Inspection Reports for
Discovery Commons San Ramon

12720 ALCOSTA BLVD, SAN RAMON, CA, 94583

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Inspection Report — Mar 4, 2026

Complaint Investigation
Census: 79 Capacity: 95 Citations: 1 Date: Mar 4, 2026

Visit Reason
An unannounced Case Management visit was conducted regarding a self-reported incident of a memory care resident eloping from the facility on 2026-02-24.

Complaint Details
The visit was triggered by a self-reported incident of resident elopement. The complaint was substantiated as staff failed to follow proper procedure when the memory care door alarmed, leading to the resident eloping.
Findings
The facility failed to follow proper procedure when the memory care egress door alarmed, resulting in a resident eloping and posing an immediate safety risk. Staff received additional training and disciplinary action was taken against the responsible staff member.

Citations (1)
CCR 87411(a): Facility personnel were not sufficient or competent to meet resident needs as staff failed to follow procedure when the memory care egress door alarmed, posing an immediate safety risk to residents.
Report Facts
Census: 79 Total Capacity: 95

Employees mentioned
NameTitleContext
Kiel StromgrenExecutive DirectorInterviewed regarding the elopement incident and facility procedures

Inspection Report — Jan 27, 2026

Census: 74 Capacity: 95 Citations: 0 Date: Jan 27, 2026

Visit Reason
The visit was an unannounced Case Management inspection regarding a self-reported incident involving a verbal threat by a staff member to a resident.

Findings
No deficiencies were cited during the visit. The Licensing Program Analyst collected internal investigation documents and requested additional staff interviews to be conducted later.

Employees mentioned
NameTitleContext
Kiel StromgrenExecutive DirectorMet with Licensing Program Analyst during the visit and involved in the incident report.

Inspection Report — Aug 1, 2025

Capacity: 95 Citations: 0 Date: Aug 1, 2025

Visit Reason
An unannounced Case Management visit was conducted regarding a self-reported incident involving a resident's injury.

Findings
The visit found that a resident sustained a hip fracture during a transfer maneuver without a fall. The resident's care plan was updated to include a hoyer lift to prevent future injury. No deficiencies were cited during the visit.

Employees mentioned
NameTitleContext
Ashley ParisResident Care DirectorInterviewed during the visit regarding the resident injury incident.

Inspection Report — Mar 6, 2025

Original Licensing
Capacity: 95 Citations: 0 Date: Mar 6, 2025

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

Findings
No issues were noted during the inspection. The facility was observed to be ready for licensing, with proper furniture, safety equipment, and environmental conditions.

Inspection Report — Feb 6, 2025

Census: 78 Capacity: 95 Citations: 0 Date: Feb 6, 2025

Visit Reason
The visit was an office type evaluation related to a change of ownership (CHOW) application for the facility.

Findings
The applicant and administrator successfully completed Component II of the licensing process via telephone call, confirming understanding of facility operation, admission policies, staffing, health conditions, emergency preparedness, complaints reporting, and pre-licensing readiness.

Employees mentioned
NameTitleContext
Kiel StromgrenAdministratorParticipant in COMP II telephone call and licensing process.
David AdamsCompany PresidentParticipant in COMP II telephone call.
Shannon BetkerAnalystCAB analyst conducting COMP II and licensing evaluation.
Jude De La ConcepcionSupervisorSupervisor overseeing the licensing evaluation.

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