Inspection Reports for
Delta Shores Assisted Living

825 E 18TH STREET, ANTIOCH, CA, 94509

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 4.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

20% worse than California average
California average: 4 deficiencies/year

Deficiencies per year

12 9 6 3 0
2023
2024
2025
2026

Occupancy

Latest occupancy rate 94% occupied

Based on a March 2026 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy rate over time

30% 60% 90% 120% 150% Mar 2023 Feb 2024 Jan 2025 Jul 2025 Nov 2025 Feb 2026 Mar 2026

Inspection Report

Census: 85 Capacity: 90 Deficiencies: 0 Date: Mar 3, 2026

Visit Reason
An unannounced case management visit was conducted to evaluate the facility and discuss observations made during a prior visit.

Findings
Multiple laundry tower machines were observed temporarily placed in the front desk area. The administrator stated they would be installed by the corporate maintenance team by the end of the week. No deficiencies were cited during this visit.

Employees mentioned
NameTitleContext
Jared PickardAdministratorMet with Licensing Program Analyst during the visit and provided information about laundry machines.

Inspection Report

Annual Inspection
Census: 86 Capacity: 90 Deficiencies: 0 Date: Feb 25, 2026

Visit Reason
The visit was an unannounced annual required inspection to evaluate compliance with licensing requirements at the assisted living facility.

Findings
No deficiencies were cited during the inspection. The facility was found to have proper infection control measures, emergency plans, and safety features in place.

Employees mentioned
NameTitleContext
Jared PickardAdministratorMet with Licensing Program Analyst during inspection and identified as infection control leader.

Inspection Report

Complaint Investigation
Census: 85 Capacity: 90 Deficiencies: 0 Date: Feb 18, 2026

Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that staff do not treat residents with respect and do not intervene when residents bully other residents.

Complaint Details
The complaint involved two allegations: staff do not treat residents with respect and staff do not intervene when residents bully other residents. Both allegations were found to be unsubstantiated after interviews with multiple staff and residents and review of relevant documentation.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Interviews with staff, residents, and review of documents showed no observed or reported bullying or disrespectful behavior by staff or residents. Incident reports confirmed staff intervention when resident aggression occurred.

Report Facts
Capacity: 90 Census: 85

Inspection Report

Complaint Investigation
Census: 85 Capacity: 90 Deficiencies: 0 Date: Feb 18, 2026

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that facility staff do not ensure that residents are provided with activities.

Complaint Details
The complaint alleged that facility staff do not ensure that residents are provided with activities. The investigation included interviews with residents and staff and review of activity schedules. The allegation was unsubstantiated due to lack of preponderance of evidence.
Findings
The allegation was found to be unsubstantiated after interviews with residents and staff and review of recreational activity schedules. The facility provides a variety of daily recreational activities and informs residents of the schedules. No deficiencies were cited during the visit.

Employees mentioned
NameTitleContext
Jared PickardAdministratorFacility administrator met during the investigation.
Daisy PanlilioLicensing Program AnalystConducted the complaint investigation visit.
Bennett FongSupervisorSupervisor overseeing the investigation.

Inspection Report

Complaint Investigation
Census: 85 Capacity: 90 Deficiencies: 1 Date: Feb 18, 2026

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations including concerns about resident care, staff training, facility condition, and laundry services.

Complaint Details
The complaint investigation addressed allegations that residents sustained unexplained injuries, staff were inadequately trained, the facility was in disrepair, residents were not appropriately dressed, and laundry services were inadequate. All allegations except the laundry service issue were unsubstantiated.
Findings
All allegations except one were found to be unsubstantiated after interviews and record reviews. The allegation that staff did not ensure residents had clean laundry was substantiated due to issues with laundry equipment and staffing.

Deficiencies (1)
CCR 87307(a)(F) Basic laundry service was not timely provided due to failure to replace washers and dryers and insufficient laundry staff.
Report Facts
Capacity: 90 Census: 85 Deficiency count: 1 Plan of Correction Due Date: Mar 6, 2026

Inspection Report

Census: 80 Capacity: 90 Deficiencies: 0 Date: Dec 2, 2025

Visit Reason
An unannounced case management visit was conducted to deliver an immediate exclusion to a staff member for conduct inimical to the facility.

Findings
No deficiencies were cited during the visit. The administrator confirmed the staff member only worked on call and had not been called in the past two months. The staff member's employment was terminated effective the date of the visit.

Employees mentioned
NameTitleContext
Jared PickardAdministratorMet with during visit and stated staff employment termination.

Inspection Report

Complaint Investigation
Census: 80 Capacity: 90 Deficiencies: 1 Date: Nov 19, 2025

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff neglect resulted in resident hospitalization.

Complaint Details
The complaint alleged staff neglect resulting in resident hospitalization. The investigation found the allegation substantiated based on medical records, interviews, and observations. Resident R1 was found outside in extreme heat on two occasions, requiring hospitalization. Staff failed to respond adequately to calls for assistance. An immediate civil penalty of $500 was assessed, with additional penalties pending.
Findings
The investigation substantiated the allegation that staff neglect resulted in a resident being left outside unattended during hot weather, causing hospitalization twice due to heat exposure. An immediate civil penalty of $500 was assessed during the visit.

Deficiencies (1)
CCR 87468.2(a)(4): Residents must receive care, supervision, and services that meet their individual needs by sufficient, qualified staff. This requirement was not met as resident R1 was left outside unattended during hot weather, resulting in hospitalization and posing an immediate health and safety risk.
Report Facts
Census: 80 Total Capacity: 90 Civil penalty: 500

Employees mentioned
NameTitleContext
Romerico FozAdministratorNamed as facility administrator during investigation
Daisy PanlilioLicensing Program AnalystConducted the complaint investigation
Jared PickardAdministratorMet with during the visit
Bennett FongSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 80 Capacity: 90 Deficiencies: 2 Date: Nov 7, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2025-09-19 regarding staff mismanagement of resident medications, failure to attend to a resident's call for help, and leaving residents in soaked bedding.

Complaint Details
The complaint investigation was substantiated for two allegations: staff mismanaged resident medications and failed to attend to a resident's call for help. The allegation that staff left residents in soaked bedding was unsubstantiated. The investigation included interviews with staff, residents, and the reporting party, as well as review of relevant records and observations.
Findings
Two allegations were substantiated: staff mismanaged a resident's medications by failing to follow up on prescription refills, and staff did not attend to a resident's call for help in a timely manner. The allegation that staff left residents in soaked bedding was unsubstantiated based on interviews, observations, and review of care records.

Deficiencies (2)
CCR 87465(c)(1): There is written direction from a physician specifying resident and medication details, including instructions for discontinuation and physician contact. This requirement was not met as staff mismanaged resident medication posing a potential health and safety risk.
CCR 87468(a)(4): Care, supervision, and services must meet individual needs and be delivered by sufficient, qualified, and competent staff. This requirement was not met as staff did not attend to a resident's call for help, posing a potential health and safety risk.
Report Facts
Capacity: 90 Census: 80 Deficiency count: 2 Plan of Correction Due Date: Dec 5, 2025

Employees mentioned
NameTitleContext
Jared PickardAdministratorNamed as facility administrator in relation to findings
Beverly MercurioDirector of NursingMet during investigation and involved in findings delivery
Sharnell BrittonCare DirectorMet during investigation and involved in findings delivery
Daisy PanlilioLicensing Program AnalystConducted the complaint investigation and authored the report

Inspection Report

Census: 66 Capacity: 90 Deficiencies: 0 Date: Aug 11, 2025

Visit Reason
The visit was an unannounced case management incident inspection to review self-reported incidents involving residents.

Findings
Two incidents were reviewed: one resident was found unresponsive and later pronounced deceased, and another resident exited the facility unnoticed but was safely returned. No deficiencies were cited during the visit.

Employees mentioned
NameTitleContext
Jared PickardExecutive DirectorMet with during the inspection and discussed incidents.
Director of NursingMentioned in relation to resident care and incident reporting but no full name provided.

Inspection Report

Complaint Investigation
Census: 49 Capacity: 90 Deficiencies: 2 Date: Jul 3, 2025

Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that staff inappropriately pushed and restrained a resident while in care.

Complaint Details
The complaint investigation was substantiated. Allegations involved staff inappropriately pushing and restraining a resident on 05/20/2025. Interviews with reporting party, witnesses, and staff, along with record reviews, supported the findings.
Findings
The investigation substantiated both allegations that staff inappropriately pushed and restrained a resident, posing potential health and safety risks. Staff member S2 was internally disciplined and written up for these actions.

Deficiencies (2)
CCR 87468.1(a)(3): Staff inappropriately pushed a resident, violating the requirement to be free from punishment, humiliation, intimidation, abuse, or punitive actions. This posed a potential health and safety risk to the resident in care.
CCR 87468.1(a)(1): Staff inappropriately restrained a resident, violating the requirement to be accorded dignity in personal relationships. This posed a potential health and safety risk to the resident in care.
Report Facts
Capacity: 90 Census: 49 Plan of Correction Due Date: Jul 25, 2025

Employees mentioned
NameTitleContext
David ClawsonAdministratorFacility administrator who confirmed staff disciplinary actions
Jared PickardExecutive DirectorMet with Licensing Program Analyst during investigation
Daisy PanlilioLicensing Program AnalystConducted the complaint investigation

Inspection Report

Census: 59 Capacity: 90 Deficiencies: 0 Date: Jul 3, 2025

Visit Reason
The visit was an unannounced case management incident inspection conducted to investigate a reported incident involving a resident refusing medication and an allegation of staff misconduct.

Findings
No deficiencies were cited. The investigation found no visible injuries on the resident and no evidence that staff punched the resident. The staff member involved was suspended for two days pending investigation and then returned to work.

Report Facts
Suspension duration: 2

Employees mentioned
NameTitleContext
David ClawsonAdministrator/DirectorFacility administrator named in the report header.
Jared PickardExecutive DirectorMet with Licensing Program Analyst during the visit.
Daisy PanlilioLicensing Program AnalystConducted the unannounced case management visit and investigation.
Bennett FongLicensing Program ManagerNamed in the report.

Inspection Report

Complaint Investigation
Census: 55 Capacity: 90 Deficiencies: 2 Date: May 28, 2025

Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2025-05-21 regarding facility conditions and staff training.

Complaint Details
The complaint investigation was substantiated for allegations that the facility was malodorous and unsanitary. The allegations that staff did not ensure the facility was kept free of pests and that staff were not properly trained were unsubstantiated based on interviews, observations, and records review.
Findings
Two allegations were substantiated: the facility was malodorous with poor ventilation and unsanitary with dirty floors, walls, and baseboards. Two other allegations regarding pest control and staff training were found unsubstantiated after investigation.

Deficiencies (2)
CCR 87303(a)(1): Floor surfaces in bath, laundry, and kitchen areas were not maintained in a clean, sanitary, and odorless condition, posing a potential health and safety risk to residents.
CCR 87470(a)(2)(A): Surfaces such as floors, chairs, toilets, sinks, counters, and tabletops were not cleaned and disinfected regularly, resulting in an unsafe and unsanitary facility environment.
Report Facts
Capacity: 90 Census: 55 Annual training hours: 20 Plan of Correction Due Date: 2025

Employees mentioned
NameTitleContext
Daisy PanlilioLicensing Program AnalystConducted the complaint investigation and authored the report
Jared PickardExecutive DirectorMet with Licensing Program Analyst during the investigation
David ClawsonAdministratorFacility administrator named in the report

Inspection Report

Census: 57 Capacity: 90 Deficiencies: 0 Date: Mar 7, 2025

Visit Reason
The visit was an unannounced case management inspection regarding a change in ownership and meeting with the new executive director/administrator.

Findings
The facility was toured and observed to have proper infection control measures, emergency plans, and safety equipment in place. No deficiencies were cited during the visit.

Employees mentioned
NameTitleContext
Daisy PanlilioLicensing EvaluatorConducted the case management visit and facility tour.
Jared BExecutive DirectorMet with the licensing evaluator during the visit.

Inspection Report

Complaint Investigation
Census: 58 Capacity: 90 Deficiencies: 0 Date: Jan 30, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted in response to multiple allegations received on 2024-02-22 regarding resident injuries, falls, lack of supervision, and staff conduct at Hillcrest Memory Care Facility.

Complaint Details
The complaint investigation addressed nine allegations including resident injuries due to lack of supervision, falls, failure to seek medical attention, staff hitting residents, ignoring resident requests, unmet incontinence needs, inadequate staff training, and lack of resident activities. All allegations were unsubstantiated based on evidence reviewed.
Findings
All allegations investigated were found to be unsubstantiated after review of resident records, staff interviews, and observations. The facility was found to have followed care plans, provided medical attention when needed, and maintained appropriate supervision and training.

Report Facts
Capacity: 90 Census: 58 Annual training hours: 20

Inspection Report

Annual Inspection
Census: 58 Capacity: 90 Deficiencies: 2 Date: Jan 30, 2025

Visit Reason
The visit was an unannounced annual required inspection conducted to evaluate compliance with licensing regulations.

Findings
The inspection found expired fire extinguishers and chipped walls with dents and holes in various places. The facility was otherwise observed to have proper infection control measures, emergency plans, and safety equipment operational.

Deficiencies (2)
CCR 87203: All facilities shall be maintained in conformity with State Fire Marshal regulations. The licensee had expired fire extinguishers last inspected on 11/27/23 posing a potential safety risk.
CCR 87303(a): The facility shall be clean, safe, sanitary and in good repair at all times. The licensee had chipped common hallway wall edges with small dents and holes in various places posing a potential safety risk.
Report Facts
Capacity: 90 Census: 58

Employees mentioned
NameTitleContext
Eugenie BroussardAdministratorMet with Licensing Program Analyst during inspection and named in plan of correction

Inspection Report

Census: 52 Capacity: 90 Deficiencies: 1 Date: Nov 5, 2024

Visit Reason
The visit was an unannounced case management inspection focused on identifying deficiencies at the facility.

Findings
A strong urine odor was observed in hallways on the first and second floors, indicating a failure to maintain cleanliness and odor control related to incontinence management.

Deficiencies (1)
CCR 87625(b)(3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. A strong urine odor was observed in hallways on the first and second floors, posing a potential health and safety risk.
Report Facts
Deficiency count: 1

Inspection Report

Complaint Investigation
Census: 52 Capacity: 90 Deficiencies: 0 Date: Aug 9, 2024

Visit Reason
The visit was an unannounced Health and Safety check conducted due to the department receiving a priority 2 complaint.

Complaint Details
The visit was triggered by a priority 2 complaint. No deficiencies were found, indicating no substantiated violations.
Findings
During the health and safety check, residents appeared safe with no imminent health or safety concerns. No deficiencies were cited during the inspection.

Report Facts
Staff members observed: 12

Inspection Report

Complaint Investigation
Census: 60 Capacity: 90 Deficiencies: 3 Date: Aug 9, 2024

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 02/26/2024 regarding staff mistreatment of a resident.

Complaint Details
The complaint investigation was substantiated for allegations that staff handled a resident roughly, provoked the resident, and denied the resident cigarettes. The allegation of medication mismanagement was unsubstantiated.
Findings
The investigation substantiated allegations that staff handled a resident in a rough manner, provoked the resident, and did not allow the resident to have his cigarettes. An allegation of medication mismanagement was found to be unsubstantiated.

Deficiencies (3)
CCR 87468.1(a)(1): Residents must be accorded dignity in personal relationships. Staff handled a resident in a rough manner posing a potential health and safety risk.
CCR 87468.2(a)(4): Care and supervision must meet individual needs by competent staff. Staff provoked a resident posing a potential health and safety risk.
CCR 87468.2(a)(3): Residents must be free from punishment or actions of a punitive nature. Staff did not allow a resident to have his cigarettes posing a potential health and safety risk.
Report Facts
Facility Capacity: 90 Resident Census: 60 Plan of Correction Due Date: Aug 30, 2024

Inspection Report

Annual Inspection
Census: 41 Capacity: 90 Deficiencies: 1 Date: Feb 23, 2024

Visit Reason
The visit was an unannounced annual required inspection conducted by the Licensing Program Analyst to assess compliance with regulatory standards.

Findings
The facility was generally compliant with regulations including infection control and safety measures, but a deficiency was noted for missing a stairwell lift chair for emergency evacuation. The administrator agreed to submit proof of correction by the due date.

Deficiencies (1)
Title 22 CCR 87203: Missing stairwell lift chair for emergency evacuation, posing a potential health and safety risk to persons in care.
Report Facts
Capacity: 90 Census: 41

Employees mentioned
NameTitleContext
Romerico FozAdministratorFacility administrator met during inspection and agreed to plan of correction
Daisy PanlilioLicensing Program AnalystConducted the inspection and authored the report
Bennett FongSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Complaint Investigation
Census: 41 Capacity: 90 Deficiencies: 0 Date: Feb 23, 2024

Visit Reason
The visit was conducted as an unannounced Health and Safety check following receipt of a priority 2 complaint by the department.

Complaint Details
The visit was triggered by a priority 2 complaint. No deficiencies were found, indicating no substantiated issues at the time of inspection.
Findings
During the health and safety check, 41 residents were observed to be safe with no imminent health or safety concerns. No deficiencies were cited during the inspection.

Inspection Report

Original Licensing
Census: 44 Capacity: 90 Deficiencies: 0 Date: Mar 14, 2023

Visit Reason
The visit was a subsequent pre-licensing inspection to evaluate the facility's readiness for licensing and to verify correction of prior deficiencies.

Findings
No issues were noted during this pre-licensing inspection. Prior deficiencies from the previous visit were corrected, and the facility was found ready to be licensed, subject to final approval by the central application unit.

Employees mentioned
NameTitleContext
Daisy PanlilioLicensing Program AnalystConducted the pre-licensing visit and evaluation.
Eugenie BroussardExecutive DirectorMet with Licensing Program Analyst during the visit.

Inspection Report

Original Licensing
Census: 44 Capacity: 90 Deficiencies: 4 Date: Mar 7, 2023

Visit Reason
An unannounced pre-licensing inspection was conducted due to the facility being in operation and changing ownership.

Findings
The facility was inspected inside and out, including medication room, bedrooms, bathrooms, common areas, kitchen, and backyard. Several issues were noted that must be corrected prior to licensure, including installation of carbon monoxide detectors, replacement of medication room locks, and provision of covered trash bins and paper towel dispensers.

Deficiencies (4)
Covered trash bins shall be available in each residents' bedroom. Paper towel dispensers shall be installed in each residents' bathroom.
Five carbon monoxide detectors must be installed on the first and second floors. The controlled substance small refrigerator lock in the medication room must be replaced.
Medication room cabinet doors must be repaired for proper closure. Elevator instructions must be posted inside for emergency use and reference.
An old cabinet in the dining area must be removed and replaced. The facility is not ready to be licensed pending these corrections.
Report Facts
Total Capacity: 90 Census: 44 Carbon Monoxide Detectors: 5

Employees mentioned
NameTitleContext
Daisy PanlilioLicensing Program AnalystConducted the inspection and authored the report
Romerico FozAdministratorFacility administrator mentioned in report header
Eugenie BroussardExecutive DirectorMet with Licensing Program Analyst during inspection
Marina PeckhamResident Care DirectorMet with Licensing Program Analyst during inspection

Inspection Report

Original Licensing
Census: 44 Capacity: 90 Deficiencies: 0 Date: Mar 7, 2023

Visit Reason
The inspection was a pre-licensing visit involving a Component III presentation to the applicant to provide information on operating the facility within Title 22 regulatory compliance.

Findings
The Licensing Program Analyst provided regulatory guidance and the applicant confirmed understanding and agreement to comply with Title 22 regulations. No deficiencies or violations were noted in the report.

Inspection Report

Original Licensing
Census: 39 Capacity: 90 Deficiencies: 0 Date: Mar 1, 2023

Visit Reason
The visit was conducted as a pre-licensing inspection and application review for a change of ownership (CHOW) at the Hillcrest Memory Care facility.

Findings
The applicant and administrator successfully completed the COMP II component, demonstrating understanding of facility operation, staff qualifications, training, grievances, food service, medication management, and application document requirements.

Employees mentioned
NameTitleContext
Romerico FozAdministratorParticipant in COMP II and applicant/administrator for the facility.
Shannon BetkerLicensing EvaluatorConducted the licensing evaluation and COMP II analysis.
Dinesh SawhneyOwner and participant in COMP II.

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