Inspection Reports for Carlton Senior Living Pleasant Hill – Martinez

The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing requirements at the facility.

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 an unannounced case management visit conducted on 07/31/2025, triggered by a complaint investigation (#15-AS-20241025150045) regarding eviction procedures.

A deficiency was observed where an eviction letter dated 10/14/2024 issued to a resident did not comply with the California Code of Regulations, Title 22, under Eviction Procedures. This posed a potential health and safety risk to persons in care.

The complaint investigation (#15-AS-20241025150045) found that the eviction notice did not meet regulatory requirements, posing a potential health and safety risk. The deficiency was cited and a plan of correction due by 08/08/2025 was established.

The visit was an unannounced case management follow-up on a death report received by Community Care Licensing regarding a resident who passed away on 07/14/2025.

No deficiencies were issued during the visit. Licensing Program Analysts obtained additional information related to the resident's death, including a physician's report and pending death certificate.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2022-04-18 alleging that the facility did not provide a safe environment for residents in care.

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 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 visit was an unannounced complaint investigation conducted in response to an allegation that staff unlawfully evicted a resident.

The investigation found the allegation to be unfounded. The eviction notice met procedural requirements, and the facility continues to provide care to the resident despite refusal of help with activities of daily living. No deficiencies were cited during the visit.

The complaint alleged that staff unlawfully evicted a resident. The allegation was found to be unfounded, meaning it was false, could not have happened, or was without reasonable basis.

The visit was an unannounced Case Management inspection conducted concurrently with a complaint investigation regarding a resident's behavior and care.

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-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 visit was an unannounced complaint investigation conducted in response to an allegation that staff were not accepting a resident back for re-entry.

The investigation found the complaint to be unfounded, meaning the allegation was false or without reasonable basis. No deficiencies were cited during the visit.

The complaint alleged that staff were not accepting resident R1 back for re-entry. The investigation included interviews and review of documentation, including an exception request and physician's report. The Department granted approval for the resident's re-entry, and the complaint was determined to be unfounded.

The visit was an unannounced Case Management visit conducted to investigate a complaint regarding the facility's failure to notify the Community Care Licensing Division (CCLD) of a resident's hospitalization.

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 (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 inspection visit was an unannounced complaint investigation conducted in response to an allegation of illegal eviction received on 2024-10-25.

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 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 inspection was an unannounced Required Annual Inspection conducted to evaluate compliance with licensing regulations.

The facility was toured and observed to have adequate lighting, temperature, and safety features. One deficiency was cited related to food service requirements where a cleaning compound was found unlocked in the kitchen, posing a safety risk. The deficiency was corrected during the visit.

The visit was an unannounced 1-Year Annual Required inspection conducted to evaluate the facility's compliance with licensing requirements.

No deficiencies were cited during the visit. The facility was toured, records reviewed, and various safety and operational aspects were found to be in compliance.

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

The facility was toured and inspected, including resident apartments, bathrooms, activity rooms, kitchen, and common areas. No deficiencies were cited during the visit, and all safety and comfort measures were found adequate.