Inspection Reports for Elder Ashram

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

The Licensing Program Analyst toured the facility and reviewed resident and staff records, medications, and safety equipment. No deficiencies were cited during the visit.

An unannounced visit was conducted for case management and to follow up on a complaint investigation regarding a caregiver who was not fingerprint cleared nor associated with the facility or a home health agency.

The investigation found that the licensee allowed an uncleared individual to provide one-on-one care to a resident, violating California Code of Regulation, Title 22. This deficiency was cited and classified as a Type B violation.

The visit was complaint-related, triggered by a complaint investigation (15-AS-20250306160421) conducted on 03/12/2025 regarding a caregiver not fingerprint cleared or associated with the facility or a home health agency.

An unannounced complaint investigation visit was conducted following a complaint received on 2025-03-06 regarding alleged violations of residents' personal rights and inadequate hydration.

The investigation found that the allegation of violation of residents' personal rights was unsubstantiated as the personal caregiver was not associated with the facility and did not interfere with other residents. The allegation regarding inadequate hydration was also unsubstantiated as the facility had hydration stations and staff regularly reminded residents to drink water and monitored them for dehydration.

The complaint involved allegations that the facility was violating residents' personal rights and that staff did not ensure residents were taking an appropriate amount of liquid. Both allegations were found to be unsubstantiated due to lack of evidence.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-10-17 regarding staff treatment of residents, privacy, medication management, and food service.

The investigation included interviews with staff, residents, and review of records. The allegations of staff not treating residents with dignity, privacy concerns, medication mismanagement, and inadequate food service were all found to be unsubstantiated due to lack of preponderance of evidence.

The complaint included allegations that staff did not treat residents with dignity or respect, did not ensure privacy, mismanaged medication, and did not provide adequate food service. After investigation, all allegations were unsubstantiated.

An unannounced health and safety check was conducted related to complaint 15-AS-20241206141605.

The facility was inspected inside and outside with no obstructions found. Environmental conditions such as temperature, lighting, and cleanliness were adequate. Medication and cleaning supplies were securely stored, and the fire extinguisher was fully charged and recently serviced. No citations were issued.

The visit was triggered by complaint 15-AS-20241206141605. No citations or deficiencies were found, indicating no substantiated violations.

The inspection was an unannounced complaint investigation visit triggered by an allegation that a resident sustained unexplained bruising while in care.

The investigation included interviews, document reviews, and observations, and found the allegation of unexplained bruising to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that a resident sustained unexplained bruising while in care. Multiple staff and the resident were interviewed, and records were reviewed. The bruising was observed but no evidence was found to prove mistreatment by staff. The complaint was determined to be unsubstantiated.

The visit was an unannounced Case Management visit conducted during a complaint investigation (15-AS-20241017091349) to assess compliance with regulatory requirements.

The facility was found to be non-compliant for not having a certified administrator on site, which poses a potential health and safety risk to persons in care. The administrator's certification was stated to be in process.

The visit was conducted while investigating complaint 15-AS-20241017091349. The deficiency related to the lack of a certified administrator was observed during this complaint investigation.

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

The Licensing Program Analyst toured the facility and reviewed resident and staff records, finding all to be complete. No deficiencies were cited during the visit.

An unannounced Case Management visit was conducted regarding an incident reported to the Community Care Licensing Division on 7/9/2024 involving a resident who had expired without a stated cause of death.

The visit involved review of multiple documents related to the incident, including physician's report, case notes, death report, care plan, police report, and staff schedule. No deficiencies were issued during the visit.

The visit was triggered by an incident report stating that resident R1 had expired without an indicated cause of death. The facility was attempting to obtain the cause of death and would notify the regional office upon receipt.

The inspection was an unannounced complaint investigation conducted in response to allegations that staff did not allow a resident to have visitors and did not allow the resident to go out with a family member.

The investigation found the complaint to be unsubstantiated due to lack of evidence proving the alleged violations occurred. The facility stated that all family members are allowed to visit during regular visiting hours and there is no policy excluding visitors.

The complaint alleged that staff did not allow a resident to have visitors and did not allow the resident to go out with a family member. The complaint was found unsubstantiated as there was no preponderance of evidence to prove the alleged violation did or did not occur.

The inspection visit was conducted as a health and safety check resulting from a complaint received by the department.

The facility was found to be clean and in good repair with clients appearing safe. No imminent health or safety concerns were observed and no deficiencies were cited during the visit.

The visit was triggered by a complaint; no deficiencies or violations were found, indicating no substantiated issues on the date of inspection.

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

The facility was found to be in compliance with no deficiencies cited. The environment was safe and well-maintained, with adequate fire safety measures, proper food supplies, and complete resident and staff records.

The visit was an unannounced case management visit conducted to provide technical assistance after the facility reported they could no longer meet the needs of resident R1.

The Licensing Program Analyst found no deficiencies during the visit. The facility had determined that they could no longer meet the needs of resident R1, who was hospitalized and had deteriorated. The analyst advised the administrator to file a 30-day eviction letter to comply with regulatory requirements and avoid an unlawful eviction.

An unannounced complaint investigation was conducted following a complaint received on 2023-01-05 regarding multiple allegations against the facility staff and conditions.

One allegation regarding incomplete staff paperwork was substantiated, citing a failure to complete required health screening for a staff member. All other allegations including restriction of religious practice, staff yelling at residents, ineffective communication, segregation of residents, and facility disrepair were unsubstantiated.

The complaint investigation was substantiated for the allegation that facility staff did not ensure completion of staff paperwork, specifically incomplete health screening for staff S1 employed from September to December 2022. Other allegations were investigated and found unsubstantiated based on observations, interviews, and record reviews.

An unannounced complaint investigation was conducted in response to an allegation that facility staff failed to supervise a resident, resulting in hospitalization.

The investigation found that staff noticed the resident was unwell after prolonged sun exposure and promptly treated the resident and called 911. There was no evidence of lack of care or supervision, and the allegation was unsubstantiated. No deficiencies were cited.

The complaint was unsubstantiated based on records review and interviews. There was no preponderance of evidence to support the allegation that staff failed to supervise the resident.

Unannounced complaint investigation conducted in response to allegations that facility staff physically abused and restrained residents.

The investigation included interviews with residents, staff, witnesses, and the complainant, all of whom denied any physical abuse or restraint by staff. The allegations were found to be unsubstantiated due to lack of preponderance of evidence.

The complaint was unsubstantiated after investigation; no evidence was found to support the allegations of physical abuse or restraint by facility staff.

An unannounced complaint investigation visit was conducted to investigate an allegation of unlawful eviction at the facility.

The investigation found that the facility issued two invalid 30-day eviction notices that lacked effective dates and specific facts required for eviction, resulting in substantiation of the complaint and citation of deficiencies.

The complaint was substantiated based on the preponderance of evidence. The facility issued two invalid 30-day eviction notices to resident R1 that did not comply with required eviction procedures, posing a potential personal rights risk.

The visit was conducted as case management while conducting a complaint investigation regarding staff not wearing face masks during the COVID-19 pandemic.

Two staff members were observed not wearing face masks in the facility, posing a potential health, safety, or personal rights risk to residents. The facility had two positive COVID-19 cases among residents on 08/15/2022 and was under monitoring by Community Care Licensing and Alameda Public Health.

The complaint investigation found that staff did not comply with mask-wearing requirements, resulting in a repeated deficiency and a civil penalty of $250.

An unannounced complaint investigation was conducted in response to an allegation of neglect of physical care received on 2022-05-03.

The investigation found that both facility staff and outside agency staff provided care to the resident, with documented refusals of care on two occasions. The caregiver who did not properly brush the resident's teeth was from an outside agency, not facility staff. The issue was promptly resolved by the outside agency, and the responsible party was fully aware of the refusals. The allegation was unsubstantiated and no deficiencies were cited.

The complaint was unsubstantiated due to lack of preponderance of evidence that the alleged violation occurred.

The visit was an unannounced Infection Control Inspection conducted as a required one-year inspection.

The inspection found that the facility had proper infection control measures in place, including screening, PPE use, and sufficient food and PPE supplies. No deficiencies were cited during the visit.

The inspection was an unannounced complaint investigation visit triggered by multiple allegations received on 2021-08-23 regarding resident care, staff qualifications, and facility conditions.

The investigation found the allegations unsubstantiated based on observations, interviews, and records review. The facility was neat, staff completed required dementia training, resident belongings were accounted for, and hospitalizations were reported to the resident's representative.

The complaint included allegations such as staff not returning all resident belongings, dirty resident rooms, inappropriate furniture, residents not being changed regularly, poor food quality, resident weight loss, unqualified staff for dementia care, and failure to report hospitalizations. The complaint was found unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2021-08-18 alleging that staff were not wearing masks.

The investigation substantiated the allegation that one staff member did not wear a mask all the time while working, posing an immediate health, safety, or personal rights risk to persons in care.

The complaint was substantiated based on interviews with staff and residents and evidence gathered during the investigation.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2021-08-23 regarding resident treatment, food service, staff communication, and staffing adequacy at the facility.

The investigation found the allegations to be unsubstantiated based on observations, interviews with residents and staff, and document reviews. Residents were free to leave their rooms, menus were posted and matched served food, staff communicated effectively with residents, and no inappropriate staff interactions were observed.

The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred.

Unannounced complaint investigation conducted in response to allegations including physical abuse of a resident, resident sustaining injuries while in care, and staff not assisting a resident with bathing.

All allegations were investigated and found to be unsubstantiated based on records review, interviews with staff and residents, and observations. No deficiencies were cited.

The complaint investigation was unsubstantiated. Allegations included physical abuse, injuries sustained while in care, and lack of assistance with bathing. Investigations found no evidence to support these claims.

The inspection was conducted as a result of a priority 2 complaint to perform an unannounced Health & Safety inspection.

The Licensing Program Analyst toured the facility and found no deficiencies. Facility conditions including hot water temperature, food supplies, refrigerator and freezer temperatures, medication storage, first-aid kit, fire extinguisher, and passageways were all satisfactory.

The visit was triggered by a priority 2 complaint. No deficiencies were cited, indicating no substantiated violations.

Unannounced Infection Control Inspection conducted as a required 1-year visit.

The facility was toured including key areas and found to have sufficient food supply, posted visitor policies, proper PPE usage, and a mitigation plan with routine screening records. No deficiencies were cited during the visit.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2021-01-21 regarding the facility not following COVID-19 safety procedures.

The investigation included interviews with staff and residents and a tour of the facility. The evidence did not substantiate the allegation as staff and residents confirmed COVID-19 positive staff were quarantined, a red zone was designated for positive residents, and designated staff cared for them.

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

The inspection was conducted in response to a complaint alleging that a resident experienced unexplained severe weight loss.

The investigation found that the complaint was unfounded after reviewing weight records, physician reports, resident and staff interviews, and facility policies. The resident's weight was monitored consistently and the facility maintained a weight management program.

The complaint alleged that a resident experienced severe weight loss in excess of 40 lbs within less than a year due to unexplained reasons. The complaint was found to be unfounded and dismissed.

The inspection was an unannounced complaint investigation visit conducted in response to complaints received on 2021-02-19 regarding staff speaking inappropriately in front of residents and the facility being dirty.

The investigation found no preponderance of evidence to substantiate the allegation of staff speaking inappropriately in front of residents, and the complaint was unsubstantiated. The facility was observed to be clean and in good repair, and the complaint alleging the facility was dirty was found to be unfounded. No deficiencies were cited.

The complaint investigation was unsubstantiated for the allegation that staff spoke inappropriately in front of residents. The complaint alleging the facility was dirty was found to be unfounded and dismissed.

The inspection was an unannounced complaint investigation visit conducted to investigate the allegation that the facility was not allowing visitors inside the residents' rooms.

The investigation found that the facility was not allowing visitors inside residents' rooms due to not having received updated COVID-19 visitation guidelines until May 7, 2021. The allegation was substantiated as the facility visitation policy dated April 12, 2021, prohibited room visits, contrary to updated guidelines allowing indoor and in-room visitation at all times.

The complaint was substantiated. The allegation was that the facility was not allowing visitors inside residents' rooms, which was confirmed during the investigation.

Licensing Program Analyst Praveen Singh conducted a Case Management health and safety inspection in relation to the Department receiving a priority complaint.

The inspection found that the facility was generally in good repair with no obstructions in passageways and proper storage of medications and cleaning supplies. However, a deficiency was noted where a resident's bed was restrained by half-bed rails and a night-stand, limiting the resident's ability to move freely in and out of bed.

The visit was triggered by a priority complaint received by the Department.

An unannounced complaint investigation was conducted in response to an allegation that staff made sexual comments to female residents.

The investigation was conducted via tele-visit due to COVID-19 restrictions. Interviews with staff were inconclusive, and there was insufficient evidence to substantiate the allegation. The complaint was determined to be unsubstantiated.

The complaint alleged that staff made comments that were sexual in nature to female residents. The allegation was unsubstantiated due to lack of evidence and inability to confirm contact information.