Inspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating generally good compliance with regulations. The most recent report from October 3, 2025, had no deficiencies and confirmed that a staff member no longer associated with the facility was from an outside agency. Earlier inspections identified issues mainly related to safety risks from unsecured hazardous substances, medication handling, facility maintenance, and outdated resident care plans, with some deficiencies posing immediate safety concerns. There was a substantiated complaint in June 2025 involving a resident leaving the facility through a window due to a disabled alarm and maintenance problems. While the facility has shown some safety and documentation issues over time, the latest reports suggest improvement with no recent deficiencies cited.
Deficiencies per Year
8
6
4
2
0
High
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Census: 65
Capacity: 120
Deficiencies: 0
Oct 3, 2025
Visit Reason
The visit was an unannounced Case Management visit conducted to confirm receipt of the Default Decision and Order for Staff 1 (S1) and to verify staff association with the facility.
Findings
The Licensing Program Analysts confirmed that the Default Decision and Order document for Staff 1 was received by the facility. Staff interviews and record reviews verified that Staff 1 was from an outside agency and is no longer associated with the facility. No deficiencies were cited during this visit.
Report Facts
Capacity: 120
Census: 65
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ginaa Velayo | Administrator | Met with Licensing Program Analysts during the visit and confirmed receipt of Default Decision and Order |
Inspection Report
Annual Inspection
Census: 64
Capacity: 120
Deficiencies: 8
Sep 22, 2025
Visit Reason
The inspection was an unannounced 1-Year Annual-Continuation Required inspection conducted to evaluate compliance with licensing requirements.
Findings
The facility was found to have multiple deficiencies including unlocked hazardous substances accessible to residents, items in disrepair, hot water temperature out of range, expired food products, unlabeled food items, pre-poured medications, and lack of updated resident appraisal plans. Plans of correction were agreed upon with specified due dates.
Severity Breakdown
Type A: 2
Type B: 6
Deficiencies (8)
| Description | Severity |
|---|---|
| Unlocked disinfectants, cleaning solutions, and other hazardous items accessible to residents posing immediate safety risk. | Type A |
| Unlocked nutritional supplements, vitamins, and medications accessible to residents posing immediate safety risk. | Type A |
| Facility items in disrepair including broken dresser handle, air conditioning issues, dirty showers, and foul odors posing potential health and safety risk. | Type B |
| Hot water temperature not maintained within required range posing potential safety risk. | Type B |
| Expired food items and improperly labeled food posing potential health and safety risk. | Type B |
| Residents R1, R2, R4, and R7 did not have updated Appraisal Needs and Services Plans. | Type B |
| Resident's family member residing in resident's room posing potential personal rights risk. | Type B |
| Medications pre-poured for administration the following day posing potential health and safety risk. | Type B |
Report Facts
Census: 64
Total Capacity: 120
Deficiencies cited: 8
POC Due Date: Sep 23, 2025
POC Due Date: Sep 26, 2025
POC Due Date: Sep 30, 2025
POC Due Date: Oct 6, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ginaa Velayo | Administrator | Met with Licensing Program Analysts during inspection and named in plans of correction |
| Patricia Manalo | Licensing Program Analyst | Conducted inspection and signed report |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 64
Capacity: 120
Deficiencies: 0
Sep 19, 2025
Visit Reason
The visit was an unannounced 1-Year Annual Required inspection conducted by Licensing Program Analysts to evaluate the facility's compliance with licensing requirements.
Findings
The inspection was initiated and partially completed on 09/19/2025, with the Licensing Program Analysts planning to return at a later date to complete the annual inspection. The facility's fire clearance was approved for a capacity of 120 residents, including allowances for non-ambulatory, bedridden, and hospice waiver residents.
Report Facts
Capacity: 120
Census: 64
Hospice waiver: 15
Bedridden residents allowed: 64
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ginaa Velayo | Administrator | Informed of the inspection purpose and consented to staff signing the report |
| Kareen Galliguez | Assistant Administrator | Met with Licensing Program Analysts during inspection |
| Patricia Manalo | Licensing Program Analyst | Conducted the inspection |
| K. Nguyen | Licensing Program Analyst | Conducted the inspection |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Census: 61
Capacity: 120
Deficiencies: 1
Aug 20, 2025
Visit Reason
The visit was an unannounced case management visit conducted by Licensing Program Analyst P. Manalo to review compliance with licensing requirements.
Findings
During the visit, it was observed that the facility's admission agreement did not include the visitation policy and isolation policy. The Administrator and LPA discussed regulations on personal rights regarding visits and visitation plans for residents with roommates. A technical advisory was issued on the date of the visit.
Deficiencies (1)
| Description |
|---|
| Facility's admission agreement does not include the visitation policy and isolation policy. |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ginaa Velayo | Administrator | Met with Licensing Program Analyst during the visit and discussed visitation policy deficiencies. |
| Patricia Manalo | Licensing Program Analyst | Conducted the unannounced case management visit and identified deficiencies. |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 61
Capacity: 120
Deficiencies: 0
Aug 20, 2025
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that staff prohibit resident visitation.
Findings
The investigation found that residents’ families can schedule appointments for visitation and visit during visiting hours without issues. Interviews and document reviews did not substantiate the allegation. No deficiencies were noted.
Complaint Details
The allegation that staff prohibit resident visitation was unsubstantiated based on interviews with staff, witnesses, family members, and review of facility policies and documents.
Report Facts
Capacity: 120
Census: 61
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gina A Velayo | Administrator | Met with Licensing Program Analyst during the investigation and exit interview |
| Patricia Manalo | Licensing Program Analyst | Conducted the complaint investigation |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 61
Capacity: 120
Deficiencies: 0
Aug 7, 2025
Visit Reason
The inspection was conducted as a result of a priority 1 complaint to perform a Health & Safety inspection.
Findings
The Licensing Program Analyst toured the facility and found no deficiencies. All safety equipment, hot water temperatures, lighting, food supplies, and medication storage were in compliance with regulations.
Complaint Details
The visit was triggered by a priority 1 complaint. No deficiencies were cited during the visit.
Report Facts
Hot water temperature readings: Measured at 113.1, 109.3, 108.2, 107.1, and 105.6 degrees Fahrenheit in residents’ bathrooms
Food supply duration: Minimum of one week supply of nonperishable and 2-day supply of perishable foods
Fire extinguisher last serviced: Last serviced on 03/07/2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gina Velayo | Administrator | Met with Licensing Program Analyst during inspection |
| Patricia Manalo | Licensing Program Analyst | Conducted the Health & Safety inspection |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 120
Deficiencies: 2
Jun 5, 2025
Visit Reason
An unannounced Case Management visit was conducted regarding a self-reported incident where a resident went AWOL by exiting through a window on 06/03/2025. The visit aimed to investigate the incident and assess compliance with safety regulations.
Findings
The investigation found that the auditory alarm on the window was functioning but may have been turned off by staff at the time of the incident. The window's auditory signal was displaced, the windowsill was broken, and there was rust on the closet panel in the resident's room. These conditions posed potential safety risks.
Complaint Details
The visit was complaint-related due to a self-reported incident of a resident going AWOL. The complaint was substantiated by findings of safety and maintenance deficiencies.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to have the auditory signal on at the time Resident 1 went AWOL, posing a potential safety risk to residents in care. | Type B |
| Facility was not clean, safe, sanitary, and in good repair as evidenced by displaced auditory signal device, broken windowsill, and rust on the closet panel. | Type B |
Report Facts
Deficiencies cited: 2
Plan of Correction Due Date: Jun 19, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gina Velayo | Administrator | Met with Licensing Program Analyst during the visit and involved in incident report |
| Patricia Manalo | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Plan of Correction
Census: 60
Capacity: 120
Deficiencies: 0
Dec 3, 2024
Visit Reason
An unannounced Plan of Correction (POC) visit was conducted to verify correction of a previously issued deficiency related to a malfunctioning freezer thermostat noted during the annual visit on 10/29/2024.
Findings
The visit confirmed that the freezer thermostat was functioning properly with no deficiencies cited during this inspection.
Report Facts
Capacity: 120
Census: 60
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gina Velayo | Administrator | Met with Licensing Program Analysts during the inspection and involved in the Plan of Correction |
Inspection Report
Follow-Up
Census: 60
Capacity: 120
Deficiencies: 0
Dec 3, 2024
Visit Reason
The visit was an unannounced case management follow-up inspection conducted due to an incident reported to the Community Care Licensing Division on 2024-11-11.
Findings
No deficiencies were cited during the visit. Licensing Program Analysts reviewed various resident and facility documents and requested updated physician reports and other documentation to be submitted by 2024-12-13.
Report Facts
Capacity: 120
Census: 60
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ginaa Velayo | Administrator | Met with Licensing Program Analysts during the inspection |
| Patricia Manalo | Licensing Program Analyst | Conducted the inspection and signed the report |
Inspection Report
Annual Inspection
Census: 57
Capacity: 120
Deficiencies: 3
Oct 29, 2024
Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to assess compliance with licensing regulations and facility safety standards.
Findings
The facility was found to have a malfunctioning freezer thermostat, outdated appraisal and service plans for residents R1 to R6, and a staff member (S6) not associated with the facility. Fire safety equipment and emergency plans were in place and up to date. Plans of correction were agreed upon for all deficiencies.
Deficiencies (3)
| Description |
|---|
| Malfunctioning thermostat in the freezer posing a potential health and safety risk. |
| Lack of updated Appraisals Needs and Services Plan for residents R1 to R6 posing a potential health and safety risk. |
| Staff member S6 not associated with the facility posing an immediate health and safety risk. |
Report Facts
Facility capacity: 120
Current census: 57
POC due date: Nov 5, 2024
POC due date: Nov 12, 2024
POC due date: Oct 31, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gina Velayo | Administrator | Met with Licensing Program Analysts during inspection and agreed to plans of correction. |
| Patricia Manalo | Licensing Program Analyst | Conducted the inspection and signed the report. |
| Yvonne Flores-Larios | Licensing Program Manager | Supervisor overseeing the inspection. |
Inspection Report
Census: 57
Capacity: 120
Deficiencies: 0
Oct 29, 2024
Visit Reason
The visit was an unannounced case management inspection conducted in response to an Unusual Incident Report submitted by the facility.
Findings
The report found that a resident (R1) was sent to the hospital for an open wound on the coccyx area due to refusal of care, was transferred to a Skilled Nursing Facility until healed, and then readmitted to the facility. No deficiencies were cited during the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ginaa Velayo | Administrator | Met with Licensing Program Analysts during the inspection and discussed the resident's wound incident. |
Inspection Report
Complaint Investigation
Census: 55
Capacity: 120
Deficiencies: 0
Apr 11, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that a resident sustained an unexplained bruise while in care and that staff did not properly supervise the resident.
Findings
The investigation found no evidence that the resident was a fall risk or that neglect or lack of supervision occurred. The resident's death was due to natural causes with no signs of trauma or foul play. The allegations were unsubstantiated and no deficiencies were noted.
Complaint Details
The complaint investigation was unsubstantiated based on interviews, record reviews, and reports from the Fremont Fire Department and Alameda County Coroner’s Bureau. There was no preponderance of evidence to prove the alleged violations occurred.
Report Facts
Capacity: 120
Census: 55
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Luisa Fontanilla | Licensing Program Analyst | Conducted the complaint investigation |
| Gina Velayo | Administrator | Facility administrator met during investigation |
| Kelly Nguyen | Licensing Program Analyst | Assisted in delivering findings during investigation |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 55
Capacity: 120
Deficiencies: 1
Apr 11, 2024
Visit Reason
The visit was conducted as a case management investigation related to complaint #15-AS-20230718143211 regarding the care provided to resident R1 who was found unconscious.
Findings
The investigation found that staff member S2 failed to perform CPR immediately on R1 and delayed calling 911 until 5:21 am, despite R1 being found unresponsive at 5 am. A deficiency was cited for failure to meet the requirement to immediately call 911 in a life-threatening medical crisis.
Complaint Details
Investigation of complaint #15-AS-20230718143211 found substantiated issues with delayed CPR and delayed 911 call for resident R1 who was found unconscious at 5 am.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to immediately telephone 911 when a resident was found unresponsive and failure of staff to perform CPR immediately for resident R1. | Type A |
Report Facts
Deficiency due date: Apr 17, 2024
911 call time: 521
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gina Velayo | Administrator/Director | Met with Licensing Program Analysts during the visit |
| Luisa Fontanilla | Licensing Program Analyst | Conducted the investigation and authored the report |
| Kelly Nguyen | Licensing Program Analyst | Conducted the investigation |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager overseeing the case |
Inspection Report
Complaint Investigation
Census: 59
Capacity: 120
Deficiencies: 0
Nov 14, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 06/28/2023 regarding staff behavior, hygiene assistance, dental care timeliness, and cleanliness of residents' rooms.
Findings
After interviews with residents and staff, and review of records including care plans and dental logs, the investigation found no preponderance of evidence to substantiate the allegations. Staff were confirmed to assist with daily living activities, maintain cleanliness, and arrange dental care as needed. The allegations were determined to be unsubstantiated.
Complaint Details
The complaint included allegations that staff spoke inappropriately to a resident, failed to assist with hygiene needs, did not seek timely dental care, and did not ensure residents' rooms were clean. The investigation found these allegations unsubstantiated based on interviews and record reviews.
Report Facts
Residents interviewed: 6
Staff interviewed: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gina A Velayo | Administrator | Met with Licensing Program Analyst during investigation and exit interview |
| Liridon Fici | Licensing Program Analyst | Conducted the complaint investigation visit |
| Harpreet Humpal | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 61
Capacity: 120
Deficiencies: 0
Sep 8, 2023
Visit Reason
The inspection was an unannounced 1-Year Annual Required Inspection conducted to evaluate compliance with licensing requirements.
Findings
The facility was found to be in compliance with no deficiencies cited. The inspection included a tour of the facility, review of staff and resident records, and medication review. Several updated documents were requested for submission by 9/15/2023.
Report Facts
Bedrooms: 70
Bathrooms: 70
Staff records reviewed: 10
Resident records reviewed: 10
Resident medication records reviewed: 10
Fire extinguisher last serviced: Mar 22, 2023
Hot water temperature: 109.8
Temperature: 82
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gina A Velayo | Administrator | Met with Licensing Program Analyst during inspection |
| Liridon Fici | Licensing Program Analyst | Conducted the inspection |
| Harpreet Humpal | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 62
Capacity: 120
Deficiencies: 0
Jul 21, 2023
Visit Reason
The inspection was conducted as a result of a priority 2 complaint to perform a Health & Safety inspection.
Findings
The facility was toured including bedrooms, bathrooms, common areas, kitchen, and outdoor area. All safety measures such as hot water temperature, food supplies, refrigerator and freezer temperatures, medication security, smoke and carbon monoxide detectors, first-aid kit, and fire extinguisher were found to be in compliance. No deficiencies were cited during the visit.
Complaint Details
The visit was triggered by a priority 2 complaint. No deficiencies were found, indicating no substantiated violations.
Report Facts
Hot water temperature: 111.6
Refrigerator temperature: 39.3
Freezer temperature: 0
Food supplies: 7
Food supplies: 2
Fire extinguisher last serviced: Mar 22, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jojo Ocampo | Business Office Manager | Met with Licensing Program Analyst during inspection |
| Liridon Fici | Licensing Program Analyst | Conducted the Health & Safety inspection |
| Harpreet Humpal | Licensing Program Manager | Named in report header |
Inspection Report
Routine
Census: 65
Capacity: 120
Deficiencies: 0
Sep 29, 2022
Visit Reason
The visit was an unannounced infection control inspection conducted as a required 1-year routine check.
Findings
The inspection found the facility well-maintained with sufficient PPE, proper signage, adequate supplies, and no deficiencies cited. Common areas were disinfected three times daily, and safety equipment was properly maintained.
Report Facts
Water temperature: 109.3
Fire extinguisher last serviced: Mar 23, 2022
Disinfection frequency: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gina A Velayo | Administrator | Met with Licensing Program Analysts during inspection |
| Liridon Fici | Licensing Program Analyst | Conducted the infection control inspection |
Inspection Report
Complaint Investigation
Census: 67
Capacity: 120
Deficiencies: 1
Mar 10, 2022
Visit Reason
Unannounced complaint investigation conducted due to allegations regarding facility heating and cooling system disrepair and presence of roaches.
Findings
The allegation of the heating system being in disrepair was substantiated, with evidence of an inoperable heater posing a potential health and safety risk. The allegation of roaches was unsubstantiated as pest control measures were in place and the issue was being addressed.
Complaint Details
The complaint investigation was substantiated for the allegation that the facility heating and cooling system is in disrepair, specifically an inoperable heater in resident R5's room. The allegation regarding roaches was unsubstantiated due to ongoing pest control efforts and lack of sufficient evidence.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Maintenance and Operation. The facility shall be clean, safe, sanitary and in good repair at all times. This requirement is not met as evidence by an inoperable heater. | Type B |
Report Facts
Capacity: 120
Census: 67
Deficiency Type B count: 1
Plan of Correction Due Date: Mar 14, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Grace Luk | Licensing Program Analyst | Conducted complaint investigation and delivered findings |
| Gina A Velayo | Administrator | Facility administrator met during investigation and named in findings |
| Harpreet Humpal | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 61
Capacity: 120
Deficiencies: 0
Jan 6, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations of staff neglect resulting in the death of a resident and failure to notify the responsible party.
Findings
The investigation found that the allegations were unsubstantiated. The resident was observed with clothing and the pendant was tied around the rails per resident preference. The facility had contacted the responsible party despite the complainant's claim otherwise.
Complaint Details
The complaint involved allegations of staff neglect resulting in the death of a resident and failure to notify the responsible party. The allegations were determined to be unsubstantiated due to insufficient evidence.
Report Facts
Capacity: 120
Census: 61
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gina Velayo | Executive Director | Met with Licensing Program Analyst during investigation |
| Lizette Francisco | Licensing Program Analyst | Conducted the complaint investigation |
| Harpreet Humpal | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Routine
Census: 63
Capacity: 120
Deficiencies: 1
Sep 1, 2021
Visit Reason
Unannounced infection control inspection conducted as a required 1-year visit to assess compliance with infection control and food service regulations.
Findings
The inspection found that the facility generally maintained infection control measures including posted COVID-19 signs, sufficient PPE, and regular disinfection. However, a deficiency was cited due to two cartons of Lactaid in the refrigerator that expired on August 10, 2021, posing a potential health and safety risk.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Two cartons of Lactaid in the refrigerator expired August 10, 2021, posing a potential health, safety or personal rights risk to persons in care. | Type B |
Report Facts
Capacity: 120
Census: 63
Plan of Correction Due Date: Sep 8, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gina Velayo | 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 as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 59
Capacity: 120
Deficiencies: 2
Jul 15, 2021
Visit Reason
The visit was an unannounced case management inspection conducted regarding an incident report received on 2021-07-09 involving a resident who left the facility without authorization.
Findings
The inspection found that a resident exited the facility through a torn screen window and was missing for approximately one hour before being found and returned. Deficiencies were cited related to resident safety and record-keeping, posing immediate and potential health and safety risks.
Complaint Details
The visit was triggered by an incident report regarding a resident who left the facility during an activity and was missing for about one hour. The complaint was substantiated by observations and interviews.
Severity Breakdown
Type A: 1
Type B: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Residents in all residential care facilities for the elderly shall have all of the following personal rights: to be accorded safe accommodations. This requirement was not met, posing an immediate health and safety risk. | Type A |
| The licensee shall ensure that a current record is maintained for each resident in the facility. This requirement was not met, posing a potential health and safety risk. | Type B |
Report Facts
Capacity: 120
Census: 59
Deficiencies cited: 2
Plan of Correction Due Dates: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gina Velayo | Executive Director | Met with Licensing Program Analyst during the visit and involved in the incident report discussion |
| Laura Hall | Licensing Program Analyst | Conducted the unannounced case management visit and authored the report |
| Harpreet Humpal | Licensing Program Manager | Supervisor overseeing the licensing evaluation |
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