The available records show 3 Type A and 5 Type B deficiencies for this facility.
Most recent inspection
Mar 15, 2024
Most recent deficiency
Mar 15, 2024
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 2 reports for this facility: 2 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 3 Type A and 5 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
Official inspections
2
Fewer than the typical 4
0 in the last 12 months
Recorded deficiencies
8
More than the typical 4
0 in the last 12 months
Type A deficiencies
3
More than the typical 1
0 in the last 12 months
Type B deficiencies
5
More than 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
No inspection in the last 12 months, so a zero above means no record rather than a clean visit.
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.
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, fire extinguisher, boxes saw on the side yard and a unlocked storage unit which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 03/29/2024 Plan of Correction Administrator agreed to have items listed removed from the side yard and lock the storage and provide photos to CCLD by the POC date.
(a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply: (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, the licensee did not comply with the section cited above by using a room in the garage for staff sleeping which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 03/29/2024 Plan of Correction Administrator agreed to remove beds, clothing and shoes and use for breakroom/storage which room has been fire cleared for. Administrator will provide photos of room once cleared. Civil penalty of $500 is being assessed for fire clearance violation.
(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 in the refrigerator which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 03/16/2024 Plan of Correction Administrator will lock medication in a lockbox prior to putting it in the refrigerator. Administrator will submit picture to CCLD by POC date.
87203 Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, 3 fire extinguishers did not have any inspection tags or purchase receipt taped on cylinder to show date of purchase or when last inspected which posed a potential Health & Safety risk to residents in care.
Official plan of correction
POC Due Date: 03/22/2024 Plan of Correction Caregiver agreed to contact contracted Fire extinguisher inspection company to have them re-inspect each fire extinguisher and place inspection tags on each fire extinguisher. Caregiver will submit to CCLD by POC due date a photo of inspection tag for each fire extinguisher.
(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 having incomplete Administrator file which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 03/29/2024 Plan of Correction Administrator agreed to complete staff file and email a sample and check list to CCLD by POC.
87309 Storage Space (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 which poses an immediate health, safety or personal rights risk to persons in care. Garage door unlocked and laundry soap, bleach, Pine Sol, Paint, tools, and ladder located in the garage. An unlocked shed in the backyard with gardening tools
Official plan of correction
POC Due Date: 04/14/2022 Plan of Correction Administrator will turn garage door knob around to lock from the outside. Administrator will also lock the shed in the back yard and provide pictures to CCLD by the POC date.
87355 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or (2) Request a transfer of a criminal record clearance as specified in Section 87355(c) This requirement is not met as evidenced by: Deficient Practice Statement Based on interview, the licensee did not comply with the section cited above which poses an immediate health and safety rights risk to persons in care. Unassociated staff working.
Official plan of correction
POC Due Date: 04/14/2022 Plan of Correction Administrator associated staff in Guardian and will send proof to CCLD no later then POC date.
(a) Administrators shall complete at least forty (40) classroom hours of continuing education during each two (2)-year certification period, including. (1) For administrators who renew their administrator certification on or after January 1, 2003, at least eight (8) hours in subjects related to serving residents with Alzheimer's Disease and other dementias, including, but not limited to, instruction related to direct care, physical environment, and admissions procedures and assessment. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. Administrator certificate is expired as of 9/7/2020
Official plan of correction
POC Due Date: 05/13/2022 Plan of Correction Administrator will renew his administrator certificate and forward a copy to CCLD no later then the POC date.
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.