Facility condition and maintenance
Cited in 3 reports, with 5 deficiencies in total.
332 PEBBLE BEACH DR., Brentwood CA 94513
6 bedsLatest official report Jul 7, 2026Licensed
The available records show 8 Type A and 9 Type B deficiencies for this facility.
No later report is available, so the records do not show what happened afterward.
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.
Counts cover the five-year public record. Typical figures are the median for the 391 Contra Costa County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 12 reports for this facility: 10 inspections, 2 complaint investigations, and 0 licensing or administrative records.
Those records contain 8 Type A and 9 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
More than the typical 5
2 in the last 12 months
Well above the typical 3
2 in the last 12 months
Well above the typical 1
0 in the last 12 months
Well above the typical 2
2 in the last 12 months
Most this size have none
0 in the last 12 months
Last 36 months
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.
Cited in 3 reports, with 5 deficiencies in total.
Cited in 3 reports, with 3 deficiencies in total.
Cited in 2 reports, with 3 deficiencies in total.
All preserved reports from the most recent to the oldest, sortable by report type.
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
1569.269 Enumerated rights; severability (a) Residents of residential care facilities for the elderly shall have all of the following rights: (6) 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. This requirement is not met as evidenced by: Based on records reviewed and interviewed shows R1 wound was manageable at a stage 2 but develop to a stage 4 because S1 did not follow the care instruction by not rotating R1 every two hours, left R1 in solid diaper, also S1 did not let R1 wound air out prior to changing R1.
Administrator agrees to review the citied section and self-certified the understanding the citied session, also conduct an in-service training on wound care. Administrator will start to record keeping of each residents on diaper changing, health care note, and time and date of personal hygiene and submit to CCLD by POC date.
Deadline recorded: Apr 7, 2025. A deadline is not proof that correction was completed.
Allegations5 substantiated · 0 unsubstantiated · 0 unfounded · 5 cited
1569.269 Enumerated rights; severability (a) Residents of residential care facilities for the elderly shall have all of the following rights: (10) To be free from neglect . . . This requirement is not met as evidenced by: Based on reviews of R1’s hospital medical records and interviews of Administrator Lorica Hipolito, S1, and S2, it was revealed that R1 was not fed by the staff on a regular basis, resulting in a medical diagnosis of severe protein-calorie malnourishment and weight loss on 8/15/2023, which poses an immediate health, safety or personal rights risk to persons in care.
A formal conference with CCLD will be scheduled at a later time.
Deadline recorded: May 10, 2024. A deadline is not proof that correction was completed.
87464 Basic Services (f) Basic services shall at a minimum include … (1) Care and supervision as defined in … Health and Safety Code section 1569.2(c) … " Care and supervision " means the facility assumes responsibility for, or provides or promises to provide in the future, ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered… This requirement is not met as evidenced by: Staff members stated that R1 was not being given fluids for as many as 3 days in a row on a regular basis. From the 8/15/2023 hospital medical records, R1’s dehydration superimposed on a Urinary Tract Infection (UTI) resulted in metabolic encephalopathy causing R1 to experience an altered mental state. This poses an immediate health, safety or personal rights risk to persons in care.
A formal conference with CCLD will be scheduled at a later time.
Deadline recorded: May 10, 2024. A deadline is not proof that correction was completed.
87615 Prohibited Health Conditions (a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: (1) Stage 3 and 4 pressure injuries. This requirement is not met as evidenced by: Based on reviews of R1’s medical records from their hospitalization on 8/15/2023, it was revealed that R1 had an unstageable right ischial tuberosity pressure injury. R1 was retained in the facility despite having that unstageable right ischial tuberosity pressure injury, which poses an immediate health, safety or personal rights risk to persons in care.
A formal conference with CCLD will be scheduled at a later time.
Deadline recorded: May 10, 2024. A deadline is not proof that correction was completed.
87466 Observation of the Resident: The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional, and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement is not met as evidenced by: Based on reviews of R1’s hospital medical records, it was revealed that on 8/15/2023 R1 was diagnosed with a Urinary Tract Infection (UTI). Based on interviews of all staff members and a lack of facility documentation staff were not documenting changes to R1’s attention nor bringing those changes to the attention of the resident's physician and the resident's responsible person, if any, which poses an immediate health, safety or personal rights risk to persons in care.
A formal conference with CCLD will be scheduled at a later time.
Deadline recorded: May 10, 2024. A deadline is not proof that correction was completed.
87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. Based on reviews of medical records from R1’s hospitalization on 8/15/2023, R1 was diagnosed with dehydration, severe malnourishment, an unstageable right ischial pressure injury, a Urinary Tract Infection (UTI), and experiencing an altered mental state due to metabolic encephalopathy caused by R1’s dehydration superimposed on R1’s UTI. It was R1’s responsible person, and not the facility staff, who called 911 to get R1 to the hospital, which poses an immediate health, safety or personal rights risk to persons in care.
A formal conference with CCLD will be scheduled at a later time.
Deadline recorded: May 10, 2024. A deadline is not proof that correction was completed.
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.
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