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LAKE CHABOT ASSISTED LIVING

18821 CARLTON AVE, Castro Valley CA 94546

Facility 019200688 · RESIDENTIAL CARE ELDERLY (740)

3 bedsLatest official report Jan 29, 2026Licensed

Additional info
Licensee
SPECIAL REQUEST LLC
Administrator
TET, SAMUEL
Contact
TET, SAMUEL
License first date
Oct 13, 2017
License effective date
Oct 13, 2017
District office
OAKLAND ASC · (510) 286-4201
Regional office
15
Clients served
935 - ELDERLY

Summary

The available records show 1 Type A and 1 Type B deficiencies for this facility.

Most recent inspection
Jan 29, 2026
Most recent deficiency
Jan 29, 2026

No later report is available, so the records do not show what happened afterward.

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 5 reports for this facility: 5 inspections, 0 complaint investigations, and 0 licensing or administrative records.

Those records contain 1 Type A and 1 Type B deficiencies.

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

Official inspections
5

More than the typical 4

2 in the last 12 months

Recorded deficiencies
2

Fewer than the typical 4

1 in the last 12 months

Type A deficiencies
1

About the same as most this size

0 in the last 12 months

Type B deficiencies
1

Fewer than the typical 2

1 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.

All report types
All report typesInspectionComplaintLicensing record
Inspection
Resident rightsType B
Official classification
Type B
Official code
87468.2(a)(4)
Regulation authority
CCR

What the official deficiency says

In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:...(4)To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. Based on observation, interview, and record review, this requirement was not met, which poses a potential risk to the resident's health and safety.

Official plan of correction

Licensee to update the care plan regarding supervision procedures, and conduct staff training. Updated care plan and training log shall be e submitted to CCL by POC date.

Deadline recorded: Feb 12, 2026. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Feb 12, 2026
Correction not verified in available records
View official report
View official source
Inspection
Food serviceType A
Official classification
Type A
Official code
87555(b)(25)
Regulation authority
CCR

What the official deficiency says

(b) The following food service requirements shall apply: (25) Soaps, detergents, cleaning compounds or similar substances shall be stored in areas separate from food supplies. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPAs observed fruits are being stored on the same shelf as cleaning supplies which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/30/2022 Plan of Correction Deficiency cleared during visit. LPAs observed Administrator remove fruits from the shelf. In addition, Administrator will review regulations and conduct training with staff, and submit a copy of training with staff signatures by 5/6/2022.

Official record says corrected or clearedRecorded in report dated Apr 29, 2022
Plan of correction recorded
View official report
View official source

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