Inspection Reports for Carefield Castro Valley

The visit was an unannounced complaint investigation conducted in response to an allegation that staff mismanaged resident medication.

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.

The complaint alleged staff mismanaged resident medication. The investigation found no evidence to substantiate the allegation, resulting in an unsubstantiated finding.

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.

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.

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.

The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.

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.

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.

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.

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.

The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.

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.

An unannounced complaint investigation was conducted in response to allegations that staff do not ensure the facility is maintained clean and odorless.

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.

The complaint investigation was unsubstantiated as there was insufficient evidence to prove the alleged violations regarding cleanliness and odor control.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

An unannounced case management visit was conducted as a result of receiving residents from Grand Lake Gardens and to check on residents.

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.

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.

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.

The complaint investigation was unsubstantiated due to lack of preponderance of evidence to prove the alleged violations occurred.

Unannounced infection control inspection conducted as a required 1-year visit to assess compliance with infection control policies and procedures.

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.

The inspection was conducted as a result of a priority 2 complaint to assess health and safety conditions at the memory care facility.

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.

Inspection was triggered by a priority 2 complaint. No deficiencies were cited and the facility appeared safe with no imminent health or safety concerns.

Unannounced investigation of complaints received on 2021-10-01 regarding improper management of resident's oxygen tanks and failure to keep the facility clean.

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.

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.

The inspection was an unannounced Infection Control Inspection conducted as a required 1 Year visit to evaluate infection control practices at the facility.

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.

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.

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.

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.