Staffing, personnel, and training
Cited in 3 reports, with 5 deficiencies in total.
GOOD SHEPHERD OF DANVILLE
287 VERDE MESA, Danville CA 94526
6 bedsLatest official report Apr 22, 2026Licensed
Additional info
- Telephone
- (925) 719-9351
- Licensee
- SENIOR LEGACY HEALTH CARE SERVICES, INC
- Administrator
- CASTRO, ROCHE
- Contact
- CASTRO, ROCHE
- License first date
- Oct 17, 2023
- License effective date
- Oct 17, 2023
- District office
- OAKLAND ASC · (510) 286-4201
- Regional office
- 15
- Clients served
- 935 - ELDERLY
Summary
The available records show 10 Type A and 18 Type B deficiencies for this facility.
- Most recent inspection
- Apr 22, 2026
- Most recent deficiency
- Apr 22, 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 391 Contra Costa County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 17 reports for this facility: 12 inspections, 4 complaint investigations, and 1 licensing or administrative record.
Those records contain 10 Type A and 18 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 12
- Recorded deficiencies
- 28
- Type A deficiencies
- 10
- Type B deficiencies
- 18
- Substantiated complaints
- 3
- Repeated topics
- 6
More than the typical 5
2 in the last 12 months
Well above the typical 3
5 in the last 12 months
Well above the typical 1
1 in the last 12 months
Well above the typical 2
4 in the last 12 months
Most this size have none
1 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.
Facility condition and maintenance
Cited in 3 reports, with 3 deficiencies in total.
Fire safety and emergency preparedness
Cited in 2 reports, with 4 deficiencies in total.
Resident rights
Cited in 2 reports, with 4 deficiencies in total.
Basic services and supervision
Cited in 2 reports, with 2 deficiencies in total.
Health conditions and treatments
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
Allegations5 substantiated · 2 unsubstantiated · 0 unfounded · 5 cited
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 … the licensee shall be responsible for the following: (3) Ensuring that incontinent residents are kept clean and dry … from incontinence This requirement was not met as evidence by: Based on interviews and record review the facility did not comply with the section cited above by not keeping R1 clean and dry from incontinence which posed a potential health , and personal rights risk to persons in care.
Official plan of correction
Facility agrees to complete additional training for all staff by an approved vendor and notify CCLD upon enrollment. Also facility agrees to maintain a log of all incotinence care provided with times and dates.
Deadline recorded: May 28, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 28, 2025
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidence by: Based on interviews the facility did not comply with the section cited above by not having adequete staff to respond to residents needs in a timely manner which posed a potential health, and personal rights risk to persons in care.
Official plan of correction
Facility agrees to complete additional training for all staff by an approved vendor and notify CCLD upon enrollment. Facility also hired additional staff and agrees to send CCLD an updated staff schedule.
Deadline recorded: Jun 4, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 4, 2025
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(1)
- Regulation authority
- CCR
What the official deficiency says
(a)In addition … residents …shall have all of the following personal rights:(1)To have …personal privacy in… communications…and meetings of resident and family groups. This requirement was not met as evidence by: Based on interviews and observation the facility did not comply with the section cited above by not providing privacy to residents which posed a potential personal rights risk to persons in care.
Official plan of correction
Facility agrees to complete additional training for all staff by an approved vendor and notify CCLD upon enrollment.
Deadline recorded: Jun 4, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 4, 2025
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(3)
- Regulation authority
- CCR
What the official deficiency says
(a)Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3)To be free from punishment, humiliation, intimidation, abuse, … This requirement was not met as evidence by: Based on interviews the facility did not comply with the section cited above by speaking inappropriately to residents which posed a potential personal rights risk to persons in care.
Official plan of correction
Facility agrees to complete additional training for all staff by an approved vendor and notify CCLD upon enrollment.
Deadline recorded: Jun 4, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 4, 2025
Correction not verified in available records
Resident rightsType A
- Official classification
- Type A
- Official code
- 1569.269(a)(6)
- Regulation authority
- HSC
What the official deficiency says
(a) Residents... have all of the following rights: (6) To care, ...that meet their individual needs ... by staff that are...competency to meet their needs. This requirement was not met as evidence by: Based on interviews, record reviews, and observations the facility did not comply with the section cited above by not providing resident with competent care which resulted in pressure injuries which posed an immediate health, and personal rights risk to persons in care.
Official plan of correction
Facility agrees to complete additional training for all staff by an approved vendor and notify CCLD upon enrollment. Resident was sent out to hospital and returned once injuries got better.
Deadline recorded: Jun 4, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 4, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87608(a)(2)
- Regulation authority
- CCR
What the official deficiency says
(a) Based on the individual's preadmission appraisal,... Postural supports may be used under the following conditions.(2) Postural supports shall... permits quick release by the resident. This regulation is not met as evidence by: Based on interview and photos R1 was restrained in bed by a strap that was tied to bedrails which posed a potential health and personal rights risk to person in care.
Official plan of correction
Administrator has requested the correct support from the doctor and has stopped using the improper restraint.
Deadline recorded: Aug 2, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 2, 2024
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 regulation is not met as evidence by: Based on observation the dryer has an out of order sign and does not properly work. Staff has been hang drying clothes outside which poses a potental personal rights risk to persons in care
Official plan of correction
By POC date administrator agrees to purchase a new dryer and notify CCLD.
Deadline recorded: Aug 9, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 9, 2024
Correction not verified in available records
Complaint
Allegations2 substantiated · 1 unsubstantiated · 0 unfounded · 2 cited
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87224(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required except as otherwise specified in paragraph (5) This requirement is not met as evidence by: Based on record review and interview the licensee did not comply with the regulation above by issuing an eviction letter because the resident was unhappy with the service which posed a personal rights violation to person in care.
Official plan of correction
By POC date administrator agrees to review the regulation and notify CCLD.
Deadline recorded: Aug 2, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 2, 2024
Correction not verified in available records
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87464(f)(3)
- Regulation authority
- CCR
What the official deficiency says
(f) Basic services shall at a minimum include:(3)Three nutritionally well-balanced meals...General Food Service Requirements. This requirement is not met as evidence by: Based on interviews and record review the licensee did not comply with the regulation above by not providing 3 balanced meals daily which posed a potential health risk to persons in care.
Official plan of correction
Administrator has retrained staff on what a balanced meal is.
Deadline recorded: Aug 2, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 2, 2024
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