Inspection Reports for
Carlton Senior Living Pleasant Hill – Martinez

The complaint investigation was unsubstantiated based on evidence reviewed including service plans, physician orders, chart notes, staffing schedules, and delivery receipts. No violations were proven.

All allegations were found to be unsubstantiated after review of resident care plans, physician orders, staff schedules, and interviews with staff and residents. Documentation supported that care was provided according to plans and orders.

The inspection found two deficiencies: unlocked medication in a resident's bathroom posing an immediate health and safety risk, and missing health screening and TB clearance documentation for two staff members. Plans of correction were requested with due dates.

The visit was complaint-related, investigating complaint #15-AS-20241025150045. The deficiency regarding eviction procedures was substantiated.

A deficiency was found where an eviction letter dated 10/14/2024 did not comply with the California Code of Regulations Title 22 under 'Eviction Procedures'. The licensee failed to ensure the eviction notice included required specific facts, posing a potential health and safety risk to persons in care. The deficiency was later cleared after the original eviction notice was rescinded and a compliant notice was issued on 12/12/2024.

The complaint was substantiated. The allegation was that the facility did not provide a safe environment for residents in care due to fire safety issues including gaps on doors and trash in stairwells. The fire marshal identified the trash as an immediate risk.

The investigation found substantiated deficiencies related to fire safety, specifically trash and recycle bins in the stairwells posing an immediate fire hazard and obstruction in the path of egress. The facility doors had gaps that were not fixed as scheduled due to circumstances beyond the facility's control. The trash and recycle bins were removed as required.

The complaint investigation (15-AS-20241025150045) involved review of records for Resident (R1) who exhibited new behaviors including sexual advances towards staff. The facility did not update appraisals or medical assessments timely to address these behaviors.

The investigation found that the facility failed to perform updated appraisals and medical assessments to address new behaviors of a resident who made sexual advances towards staff. A deficiency was cited for not complying with reappraisal requirements after significant changes in condition.

The complaint investigation (15-AS-20250205123313) found the facility did not notify CCLD of Resident 1's hospitalization. Staff interviews and record reviews confirmed the deficiency. The complaint is substantiated by the cited deficiency.

The facility was found to have deficiencies related to failure to notify CCLD of a resident's hospitalization, which poses a potential health, safety, and personal rights risk to persons in care. An incident report was generated but lacked confirmation of receipt by CCLD.

The complaint investigation was substantiated. The allegation involved illegal eviction of a resident without proper notification and documentation. Interviews with witnesses, staff, and the resident confirmed inappropriate eviction procedures and lack of proper communication and documentation by the facility.

The investigation substantiated the allegation of illegal eviction due to failure to provide proper eviction notices meeting regulatory requirements, failure to notify the resident's responsible party timely, and failure to provide alternative housing resources and correct information for filing complaints. The licensee did not comply with eviction notice regulations, posing potential health, safety, and personal rights risks to the resident.

The facility was toured including resident apartments, bathrooms, activity rooms, kitchen, and common areas. Lighting, temperature, and safety features were found adequate. One deficiency was cited related to food service requirements where a cleaning compound was found unlocked in the kitchen, posing an immediate health and safety risk. The deficiency was corrected during the visit.