Inspection Reports for
Belmont Village San Ramon

6151 Bollinger Canyon Rd, San Ramon, CA 94583, United States, CA, 94583

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8 Reports

2024–2026

Inspection Report — Mar 4, 2026

Complaint Investigation
Date: Mar 4, 2026

Visit Reason
The inspection was an unannounced complaint investigation visit conducted due to allegations of the facility mismanaging residents' medications and not keeping accurate medication records/logs.

Complaint Details
The complaint investigation was substantiated. The allegations included mismanagement of residents' medications and failure to keep accurate medication records/logs. The Licensing Program Analyst observed medication discrepancies and improper documentation, and staff were unfamiliar with proper medication administration and documentation procedures. Additional staff training was scheduled. Civil penalties of $250 were assessed for repeat violations within 12 months.
Findings
The investigation substantiated the allegations, finding medication mismanagement for residents R1 and R2, including incorrect medication counts, improper documentation, and staff unfamiliarity with medication administration procedures. Civil penalties were assessed for repeat violations.

Citations (2)
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 staff did not know how to provide proper medication assistance which contributed to medication mismanagement for R1 and R2.
A record of each dose is maintained in the resident's record including date, time, dosage, and resident's response; staff did not properly document the PRN medication history for R2.
Report Facts
Civil Penalty: 250 Deficiencies cited: 2 Plan of Correction Due Date: Mar 18, 2026

Employees mentioned
NameTitleContext
Alona GomezLicensing Program AnalystConducted the complaint investigation and observations
Jennifer CoonsExecutive DirectorFacility administrator involved in the investigation and interviews
Yvonne Flores-LariosSupervisorSupervisor overseeing the investigation

Inspection Report — Feb 6, 2026

Complaint Investigation
Date: Feb 6, 2026

Visit Reason
The inspection visit was conducted as a case management visit in response to an incident report received regarding a medication error involving two residents on 2026-01-31.

Complaint Details
The visit was complaint-related due to an incident where resident one (R1) was given medication intended for resident two (R2) by staff one (S1). The staff member resigned following the incident. The complaint was substantiated by the findings.
Findings
The facility was found to have a deficiency related to medication administration errors by a staff member who has since resigned. The error posed a potential health and personal rights risk to residents, but no negative side effects were reported. The facility provided additional training and guidance to address the issue.

Citations (1)
Facility personnel were not sufficient in numbers and competence to provide necessary services, evidenced by a staff member (S1) previously making medication errors resulting in a resident receiving another resident's medication.
Report Facts
Deficiencies cited: 1

Employees mentioned
NameTitleContext
Jennifer CoonsExecutive DirectorMet during inspection and provided information about the medication error incident
Alona GomezLicensing Program AnalystConducted the inspection visit
Yvonne Flores-LariosLicensing Program ManagerNamed in relation to deficiency citations

Inspection Report — Jan 22, 2026

Annual Inspection
Date: Jan 22, 2026

Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements for the facility.

Findings
The inspection found no deficiencies. The facility met all licensing requirements including adequate safety measures, proper food storage, medication security, and valid CPR certification among staff.

Report Facts
Fire extinguisher service date: Jan 8, 2026 Emergency disaster plan posting date: Jun 18, 2025 Emergency disaster drill date: Dec 10, 2025 Hot water temperatures (Fahrenheit): Array Freezer temperature (Fahrenheit): -1 Refrigerator temperature (Fahrenheit): 39 Residents records reviewed: 6 Staff records reviewed: 5 Staff records associated with facility: 5

Employees mentioned
NameTitleContext
Jennifer CoonsExecutive DirectorMet with Licensing Program Analyst during inspection and mentioned in findings
Alona GomezLicensing Program AnalystConducted the inspection and authored the report
Yvonne Flores-LariosLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report — Sep 23, 2025

Date: Sep 23, 2025

Visit Reason
The visit was an unannounced case management inspection conducted in response to three incident reports involving resident falls resulting in right hip fractures between 08/23/2025 and 09/09/2025.

Findings
The Licensing Program Analyst reviewed footage and interviewed staff, finding that the falls were not due to staff fault and that staff responded promptly. Residents involved were transferred to the hospital and responsible parties notified. No deficiencies were cited during the visit.

Report Facts
Incident reports: 3

Employees mentioned
NameTitleContext
Jennifer CoonsExecutive DirectorMet with Licensing Program Analyst during visit and involved in incident review
Alona GomezLicensing Program AnalystConducted the unannounced case management visit
Yvonne Flores-LariosLicensing Program ManagerNamed as Licensing Program Manager on report
Director of Resident Care ServicesInterviewed regarding resident falls R2 and R3

Inspection Report — Jan 9, 2025

Original Licensing
Date: Jan 9, 2025

Visit Reason
The visit was an unannounced second pre-licensing inspection to evaluate the facility's readiness for licensing.

Findings
All issues noted during the first pre-licensing visit were corrected and observed. No issues were noted during this inspection, and the facility was found ready to be licensed, pending final approval by the Central Applications Unit.

Report Facts
Hot water temperature range: Measured between 111.7 and 113.8 degrees Fahrenheit

Employees mentioned
NameTitleContext
Jennifer CoonsExecutive DirectorMet with Licensing Program Analyst during inspection
Alona GomezLicensing Program AnalystConducted the pre-licensing inspection
Yvonne Flores-LariosLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report — Jan 7, 2025

Original Licensing
Date: Jan 7, 2025

Visit Reason
The inspection was a prelicensing visit conducted to evaluate the facility's readiness for licensing.

Findings
The facility was toured and found to have appropriate furniture, safety equipment, and environmental conditions, but the hot water temperature was measured over 120 degrees F, indicating the facility is not yet ready to be licensed.

Citations (1)
Hot water temperature is measuring over 120 degrees F
Report Facts

Employees mentioned
NameTitleContext
Jennifer CoonsExecutive DirectorMet with Licensing Program Analyst during inspection and involved in facility tour
Alona GomezLicensing Program AnalystConducted the prelicensing inspection

Inspection Report — Nov 27, 2024

Original Licensing
Date: Nov 27, 2024

Visit Reason
The visit was an initial licensing evaluation (COMP II) for Belmont Village San Ramon to verify the applicant and administrator's understanding of community care facility licensing laws and readiness for licensing.

Findings
The Component II completion was successful. The applicant and administrator demonstrated understanding of facility operation, admission policies, staffing, health conditions, emergency preparedness, complaints, and pre-licensing readiness.

Employees mentioned
NameTitleContext
Jennifer CoonsAdministratorParticipated in COMP II and was verified as applicant/administrator.
Douglas ArmstrongApplicant/LicenseeParticipated in COMP II as applicant/licensee.

Report — July 17, 2026

July 17, 2026

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