AAA CARE HAVEN II

1890 GROVE WAY, Castro Valley CA 94546

Facility 015601390 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Jun 11, 2026Licensed

Additional info
Licensee
VALLEY HAVENS, LLC
Administrator
SANTA ANA, JOSEPHINE
Contact
SANTA ANA, JOSEPHINE
License first date
Jun 12, 2008
License effective date
Jun 12, 2008
District office
OAKLAND ASC · (510) 286-4201
Regional office
15
Clients served
985 - RCFE / HOSPICE

Summary

The available records show 8 Type B deficiencies for this facility.

Most recent inspection
Jun 11, 2026
Most recent deficiency
Jun 11, 2024

2 later reports, from May 30, 2025 through Jun 11, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.

What Type A and Type B mean
Type A
Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
Type B
Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.

Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.

At a glance

Counts cover the five-year public record. Typical figures are the median for the 152 Alameda County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 4 reports for this facility: 4 inspections, 0 complaint investigations, and 0 licensing or administrative records.

Those records contain 0 Type A and 8 Type B deficiencies.

1 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
4

About the same as most this size

1 in the last 12 months

Recorded deficiencies
8

More than the typical 4

0 in the last 12 months

Type A deficiencies
0

Fewer than the typical 1

0 in the last 12 months

Type B deficiencies
8

Well above the typical 2

0 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
0

Last 36 months

Repeated topics

Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.

No topic repeats in the last 36 months

No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Inspection
Facility condition and maintenanceType B
Official classification
Type B
Official code
87307(a)(2)(B)
Regulation authority
CCR

What the official deficiency says

(2) Resident bedrooms shall be provided which meet, at a minimum, the following requirements: (B) No room commonly used for other purposes shall be used as a sleeping room for any resident. This includes any hall, stairway, unfinished attic, garage, storage area, shed or similar detached building. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above by creating a bedridden (hospice) sleeping room out of the (sketch listed recreation room) which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 06/18/2024 Plan of Correction Administrator agreed to submit an updated facility sketch and LIC200 to have room #5 converted into a bedridden room to the department by the POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Licensing and administrationType B
Official classification
Type B
Official code
1569.618(c)(3)
Regulation authority
HSC

What the official deficiency says

(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above by having all staff First - Aid certified only which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 06/25/2024 Plan of Correction Administrator agreed to have staff CPR certified by the POC date and submit photo copies to the department by the POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87457(c)
Regulation authority
CCR

What the official deficiency says

(c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of his/her individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by not having appraisal needs and service plans for residents which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 06/18/2024 Plan of Correction Administrator agreed to include appraisal needs and service plans for all residents and submit a copy to the department by the POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87458(a)
Regulation authority
CCR

What the official deficiency says

(a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above residents not having updated annually medical assessments which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 06/25/2024 Plan of Correction Administrator agreed to have residents to have their annual medical assessments completed and forms updated and a copy submitted to the department by the POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Fire safety and emergency preparednessType B
Official classification
Type B
Official code
1569.695(a)
Regulation authority
HSC

What the official deficiency says

(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above by not having emergency and disaster plan located at the facility which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 06/18/2024 Plan of Correction Administrator agreed to bring a copy of the emergency and disaster plan to the facility for the facility files and submit a copy to the department by the POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Facility condition and maintenanceType B
Official classification
Type B
Official code
87303(a)
Regulation authority
CCR

What the official deficiency says

87303(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by having items such as wood planks, fruit cutter, 3 ladders, dresser, commode, buckets and huge broken tree limb located in the backyard which poses a health and safety risk to persons in care.

Official plan of correction

POC Due Date: 06/28/2024 Plan of Correction Administrator agreed to remove all items wood planks, fruit cutter, 3 ladders, dresser, commode, buckets and huge broken tree limb located in the backyard and submit photos to the department by the POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Fire safety and emergency preparednessType B
Official classification
Type B
Official code
1569.695(c)
Regulation authority
CCR

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in having a quarterly fire drill conducted which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 06/18/2024 Plan of Correction Administrator agreed to conduct a fire drill and submit a copy of sign-in sheet to CCLD by POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
87412(a)
Regulation authority
CCR

What the official deficiency says

87412(a) Personnel Records (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview the licensee did not comply with the section cited above in not having each staff record located at the facility which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 06/18/2024 Plan of Correction Administrator agreed to maintain staff personnel records at the facility at all times. Administrator went and picked up staff personnel records. DEFICIENCY CLEARED DURING VISIT.

Official record says corrected or clearedRecorded in report dated Jun 11, 2024
Plan of correction recorded
View official report

Source and limits

California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.

Read the data methodology