Facility condition and maintenance
Cited in 4 reports, with 4 deficiencies in total.
CARLTON PLAZA OF SAN LEANDRO
1000 EAST 14TH ST., San Leandro CA 94577
199 bedsLatest official report Jul 16, 2026Licensed
Additional info
- Telephone
- (510) 636-0660
- Licensee
- CARLTON SENIOR LIVING, LLC
- Administrator
- BOUCHER-TURIN, ANGELA
- Contact
- BOUCHER-TURIN, ANGELA
- License first date
- Sep 2, 1999
- License effective date
- Sep 2, 1999
- District office
- OAKLAND ASC · (510) 286-4201
- Regional office
- 15
- Clients served
- 935 - ELDERLY
Summary
The available records show 6 Type A and 22 Type B deficiencies for this facility.
- Most recent inspection
- Jul 16, 2026
- Most recent deficiency
- Apr 29, 2026
1 later report, on Jul 16, 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 39 Alameda County facilities licensed for 50 or more beds, except where too few exist to state one — those come from facilities with 7 or more beds.
In the available public five-year record, CCLD published 29 reports for this facility: 13 inspections, 16 complaint investigations, and 0 licensing or administrative records.
Those records contain 6 Type A and 22 Type B deficiencies.
2 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 13
- Recorded deficiencies
- 28
- Type A deficiencies
- 6
- Type B deficiencies
- 22
- Substantiated complaints
- 6
- Repeated topics
- 7
More than the typical 8
3 in the last 12 months
Well above the typical 7
14 in the last 12 months
More than the typical 2
4 in the last 12 months
Well above the typical 5
10 in the last 12 months
Well above the typical 1
2 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.
Food service
Cited in 3 reports, with 3 deficiencies in total.
Staffing, personnel, and training
Cited in 2 reports, with 3 deficiencies in total.
Admission, assessment, and eviction
Cited in 2 reports, with 2 deficiencies in total.
Fire safety and emergency preparedness
Cited in 2 reports, with 2 deficiencies in total.
Hazardous items and storage
Cited in 2 reports, with 2 deficiencies in total.
Resident rights
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.
Complaint
Allegations4 substantiated · 2 unsubstantiated · 0 unfounded · 4 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.2(a)(8)
- Regulation authority
- CCR
What the official deficiency says
(a)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: (8)To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. This requirement was not met as evidence by: Based on interviews and record review, the licensee did not comply with the section cited above in R4 being financially abused by previous staff member (W2) which posed an immediate personal rights risk to persons in care.
Official plan of correction
By POC date, the facility agrees to conduct 2 hours of training on personal rights and Reporting Requirements with an approved CCLD vendor and send proof of training to CCLD.
Deadline recorded: May 5, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 5, 2026
Correction not verified in available records
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87413(a)(2)
- Regulation authority
- CCR
What the official deficiency says
(a)In each facility:(2)Care and supervision of residents shall be provided without physical or verbal abuse, exploitation or prejudice. This requirement was not met as evidence by: Based on interviews and photos, the licensee did not comply with the section cited above in R2 sustaining bruises on both arms while being showered by W3 which posed an immediate personal rights risk to persons in care.
Official plan of correction
By POC date, the facility agrees to review personal rights and provide in-service to all staff on proper bathing procedures and provide the training materials to CCLD.
Deadline recorded: May 5, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 5, 2026
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87625(b)(3)
- 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: (3)Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement was not met as evidence by: Based on interviews and observations made by LPAs, the licensee did not comply with the section cited above in R17s room smelling of urine which posed a potential personal rights risk to persons in care.
Official plan of correction
By POC date, the facility agrees to develop a semi-annual carpet cleaning schedule and provide the rooms and dates that are being cleaned. The facility also agrees to create a plan for the residents known to have incontinence care and provide the time and dates and send these plans to CCLD.
Deadline recorded: May 5, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 5, 2026
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(f)
- Regulation authority
- CCR
What the official deficiency says
(f)All waste shall be located, stored, and disposed of in a manner that will not transmit communicable diseases or odors, pose a risk to health and safety, or provide a breeding place or food source for insects or rodents. This requirement was not met as evidence by: Based on observations made by LPAs, the licensee did not comply with the section cited above in R4s room having moldy and expired foods while R4 was on full care and bed bound which posed a potential personal rights risk to persons in care.
Official plan of correction
By POC, the facility agrees to check all of the residents rooms and develop a daily check sheet for staff to ensure that all rooms are free of trays and discarded food by the end of the night midnight and send the sheet to CCLD.
Deadline recorded: May 5, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 5, 2026
Correction not verified in available records
Complaint
Allegations2 substantiated · 1 unsubstantiated · 0 unfounded · 2 cited
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.... This requirement was not met as evidence by: Based on interviews and record review the licensee did not comply with the section cited above in having a malfunctioning broiler which posed a personal rights and potential health and safety risk to persons in care.
Official plan of correction
By POC date, facility agrees to read regulation 87303 and send a self certifying email to CCLD.
Deadline recorded: Dec 11, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 11, 2025
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(4)
- Regulation authority
- CCR
What the official deficiency says
(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities,...:(4) To care, supervision, and services...This requirement was not met as evidence by: Based on observation the Licensee did not comply with the section cited above in not having sufficient in numbers to meet the needs of residents care. which poses a personal rights and potential health and safety risk to persons in care.
Official plan of correction
By POC date, the facility agrees to implement a plan to ensure staff is sufficient in numbers to meet the needs of residents care.
Deadline recorded: Dec 11, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 11, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87466
- Regulation authority
- CCR
What the official deficiency says
The licensee shall ensure that residents are regularly observed for changes...that appropriate assistance is provided when such observation reveals unmet needs….. This requirement is not met as evidenced by… Based on records review and interview, the licensee did not comply with the section cited above by not calling medical attention for the resident until an hour after the error had occurred and did not call for transported until two hours after the error had occurred which posed an health and safety risk to the resident.
Official plan of correction
By POC date, Administrator states that: 1. Record of the in-service training that was held on emergency calls for residents for staff, and any updated training 2. Administrator will read the regulation and submit self-certification stating understanding Proof of correction will be sent to CCLD by POC date
Deadline recorded: Dec 30, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 30, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 87202(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87202 Fire Clearance (a) All facilities shall maintain a fire clearance approved by...fire protection services...Prior to accepting or retaining any of the following types of persons...licensee shall...obtain an appropriate fire clearance... (1) Nonambulatory persons. -This requirement is not met as evidenced by: Based in interviews and records reviewed, the facility has 8 non-ambulatory residing on the 3rd floor but only 6 are approved which poses a potential health, safety, or personal rights risk to persons in care.
Official plan of correction
Licensee to update Resident Roster, Ambulation Details Report and notify Residents/RP's of relocating to a different unit. A 60-day eviction notice is to be approved by CCLD if there is not an agreed resolution by the POC date.
Deadline recorded: Dec 4, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 4, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 87202(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87202 Fire Clearance (a) All facilities shall maintain a fire clearance approved by … fire protection services … Prior to accepting or retaining any of the following types of persons, … licensee shall … obtain an appropriate fire clearance …. (1) Nonambulatory persons. This requirement is not met as evidenced by: Based on review of facility records, there are 19 nonambulatory residents living on the 3rd floor, but the facility is licensed for a capacity of only 6 nonambulatory residents for the 3rd floor, which poses a potential health, safety, or personal rights risk to persons in care.
Official plan of correction
On or before the due date, licensee shall submit application to CCLD for an increase of nonambulatory residents to at least accommodate the current number of residents for the 3rd floor of the facility including a sketch of the facility.
Deadline recorded: May 30, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 30, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded
Administrator qualificationsType B
- Official classification
- Type B
- Official code
- 87405(d)(2)
- Regulation authority
- CCR
What the official deficiency says
Administrator - Qualifications and Duties. Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement is not met as evidence by: Based on investigation, licensee did not comply with the section cited above by not testing resident with symptoms which poses a potential health and safety risk to the persons in care.
Official plan of correction
Facility has agreed to submit a written plan regarding reviewing CCLD PINs and submit the written plan to CCLD by POC date.
Deadline recorded: May 15, 2023. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn May 15, 2023
Deficiency Dismissed Type B 05/15/2023 Section Cited CCR 87405(d)(2)
Plan of correction recorded
Correction deadline recordedDeadline May 15, 2023
Correction not verified in available records
Complaint
Allegations3 substantiated · 1 unsubstantiated · 0 unfounded
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(c)(2)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care. Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidence by: Based on investigation, licensee did not comply with the section cited above by not administering PRN medication which poses an immediate health and safety risk to the persons in care.
Official plan of correction
Facility has agreed to conduct training for staff that administer medications and submit staff sign-in sheet and training materials to CCLD by POC date.
Deadline recorded: May 8, 2023. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn May 8, 2023
Deficiency Dismissed Type A 05/08/2023 Section Cited CCR 87465(c)(2)
Plan of correction recorded
Correction deadline recordedDeadline May 8, 2023
Correction not verified in available records
Administrator qualificationsType B
- Official classification
- Type B
- Official code
- 87405(d)(2)
- Regulation authority
- CCR
What the official deficiency says
Administrator - Qualifications and Duties. Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement is not met as evidence by: Based on investigation, licensee did not comply with the section cited above by not testing resident with symptoms which poses a potential health and safety risk to the persons in care.
Official plan of correction
Facility has agreed to submit a written plan regarding reviewing CCLD PINs and submit the written plan to CCLD by POC date.
Deadline recorded: May 15, 2023. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn May 15, 2023
Deficiency Dismissed Type B 05/15/2023 Section Cited CCR 87405(d)(2)
Plan of correction recorded
Correction deadline recordedDeadline May 15, 2023
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(8)
- Regulation authority
- CCR
What the official deficiency says
Personal Rights of Residents in All Facilities. To have their representatives regularly informed by the licensee of activities related to care or services... This requirement is not met as evidence by: Based on investigation, licensee did not comply with the section cited above by not notifying R1's family when R1 had a change in condition which poses a potential health and safety risk to the persons in care.
Official plan of correction
Facility has agreed to conduct training on notifying resident's representatives and submit staff sign-in sheet and materials to CCLD by POC date.
Deadline recorded: May 15, 2023. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn May 15, 2023
Deficiency Dismissed Type B 05/15/2023 Section Cited CCR 87468.1(a)(8)
Plan of correction recorded
Correction deadline recordedDeadline May 15, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 0 unsubstantiated · 3 unfounded
No deficiencies recorded in this reportComplaint
Resident rightsType A
- Official classification
- Type A
- Official code
- 1569.269(a)(10)
- Regulation authority
- HSC
What the official deficiency says
Enumerated rights; severability. To be free from neglect,..., intimidation, and verbal, mental, physical, or sexual abuse. This This requirement is not met as evidenced by: Based on interviews conducted, records and video footage reviewed, on 6/20/2020 facility staff failed to assist R1 when R1 woke up, got up from the chair and walked which resulted to R1 falling and sustained fracture of right femoral neck. R1 underwent right hip hemiarthroplasty and has moved out of the facility.
Official plan of correction
By POC date, Executive Director will conduct training with all staff of Sec. 1569.269 Enumerated Rights and submit proof of training and sign in sheet to CCL. A Non-Compliance Conference (NCC) will be scheduled. A $500.00 immediate civil penalty is assessed on this day. Civil penalty determination related to serious bodily injury is pending.
Deadline recorded: Jun 24, 2022. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Jun 24, 2022
Deficiency Dismissed Type A 06/24/2022 Section Cited HSC 1569.269(a)(10)
Plan of correction recorded
Correction deadline recordedDeadline Jun 24, 2022
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportSource 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