Resident rights
Cited in 2 reports, with 2 deficiencies in total.
VITA
4012 BLACKSMITH CIR, Oakley CA 94561
6 bedsLatest official report Dec 15, 2025Licensed
Additional info
- Telephone
- (925) 392-8174
- Licensee
- VITA, LLC
- Administrator
- BUYNEVICH, TATYANA
- Contact
- BUYNEVICH, TATYANA
- License first date
- Dec 30, 2016
- License effective date
- Dec 30, 2016
- District office
- OAKLAND ASC · (510) 286-4201
- Regional office
- 15
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 3 Type A and 4 Type B deficiencies for this facility.
- Most recent inspection
- Dec 15, 2025
- Most recent deficiency
- Dec 15, 2025
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 4 reports for this facility: 4 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 3 Type A and 4 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 4
- Recorded deficiencies
- 7
- Type A deficiencies
- 3
- Type B deficiencies
- 4
- Substantiated complaints
- 0
- Repeated topics
- 2
Fewer than the typical 5
1 in the last 12 months
More than the typical 3
2 in the last 12 months
More than the typical 1
0 in the last 12 months
More than the typical 2
2 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.
Staffing, personnel, and training
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.
Inspection
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 by not having health screening for S2 which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 01/05/2026 Plan of Correction Assistant Administrator has agreed to obtain health screening for S2 and submit a copy to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87467(a)(3)
- Regulation authority
- CCR
What the official deficiency says
(a) Prior to, or within two weeks of the resident's admission, the licensee shall arrange a meeting with the resident, the resident's representative, if any, appropriate facility staff, and a representative of the resident's home health agency, if any, and any other appropriate parties, to prepare a written record of the care the resident will receive in the facility, and the resident's preferences regarding the services provided at the facility. (3) The licensee shall arrange a meeting with the resident and appropriate individuals identified in Section 87467(a)(1) to review and revise the written record as specified, when there is a significant change in the resident's condition, or once every 12 months, whichever occurs first. Significant changes shall include, but not be limited to occurrences specified in 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 by not having current appraisal needs and service plans for all five residents which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 01/05/2026 Plan of Correction Assistant Administrator has agreed to obtain current/updated appraisal needs and service plans (LIC625) for all five residents and submit a copy to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Background checksType A
- Official classification
- Type A
- Official code
- 87355(e)(2)
- Regulation authority
- CCR
What the official deficiency says
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: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c) or This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in having S4 associated to the facility which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/05/2024 Plan of Correction Administrator agreed to submit and LIC9182 and a copy of S4's identification to associate or associated S4 to facility via guardian by POC date.
Plan of correction recorded
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(6)
- Regulation authority
- CCR
What the official deficiency says
87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (6) To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night. This does not prohibit a licensee from establishing house rules, such as locking doors at night to protect residents, or barring windows against intruders, with permission from the Department. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in having an additional lock on front door for resident which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/11/2024 Plan of Correction Administrator agreed to remove additional lock from front door and submit photo to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411
- Regulation authority
- CCR
What the official deficiency says
87411 Personnel Requirements - General (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 observation and record review, the licensee did not comply with the section cited above in having a health screen and TB for S4 which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/11/2024 Plan of Correction Administrator agreed to obtain a health screening and TB screening for S4 and submit photo to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Inspection
Hazardous items and storageType A
- Official classification
- Type A
- Official code
- 87309(a)
- Regulation authority
- CCR
What the official deficiency says
(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 in facility staff failed to lock disinfectants, medications and two pair of scissors which was accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/22/2022 Plan of Correction Cleared during the visit. S2 locked disinfectants , medications and scissors.
Corrective action observedRecorded in report dated Dec 22, 2022
Plan of correction recorded
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 87203
- Regulation authority
- CCR
What the official deficiency says
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, the licensee did not comply with the section cited above in staff failed to unlocked side gate=which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/22/2022 Plan of Correction Staff unlock side gate Corrected during the visit. Administrator will train all staff regarding the citation, proof of training needs to be submitted on CCL office on 12/27/2022
Plan of correction recorded
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