Inspection Report Summary
Most inspections found no deficiencies, with several complaint investigations resulting in unsubstantiated findings. The most recent report from July 24, 2025, was a complaint investigation that found no evidence of medication mismanagement, continuing a pattern of mostly clean inspections. However, there were a few substantiated issues over time, including a lack of supervision that led to a resident sustaining multiple fractures in June 2025 and a failure to notify a resident’s responsible party promptly about a hospitalization in February 2023. Earlier reports also cited problems with oxygen tank management and cleanliness in October 2021, and unauthorized use of a different pharmacy in January 2021, though that deficiency is under appeal. Overall, the facility’s record shows improvement with no deficiencies in the most recent inspections and most complaints found unsubstantiated.
Deficiencies per Year
4
3
2
1
0
Moderate
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 76
Capacity: 116
Deficiencies: 0
Jul 24, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation that staff mismanaged resident medication.
Findings
The investigation included interviews with staff, residents, and the complainant, and a review of medication records. The allegation was found to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged staff mismanaged resident medication. The investigation found no evidence to substantiate the allegation, resulting in an unsubstantiated finding.
Report Facts
Staff interviewed: 5
Residents interviewed: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Grace Luk | Licensing Program Analyst | Conducted the complaint investigation |
| Kathy Bedolla | Assisted Living Director | Met with Licensing Program Analyst during investigation |
| Parveen Singh | Administrator | Facility administrator named in report header |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 116
Deficiencies: 0
Jul 21, 2025
Visit Reason
Unannounced complaint investigation visit conducted in response to allegations received on 2025-04-22 regarding dietary needs, medical attention, staffing levels, and medication dispensing at Carefield Castro Valley facility.
Findings
The investigation found all allegations unsubstantiated after interviews with staff, residents, and review of documentation. Staff were found to monitor dietary needs, follow medical protocols despite external delays, maintain adequate staffing ratios, and properly manage medication administration with documented follow-up on delayed prescriptions.
Complaint Details
The complaint included allegations that staff were not meeting residents' dietary needs, not seeking timely medical attention, insufficient staffing, and improper medication dispensing. After investigation, all allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 116
Census: 77
Staffing ratio: 10
Staff per shift: 5
Date complaint received: Apr 22, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Parveen Singh | Executive Director | Met with Licensing Program Analyst during investigation and involved in findings discussion |
| Ardalan Gharachorloo | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
Inspection Report
Annual Inspection
Census: 76
Capacity: 116
Deficiencies: 0
Jul 3, 2025
Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.
Findings
The Licensing Program Analyst toured the facility, reviewed resident and staff records, and inspected safety equipment and emergency plans. No deficiencies were cited during the visit.
Report Facts
Hot water temperature: 106
Hallway temperature: 71
Fire extinguisher last serviced: Jun 29, 2025
Emergency Disaster Plan last posted: May 16, 2025
Emergency disaster drill last conducted: May 22, 2025
Residents' records reviewed: 5
Staff records reviewed: 5
Resident medications reviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Parveen Singh | Executive Director | Met with Licensing Program Analyst during inspection |
| Ardalan Gharachorloo | Licensing Program Analyst | Conducted the inspection |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 71
Capacity: 116
Deficiencies: 1
Jun 4, 2025
Visit Reason
Unannounced complaint investigation visit conducted due to allegations including lack of supervision resulting in resident sustaining multiple fractures from unwitnessed falls, administration of controlled substances without doctor's orders, failure to meet resident's needs, and lack of care resulting in multiple urinary tract infections.
Findings
The investigation substantiated the allegation that lack of supervision resulted in a resident sustaining multiple fractures from unwitnessed falls. Other allegations regarding administration of controlled substances without doctor's orders, failure to meet resident's needs, and lack of care resulting in urinary tract infections were found unsubstantiated.
Complaint Details
The complaint investigation was triggered by allegations including lack of supervision causing multiple fractures from unwitnessed falls (substantiated), facility administering controlled substances without doctor's orders (unsubstantiated), failure to meet resident's needs (unsubstantiated), and lack of care resulting in multiple urinary tract infections (unsubstantiated). The investigation included review of medical records, staff interviews, and observations. The substantiated allegation was based on evidence of multiple falls and fractures due to inadequate supervision.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Personnel Requirements - General: Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. | Type B |
Report Facts
Capacity: 116
Census: 71
Deficiency Type B: 1
Plan of Correction Due Date: Jun 13, 2025
Resident Falls: 7
Dates of Hospital Transfers: Resident R1 was sent to hospital on 5/4/2022, 7/11/2022, 7/13/2022 (twice), 8/17/2022, and 8/23/2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Parveen Singh | Executive Director | Met with Licensing Program Analyst during investigation and named in findings |
| Kelly Nguyen | Licensing Program Analyst | Conducted the complaint investigation visit |
| Bennett Fong | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 70
Capacity: 116
Deficiencies: 0
Jul 23, 2024
Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.
Findings
The Licensing Program Analyst toured the facility, reviewed resident and staff records, medications, and relevant documents, and found no deficiencies. Safety equipment and emergency plans were current and in good condition.
Report Facts
Fire extinguisher last serviced: Jun 30, 2024
Emergency disaster drill last conducted: Jun 11, 2024
Emergency Disaster Plan last posted: Jul 18, 2024
Hot water temperature: 111.5
Hallway temperature: 72
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Katherine Maningding | Administrator | Met with Licensing Program Analyst during inspection |
| Ardalan Gharachorloo | Licensing Program Analyst | Conducted the inspection |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 116
Deficiencies: 0
Jul 1, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff do not ensure the facility is maintained clean and odorless.
Findings
The investigation found the allegations to be unsubstantiated. The facility was observed to be clean, clear of obstruction, and odor free during the visit. Interviews with staff and the Senior Executive Director supported these findings.
Complaint Details
The complaint investigation was unsubstantiated as there was insufficient evidence to prove the alleged violations regarding cleanliness and odor control.
Report Facts
Capacity: 116
Census: 69
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Parveen Singh | Senior Executive Director | Met with Licensing Program Analyst during complaint investigation |
| Kelly Nguyen | Licensing Program Analyst | Conducted the complaint investigation |
| Bennett Fong | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 116
Deficiencies: 0
Aug 24, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations that a resident (R1) was not ambulated by staff as required and that the facility failed to meet the resident’s care needs.
Findings
The investigation found insufficient evidence to substantiate the allegations. Staff and residents provided mixed statements regarding the care of resident R1, and observations during the visit showed R1 was clean and appropriately cared for. The complaint was closed as unsubstantiated with no deficiencies cited.
Complaint Details
The complaint involved two main allegations: 1) Resident (R1) was not ambulated by staff as required, and 2) The facility failed to meet the resident’s care needs, including being left in soiled clothing and wet diapers. After interviews with staff, residents, personal caregivers, and family members, and review of records, the allegations were found unsubstantiated due to lack of sufficient evidence.
Report Facts
Capacity: 116
Census: 73
Staff interviewed: 5
Residents interviewed: 4
Personal caregivers interviewed: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alicia Delmundo | Licensing Program Analyst | Conducted the complaint investigation |
| Parveen Singh | Executive Director | Authorized report receipt and was contacted during investigation |
| Jenny Young | Lifestyle (Activity) Director | Met with Licensing Program Analyst during investigation and authorized to receive report |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 116
Deficiencies: 0
Aug 17, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2022-02-02 regarding resident falls and unlawful eviction at Carefield Castro Valley facility.
Findings
The investigation found the allegation that a resident fell while in care to be unsubstantiated due to insufficient evidence. The allegations of unlawful eviction and failure to provide a 30-day notice were found to be unfounded, with the resident still residing at the facility during the visit and no eviction occurring.
Complaint Details
The complaint investigation addressed allegations that a resident fell while in care and that the facility unlawfully evicted the resident without providing a 30-day notice. The fall allegation was unsubstantiated, and the eviction allegations were unfounded.
Report Facts
Complaint Control Number: 15-AS-20220202164755
Capacity: 116
Census: 75
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Parveen Singh | Executive Director | Named in relation to investigation and authorization of report signing |
| Katherine Maningding | Manager on Duty | Met with Licensing Program Analyst during investigation |
| Daisy Panlilio | Licensing Program Analyst | Conducted the complaint investigation |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager overseeing investigation |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 116
Deficiencies: 0
May 2, 2023
Visit Reason
The inspection visit was an unannounced complaint investigation triggered by a complaint received on 2022-01-19 regarding allegations of personal rights violations and leaving a resident unattended.
Findings
The investigation included interviews with staff and a resident, and a records review. The allegation that a resident was left unattended was found to be unsubstantiated due to lack of preponderance of evidence, with the resident stating staff consistently assist and check on him.
Complaint Details
The complaint alleged that personal rights were violated by leaving a resident unattended. The investigation found no sufficient evidence to substantiate the allegation, resulting in an unsubstantiated finding.
Report Facts
Complaint Control Number: 15-AS-20220119154529
Capacity: 116
Census: 77
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Parveen Singh | Executive Director | Met with Licensing Program Analyst during investigation |
| Leslie Ibo | Licensing Program Analyst | Conducted the complaint investigation |
| Harpreet Humpal | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 116
Deficiencies: 1
Feb 24, 2023
Visit Reason
The inspection was an unannounced complaint investigation conducted due to an allegation that facility staff were not informing residents' responsible parties in a timely manner of changes in residents' medical care and condition.
Findings
The allegation was substantiated based on interviews, observations, and record reviews. The facility failed to notify a resident's power of attorney in a timely manner about her hospitalization, posing a potential health and safety risk.
Complaint Details
The complaint was substantiated. The facility staff did not inform the resident's responsible party in a timely manner about changes in the resident's medical care and condition, specifically failing to notify the power of attorney about hospitalization.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to submit a written report to the licensing agency and responsible person within seven days of the event, including resident's details and event information as required by CCR 87211(a)(1). | Type B |
Report Facts
Capacity: 116
Census: 74
Deficiencies cited: 1
Plan of Correction Due Date: Mar 3, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Katherine Maningding | Assisted Living Director | Met with Licensing Program Analyst during investigation and discussed findings |
| Kelly Nguyen | Licensing Program Analyst | Conducted the complaint investigation |
| Bennett Fong | Licensing Program Manager | Oversaw the complaint investigation report |
Inspection Report
Census: 75
Capacity: 116
Deficiencies: 0
Jan 12, 2023
Visit Reason
An unannounced case management visit was conducted as a result of receiving residents from Grand Lake Gardens and to check on residents.
Findings
The visit found that supplies were adequate, staffing was stable, and there were no imminent health or safety concerns on the date of the visit. One resident from Grand Lake Gardens currently resides at the facility and reported feeling safe and comfortable.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Fred Harmon | Resident Care Coordinator | Met with Licensing Program Analyst during the visit. |
| Catherine Lin | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Bennett Fong | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation
Census: 70
Capacity: 116
Deficiencies: 0
Dec 12, 2022
Visit Reason
An unannounced complaint investigation was conducted in response to allegations received on 2022-12-05 regarding staff mismanagement of resident's medication and failure to complete an initial inventory of resident's personal property.
Findings
The investigation revealed that staff did not mismanage the resident's medication and were following doctor's orders. The resident's responsible party declined to track any personal property. There was insufficient evidence to substantiate the allegations, and the complaint was deemed unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated due to lack of preponderance of evidence to prove the alleged violations occurred.
Report Facts
Capacity: 116
Census: 70
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Parveen Singh | Senior Executive Director | Met with Licensing Program Analyst during complaint investigation |
| Kelly Nguyen | Licensing Program Analyst | Conducted the complaint investigation |
| Bennett Fong | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Routine
Census: 64
Capacity: 116
Deficiencies: 0
Sep 15, 2022
Visit Reason
Unannounced infection control inspection conducted as a required 1-year visit to assess compliance with infection control policies and procedures.
Findings
No deficiencies were cited during the visit. The facility demonstrated proper infection control practices including adequate PPE supply, universal screening, and staff health screenings with TB tests on file.
Report Facts
Staff records reviewed: 6
PPE supply duration: 30
Food supply duration: 2
Food supply duration: 7
Documents requested for submission: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Parveen Singh | Senior Executive Director | Met with Licensing Program Analyst during inspection |
| Kelly Nguyen | Licensing Program Analyst | Conducted the infection control inspection |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Capacity: 116
Deficiencies: 0
Aug 25, 2022
Visit Reason
The inspection was conducted as a result of a priority 2 complaint to assess health and safety conditions at the memory care facility.
Findings
The facility was toured including bathrooms, common areas, kitchen, and outdoor area. Hot water temperature, food supplies, refrigerator temperature, medication storage, smoke detectors, carbon monoxide detector, fire extinguisher, and passageways were all found to be in compliance with no imminent health or safety concerns. No deficiencies were cited during the visit.
Complaint Details
Inspection was triggered by a priority 2 complaint. No deficiencies were cited and the facility appeared safe with no imminent health or safety concerns.
Report Facts
Hot water temperature: 114
Non-perishable food supply: 7
Perishable food supply: 2
Refrigerator temperature: 35
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Parveen Singh | Senior Executive Director | Met with Licensing Program Analysts during inspection |
| Kelly Nguyen | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Complaint Investigation
Census: 45
Capacity: 116
Deficiencies: 2
Oct 6, 2021
Visit Reason
Unannounced investigation of complaints received on 2021-10-01 regarding improper management of resident's oxygen tanks and failure to keep the facility clean.
Findings
The investigation substantiated that staff did not properly manage residents' oxygen tanks and failed to maintain cleanliness, including soiled carpet flooring and unsecured oxygen tanks without proper signage. Another complaint about ants was unsubstantiated.
Complaint Details
The complaint investigation was substantiated for allegations that staff did not manage residents' oxygen tanks properly and failed to keep the facility clean. The allegation that staff did not keep the facility free of ants was unsubstantiated.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility did not maintain clean flooring in residents' rooms, posing potential health and personal right risks. | Type B |
| Oxygen tanks were blocking sliding doors, unsecured, and lacked required 'No Smoking-Oxygen in Use' signage, posing safety risks. | Type B |
Report Facts
Capacity: 116
Census: 45
Deficiencies cited: 2
Plan of Correction Due Date: Oct 20, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alicia Delmundo | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Katherine Maningding | Assisted Living Director | Met with Licensing Program Analyst during inspection and discussed deficiencies and plan of correction |
| Parveen Singh | Administrator | Facility administrator named in the report |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Routine
Census: 33
Capacity: 116
Deficiencies: 0
Jul 28, 2021
Visit Reason
The inspection was an unannounced Infection Control Inspection conducted as a required 1 Year visit to evaluate infection control practices at the facility.
Findings
The inspection found that COVID-19 signage, hand washing stations, PPE, food and paper supplies were sufficient. COVID-19 screening questions were maintained for all staff, residents, and visitors. Common areas were disinfected frequently, and carbon monoxide and smoke detectors were working. No deficiencies were cited during the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Parveen Singh | Administrator | Met with Licensing Program Analyst during inspection |
| Allison O'Hollaren | Licensing Program Analyst | Conducted the Infection Control Inspection |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 33
Capacity: 116
Deficiencies: 1
Jan 21, 2021
Visit Reason
The inspection visit was an unannounced complaint investigation triggered by an allegation that staff used a different pharmacy to refill medications without the resident's authorization.
Findings
The investigation found that the facility utilized a different pharmacy to order a resident's medications without authorization from the resident or their responsible party, substantiating the complaint. This failure poses a potential threat to the health and safety of clients in care.
Complaint Details
The complaint was substantiated based on interviews and records reviewed. The allegation involved unauthorized use of a different pharmacy for medication refills. The deficiency was cited under CCR Title 22 and is under appeal.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to utilize resident's insured medication provider, using an alternate pharmacy without expressed consent, posing a potential threat to health and safety. | Type B |
Report Facts
Facility capacity: 116
Census: 33
Plan of Correction due date: Feb 4, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Allison O'Hollaren | Licensing Program Analyst | Conducted the complaint investigation and telephone meeting with the administrator |
| Parveen Singh | Administrator | Facility administrator involved in the investigation and telephone meeting |
| Harpreet Humpal | Licensing Program Manager | Named as Licensing Program Manager on the report |
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