day when they perform their residents’ status checks. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation that staff are not checking on residents as needed is unsubstantiated. Allegation: Impaired staff puts residents at risk Investigation Finding: Unsubstantiated During investigation, staff (ADM, S2) denied any staff being impaired on the job. Random interviews with residents (R2, R3, R5) confirm they did not observe any impaired staff on duty. Based on interviews and record reviews which were conducted, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation that impaired staff puts residents at risk is unsubstantiated. Exit Interview conducted and a copy of this report provided.

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

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

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