Health conditions and treatments
Cited in 2 reports, with 5 deficiencies in total.
COMMON DESTINY
34209 SYLVESTER DRIVE, Fremont CA 94555
6 bedsLatest official report Jan 6, 2026Licensed
Additional info
- Telephone
- (510) 794-4931
- Licensee
- COMMON DESTINY, LLC
- Administrator
- TOM, MARVIN
- Contact
- TOM, MARVIN
- License first date
- Jan 12, 2012
- License effective date
- Jan 12, 2012
- District office
- OAKLAND ASC · (510) 286-4201
- Regional office
- 15
- Clients served
- 985 - RCFE / HOSPICE
Summary
The available records show 9 Type A and 11 Type B deficiencies for this facility.
- Most recent inspection
- Jan 6, 2026
- Most recent deficiency
- Jan 6, 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 6 reports for this facility: 6 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 9 Type A and 11 Type B deficiencies.
3 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 6
- Recorded deficiencies
- 20
- Type A deficiencies
- 9
- Type B deficiencies
- 11
- Substantiated complaints
- 0
- Repeated topics
- 2
More than the typical 4
1 in the last 12 months
Well above the typical 4
1 in the last 12 months
Well above the typical 1
0 in the last 12 months
Well above the typical 2
1 in the last 12 months
Most this size also have none
0 in the last 12 months
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.
Fire safety and emergency preparedness
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- HSC
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 record review, the licensee did not comply with the section cited above. They conducted 1 of the 4 emergency/disaster drills annually, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/13/2026 Plan of Correction On or before due date, the Licensee will (1) conduct their first quarterly emergency/disaster drill of 2026 and (2) create a schedule for quarterly emergency/disaster drills for the future.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 87202(a)
- Regulation authority
- CCR
What the official deficiency says
(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in having a paddle lock in the side gate which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 01/08/2025 Plan of Correction Staff agrees to remove the paddle lock from the gate and send proof to CCLD by POC date. Civil Penalty of $500 is assessed.
Plan of correction recorded
Correction not verified in available records
Hazardous items and storageType A
- Official classification
- Type A
- Official code
- 87309(a)
- Regulation authority
- CCR
What the official deficiency says
(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in having unlocked knives in the kitchen drawer and unlocked insulin in the kitchen fridge which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 01/08/2025 Plan of Correction Staff agrees to remove the items and placed it in a lock storage and send proof to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87628(b)
- Regulation authority
- CCR
What the official deficiency says
(b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: This requirement is not met as evidenced by: Deficient Practice Statement Based on interview conducted with R3 who is diabetic and on sliding scale of insulin, R3 states that R3 is unable to see how much insulin is needed due to very poor vision. R3 states staff twists the pen for the correct dose of insulin and guides hand to the stomach and R3 presses pen. The facility doe snot have an approved exception for R3.
Official plan of correction
POC Due Date: 01/21/2025 Plan of Correction By POC date, the Administrator will send CCL plan on R3's restricted condition.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87470(a)(2)(D)
- Regulation authority
- CCR
What the official deficiency says
(a) A licensee shall ensure that infection control practices are maintained as follows: (2) Environmental cleaning and disinfection activities shall be performed following the manufacturers' instructions for proper use of the cleaning and disinfecting products. These activities shall be completed, at a minimum, as follows: (D) Facility items that cannot be disinfected shall be discarded immediately in an appropriate waste receptacle with a tight-fitting cover or otherwise made inaccessible to human contact or transmission. 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 trash bags in the backyard and in the garage, and not in the trash bin poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 01/21/2025 Plan of Correction Administrator agrees to remove the trash bags and obtain a bigger trash bin and send proof to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
(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 in having a washing machine, stove, wheelchair, shower chair, RV, etc. in the backyard which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 01/21/2025 Plan of Correction Administrator agrees to remove the items and send proof to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(a)
- Regulation authority
- CCR
What the official deficiency says
(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 record review, the licensee did not comply with the section cited above by not having the staff files available during the annual visit which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 01/21/2025 Plan of Correction The Administrator will to self certify to give access to the designated person of all the records when Administrator is on leave and send proof to CCLD of the POC.
Plan of correction recorded
Correction not verified in available records
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(6)
- Regulation authority
- CCR
What the official deficiency says
(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and file review, the licensee did not comply with the section cited above in not having an accurate record of dosages of medications which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 01/31/2025 Plan of Correction BY POC date, the Administrator will review MARs and doctor's order for all residents' medications and submit corrected copy to CCL.
Plan of correction recorded
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(b)
- Regulation authority
- CCR
What the official deficiency says
(b) Each resident's record shall contain at least the following information: 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 the resident files available during the annual visit which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 01/21/2025 Plan of Correction The Administrator will to self certify to give access to the designated person of all the records when Administrator is on leave and send proof to CCLD of the POC.
Plan of correction recorded
Correction not verified in available records
Inspection
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87616(b)(1)
- Regulation authority
- CCR
What the official deficiency says
(b) Written requests shall include, but are not limited to, the following: (1) Documentation of the resident's current health condition including updated medical reports, other documentation of the current health, prognosis, and expected duration of condition. 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 in not having documentation on R5's current health condition/medical reports in regards to diabetes management which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/01/2024 Plan of Correction Administrator will schedule R5 for medical assessment to get medical reports updated and submit a copy to CCL by POC date.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87628(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing with blood or urine specimens, and is able to administer his/her own medication including medication administered orally or through injection, or has it administered by an appropriately skilled professional. 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 in having an approved exception for R5's diabetes management which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/01/2024 Plan of Correction Administrator will submit request for exception for R5's restricted condition - diabetes management and submit to CCL by POC date.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87470(a)(2)(B)
- Regulation authority
- CCR
What the official deficiency says
(a) A licensee shall ensure that infection control practices are maintained as follows: (2) Environmental cleaning and disinfection activities shall be performed following the manufacturers' instructions for proper use of the cleaning and disinfecting products. These activities shall be completed, at a minimum, as follows: (B) Walls and window coverings in resident care areas shall be dusted or cleaned on a regular schedule to ensure they are safe and sanitary and when they are visibly contaminated or soiled. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above in having cobwebs, mold and screen windows with holes which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/05/2024 Plan of Correction Administrator will get screen windows fixed and cleaned and submit photo proof to CCL by POC date.
Plan of correction recorded
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468(c)(1)
- Regulation authority
- CCR
What the official deficiency says
(c) Licensees shall prominently post personal rights, nondiscrimination notice, and complaint information in areas accessible to residents, representatives, and the public. (1) The personal rights of residents specified in Sections 87468.1, Personal Rights of Residents in All Facilities and 87468.2, Additional Personal Rights of Residents in Privately Operated Facilities shall be posted as applicable to the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in not posting personal rights, nondiscrimination information, Resident Family Council which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/05/2024 Plan of Correction Administrator will post required personal rights, non discrimation,and Resident Council posters in areas accessible to residents, representative and public and submit photo proof to CCL by POC date.
Plan of correction recorded
Correction not verified in available records
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(c)(5)
- Regulation authority
- CCR
What the official deficiency says
(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care needs. 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 in not having an updated medical assessment for R3 who has Dementia which poses/posed a potential health, safety or personal rights risk to persons in care. Last assessment was in 2021.
Official plan of correction
POC Due Date: 02/09/2024 Plan of Correction Administrator will schedule R3 for updated medical assessment and submit proof to CCL.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Hazardous items and storageType A
- Official classification
- Type A
- Official code
- 87309(a)
- Regulation authority
- CCR
What the official deficiency says
(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. 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 unlocked cleaning supplies, gardening tools, and knives which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 05/17/2022 Plan of Correction Staff locked up the cleaning supplies, gardening tools, and knives during inspection. Deficiency cleared.
Official record says corrected or clearedOn or before May 16, 2022
Plan of correction recorded
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(2)
- Regulation authority
- CCR
What the official deficiency says
(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. 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 unlocked medication and medication room was unlocked which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 05/17/2022 Plan of Correction Staff locked up medication room during inspection. Deficiency cleared.
Official record says corrected or clearedOn or before May 16, 2022
Plan of correction recorded
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87608(a)(5)(B)
- Regulation authority
- CCR
What the official deficiency says
(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. 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 full bed rails for residents who are not on hospice care which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 05/17/2022 Plan of Correction Administrator has agreed to remove full bed rails for the three residents and submit picture proof to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1(a)(6)
- Regulation authority
- CCR
What the official deficiency says
Personal Rights of Residents in All Facilities (6) To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night. This does not prohibit a licensee from establishing house rules, such as locking doors at night to protect residents, or barring windows against intruders, with permission from the Department. 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 by locking side gate at night which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 05/17/2022 Plan of Correction Staff removed lock during inspection. Deficiency cleared.
Official record says corrected or clearedOn or before May 16, 2022
Plan of correction recorded
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
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 vertical blinds in disrepair and items in various places in the back yard space, especially near the RV which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 06/06/2022 Plan of Correction Administrator has agreed to repair the vertical blinds and remove items in the back yard. Administrator will submit picture proof of repairs and removals to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87208(a)(7)(A)
- Regulation authority
- CCR
What the official deficiency says
Plan of Operation (7) Sketches, showing dimensions, of the following: (A) Building(s) to be occupied, including a floor plan that describes the capacities of the buildings for the uses intended and a designation of the rooms to be used for nonambulatory residents and for bedridden residents, other than for a temporary illness or recovery from surgery as specified in Sections 87606(d) and (e) 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 by not updating facility sketch to included staff room, office room in garage, and RV occupied in the backyard which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 05/31/2022 Plan of Correction Administrator has agreed to provide a new facility sketch and yard sketch to include the staff room, office room in garage, and RV in the backyard. Administrator will submit new facility, yard sketch, and permit for the garage to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
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