Inspection
No deficiencies recorded in this report
OLYMPIC RESIDENTIAL CARE HOME
2252 OLYMPIC DRIVE, Martinez CA 94553
6 bedsLatest official report May 14, 2026Licensed
Additional info
- Telephone
- (925) 370-7338
- Licensee
- GOZUN, CONCHITA Q.
- Administrator
- GOZUN, CONCHITA Q.
- Contact
- GOZUN, CONCHITA Q.
- License first date
- May 30, 2006
- License effective date
- May 30, 2006
- District office
- OAKLAND ASC · (510) 286-4201
- Regional office
- 15
- Clients served
- 935 - ELDERLY
Summary
The available records show 2 Type A and 9 Type B deficiencies for this facility.
- Most recent inspection
- May 14, 2026
- Most recent deficiency
- Apr 17, 2025
1 later report, on May 14, 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 391 Contra Costa County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 5 reports for this facility: 5 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 2 Type A and 9 Type B deficiencies.
1 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 5
- Recorded deficiencies
- 11
- Type A deficiencies
- 2
- Type B deficiencies
- 9
- Substantiated complaints
- 0
- Repeated topics
- 0
About the same as most this size
1 in the last 12 months
Well above the typical 3
0 in the last 12 months
More than the typical 1
0 in the last 12 months
Well above the typical 2
0 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.
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.
Inspection
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(e)(2)
- Regulation authority
- CCR
What the official deficiency says
(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). 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 by the hot water measured 125 (R2's room) and 123.5 degree F. (shared bathroom) which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 04/18/2025 Plan of Correction Administrator agreed to lower the hot water temp. and send photos of water measured by temp thermostat within regulations to CCLD by POC due date.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(f)
- Regulation authority
- CCR
What the official deficiency says
(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health.Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. 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 by not having health screening and negative TB for S4 and S5 which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 05/01/2025 Plan of Correction Administrator agreed to submit health screening and TB results to CCLD by POC due date.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 1569.625(b)(2)
- Regulation authority
- HSC
What the official deficiency says
(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. 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 by not having training on file for Staff (S) S2-S5 which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/01/2025 Plan of Correction Administrator to submit copies of training certificates to CCLD by POC due date.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.69(a)(2)
- Regulation authority
- HSC
What the official deficiency says
(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (2) In facilities licensed to provide care for 15 or fewer persons, the employee shall complete 10 hours of initial training. This training shall consist of 6 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 4 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first two weeks of employment. 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 by not having training on file for S4 whom started working 10/01/2024 which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/01/2025 Plan of Correction Administrator to submit copies of training certificates to CCLD by POC due date.
Plan of correction recorded
Correction not verified in available records
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 observation, interview, record review, the licensee did not comply with the section cited above in by not conducting drills quarterly (i.e., Fire Drill 06/30/24 and Earthquake Drill 10/07/2024) which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/01/2025 Plan of Correction Administrator will read the regulation, self-certify understanding and comply moving forward. In addition, send a copy of fire/earthquake drills for each shift to CCLD by POC due date.
Plan of correction recorded
Correction not verified in available records
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 1569.605
- Regulation authority
- HSC
What the official deficiency says
§1569.605 Liability insurance; coverage requirements On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. 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 by not having Liability Insurance Policy on file. The last policy in the file was property insurance with an expiration 01/22/2025 which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/01/2025 Plan of Correction Administrator will submit a copy of Certificate of Liability Insurance to CCLD by POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(c)(6)
- Regulation authority
- CCR
What the official deficiency says
(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (6) Appraisals are conducted on an ongoing basis pursuant to Section 87463, Reappraisals. 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 by having updated Appraisal Needs and Services (ANS) for R1-R5 which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/07/2024 Plan of Correction Administrator agreed to update ANS and submit to CCLD by POC due date.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87458(c)
- Regulation authority
- CCR
What the official deficiency says
87458 Medical Assessment (c) The licensee shall obtain an updated medical assessment when required by the Department. 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 By having updated Physician's Reports for R1, R3 and R4 which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/07/2024 Plan of Correction Administrator agreed to send updated Physician's Reports to CCLD by POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
Not classified in the sourceType A
- Official classification
- Type A
- Official code
- 80087(g)
- Regulation authority
- CCR
What the official deficiency says
80087 Buildings and Grounds (g) Disinfectants, cleaning solutions, poisons, firearms and other items that 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 in having a pair of scissors accessible to clients which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/09/2023 Plan of Correction Caregiver immediately removed pair of scissors that were on the desk and placed in locked caregiver bedroom which makes the pair of scissors inaccessible. Deficiency cleared during visit.
Official record says corrected or clearedRecorded in report dated Jun 8, 2023
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
87303 Maintenance and Operation (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 2 wheelchairs, floor lamp, toilet camode, solar panel kit, cardboard boxes, radio boom box accessible which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/22/2023 Plan of Correction Licensee/Administrator will remove items and clean the outside backyard. Submit photos to CCLD by POC due date.
Plan of correction recorded
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(a)
- Regulation authority
- CCR
What the official deficiency says
87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. 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 having all resident's records available at the facility which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/15/2023 Plan of Correction Licensee/Administrator will maintain all resident's records at the facility. Submit photos that all of the resident's records are located, stored and available at the facility to CCLD by POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
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