Inspection Reports for Landmark Villa
21000 Mission Blvd, Hayward, CA 94541, CA, 94541
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, including the most recent annual inspection on September 11, 2025, which was completely clean. Earlier reports from 2021 showed some serious issues related to care and supervision of a resident with dementia, resulting in a $500 fine and deficiencies in medical assessments and dementia care planning. These issues were addressed over time, with no similar findings in later inspections. Several complaint investigations were unsubstantiated, and more recent complaint-related visits found no deficiencies. The facility appears to have improved its documentation and resident care practices since those earlier findings.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
1.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
65% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
53% occupied
Based on a September 2025 inspection.
Occupancy over time
Inspection Report
Annual Inspection
Census: 74
Capacity: 140
Deficiencies: 0
Date: Sep 11, 2025
Visit Reason
The inspection was an unannounced annual required inspection conducted by Licensing Program Analyst Delmundo to evaluate compliance with licensing requirements.
Findings
The facility was toured and inspected including common areas and resident apartments. Food supplies and safety equipment were found in compliance. Records for disaster drills and medication management were reviewed. No deficiencies were cited during this inspection.
Report Facts
Food supply duration: 2
Food supply duration: 7
Resident apartments inspected: 8
Staff files reviewed: 5
Resident files reviewed: 5
Residents interviewed: 4
Hot water temperature: 110.6
Facility capacity: 140
Current census: 74
Liability insurance coverage: 3000000
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Diane Pederson | Executive Director | Met with Licensing Program Analyst during inspection and involved in facility tour |
| Alicia Delmundo | Licensing Program Analyst | Conducted the inspection and signed the report |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 140
Deficiencies: 0
Date: May 14, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2022-02-03 regarding allegations of pressure injuries, unmet diapering and hygiene needs, lack of staff assistance, and disrespectful treatment of a resident (R1).
Complaint Details
The complaint involved five allegations: 1) Resident (R1) sustained pressure injuries while in care; 2) Resident's diapering needs are not being met; 3) Resident's hygiene needs are not being met; 4) Staff does not assist resident when requested; 5) Staff does not treat resident with dignity and respect. The investigation concluded all allegations were unsubstantiated due to lack of evidence and inability to obtain information from some involved parties.
Findings
After interviews with staff, residents, and family members, review of resident and home health records, and observations, the investigation found insufficient evidence to substantiate any of the five allegations. The allegations were closed as unsubstantiated.
Report Facts
Facility capacity: 140
Census: 72
Complaint received date: Feb 3, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Diane Pederson | Executive Director | Met with Licensing Program Analyst during investigation |
| Alicia Delmundo | Licensing Program Analyst | Conducted the complaint investigation |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Census: 72
Capacity: 140
Deficiencies: 0
Date: May 14, 2025
Visit Reason
The visit was an unannounced case management incident inspection to continue obtaining additional information from a prior visit started on January 23, 2025.
Findings
No deficiencies were cited during this inspection. Interviews were conducted and an exit interview was held with the Executive Director.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Diane Pederson | Executive Director | Met with Licensing Program Analyst during the inspection. |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 140
Deficiencies: 0
Date: Jan 23, 2025
Visit Reason
The inspection visit occurred in response to an Unusual Incident Report submitted by the facility regarding alleged rough physical and verbal handling of a resident by a caregiver.
Complaint Details
The complaint involved an allegation that on 1/19/25, staff witnessed a caregiver physically and verbally handling a resident roughly. The caregiver was removed from schedule, the resident's family and Ombudsman were notified, and an investigation was conducted resulting in termination of the caregiver.
Findings
The investigation included review of resident and staff records and interviews. No deficiencies were cited during this unannounced visit, and the caregiver involved was removed from schedule and terminated.
Report Facts
Capacity: 140
Census: 75
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Diane Pederson | Executive Director | Met with Licensing Program Analyst during inspection |
| Geraldine Tayo | Resident Care Director | Met with Licensing Program Analyst during inspection |
Inspection Report
Annual Inspection
Census: 70
Capacity: 140
Deficiencies: 0
Date: Sep 5, 2024
Visit Reason
The inspection was an unannounced annual required inspection conducted by the Licensing Program Analyst to assess compliance with regulatory standards.
Findings
The facility was toured and inspected including common areas, resident apartments, and safety equipment. Food supplies, medication storage, and disaster preparedness were reviewed. No deficiencies were cited during the inspection.
Report Facts
Food supply perishables duration: 2
Food supply non-perishables duration: 7
Residents apartments inspected: 12
Hot water temperature: 113.6
Fire extinguisher service date: Jan 11, 2024
Disaster drill last conducted: Jun 11, 2024
Staff files reviewed: 5
Resident files reviewed: 5
Liability insurance coverage: 3000000
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Diane Pederson | Executive Director | Met with LPA during inspection and submitted updated Infection Control Plan |
| Geraldine Tayo | Resident Services Director | Met with LPA during inspection |
| Alicia Delmundo | Licensing Program Analyst | Conducted the inspection |
| Bennett Fong | Licensing Program Manager | Named in report header and signature section |
Inspection Report
Annual Inspection
Census: 80
Capacity: 140
Deficiencies: 1
Date: Sep 28, 2023
Visit Reason
The inspection was an unannounced annual required inspection conducted by the Licensing Program Analyst to evaluate compliance with regulatory requirements.
Findings
The facility was toured and inspected including common areas, resident rooms, and staff files. A deficiency was cited for failure to submit an updated Infection Control Plan prior to the visit, and an unlocked chest rub was observed in a resident's room posing an immediate health and safety risk. The facility submitted updated documents during the visit and discussed plans of correction with the Executive Director.
Deficiencies (1)
Unlocked chest rub in resident's room posing an immediate health and safety risk to persons in care.
Report Facts
Capacity: 140
Census: 80
Plan of Correction Due Date: Sep 29, 2023
Food supply duration: 2
Food supply duration: 7
Staff files reviewed: 5
Resident files reviewed: 5
Resident rooms inspected: 8
Staff interviewed: 2
Residents interviewed: 2
Fire extinguisher service date: Dec 28, 2022
Hot water temperature: 113.6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Diane Pederson | Executive Director | Met with Licensing Program Analyst during inspection and discussed findings |
| Geraldine Tayo | Resident Services Director | Met with Licensing Program Analyst during inspection |
| Bennett Fong | Licensing Program Manager | Supervisor overseeing the inspection |
| Alicia Delmundo | Licensing Program Analyst | Conducted the inspection and authored the report |
Inspection Report
Complaint Investigation
Census: 71
Capacity: 140
Deficiencies: 0
Date: Jun 1, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2020-07-10 regarding neglect and improper care of resident R1, including multiple falls, delayed medical attention, and failure to respond to pull cord calls.
Complaint Details
The complaint involved three allegations: 1) Resident R1 sustained multiple falls resulting in injuries; 2) Resident R1 was not provided medical attention in a timely manner; 3) Staff failed to respond to resident R1's pull cord in a timely manner. All allegations were closed as unsubstantiated or unfounded after review of medical records, interviews, and facility documentation.
Findings
The investigation found insufficient evidence to substantiate the allegations of neglect or improper care. The resident's multiple falls, medical attention, and staff response to pull cords were reviewed and determined to be adequately managed. The medication administration allegation was also found unfounded.
Report Facts
Complaint Control Number: 15-AS-20200710153037
Number of allegations: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Diane Pederson | Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| Alicia Delmundo | Licensing Program Analyst | Conducted the complaint investigation |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 71
Capacity: 140
Deficiencies: 2
Date: Jun 1, 2022
Visit Reason
The visit was an unannounced case management inspection conducted during the course of investigation for complaint #15-AS-20200710153037.
Complaint Details
The visit was conducted as part of an investigation for complaint #15-AS-20200710153037.
Findings
Deficiencies were found related to failure to update a resident's Appraisal/Needs and Services Plan after changes in condition and failure to retain medication records for the required minimum of three years, posing potential health and personal rights risks to the resident.
Deficiencies (2)
Failure to update resident R1's Appraisal/Needs and Services Plan after each change in condition, posing potential health risks.
Failure to retain original medication records for resident R1 for at least three years, posing potential health and personal rights risks.
Report Facts
Capacity: 140
Census: 71
Plan of Correction Due Date: Jun 15, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Diane Pederson | Executive Director | Met with Licensing Program Analyst during inspection and provided information regarding deficiencies |
Inspection Report
Census: 71
Capacity: 140
Deficiencies: 0
Date: Jun 1, 2022
Visit Reason
The visit was conducted to deliver the findings for a complaint #15-AS-20200710153037 and to receive the facility's completed Infection Control Plan due for submission in June.
Complaint Details
The visit was related to complaint #15-AS-20200710153037; no substantiation status is stated.
Findings
The Executive Director informed the Licensing Program Analyst that the facility's Infection Control Plan was completed and provided a copy on the day of the visit. An exit interview was conducted and a copy of the report was provided.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Diane Pederson | Executive Director | Informed Licensing Program Analyst about completion of Infection Control Plan during complaint findings delivery. |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 140
Deficiencies: 0
Date: Feb 7, 2022
Visit Reason
The inspection was conducted as a result of a complaint received by the Department (Control # 15-AS-20220203093410) to perform a health and safety inspection.
Complaint Details
Inspection was complaint-related based on a complaint received (Control # 15-AS-20220203093410). No deficiencies were cited, indicating no substantiated violations.
Findings
The Licensing Program Analyst inspected common areas and selected apartments, noting minor observations such as hand washing posters missing in kitchenettes and no trash bin with pedal-operated lid outside the isolation room. No deficiencies were cited during this visit.
Report Facts
Facility Capacity: 140
Census: 74
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Diane Pederson | Executive Director | Met with Licensing Program Analyst during inspection |
| Alicia Delmundo | Licensing Program Analyst | Conducted the health and safety inspection |
| Bennett Fong | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 140
Deficiencies: 2
Date: Oct 13, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that lack of care or supervision resulted in a resident's (R1) AWOL and fall causing serious bodily injuries.
Complaint Details
The complaint investigation was substantiated. Resident R1 with dementia was found down in the community with serious injuries after leaving the facility unnoticed. The allegations met the preponderance of evidence standard. A $500 civil penalty was assessed.
Findings
The investigation substantiated the allegations that resident R1, who has dementia, was able to leave the facility unnoticed and was found injured in the community. Deficiencies were cited related to safety measures for persons with dementia and personal rights, and a $500 civil penalty was assessed.
Deficiencies (2)
Failure to implement safety measures to address behaviors such as wandering, aggressive behavior, and ingestion of toxic materials, resulting in resident R1 with dementia leaving the facility unnoticed.
Failure to provide care, supervision, and services that meet individual needs, resulting in resident R1's AWOL and fall causing injuries.
Report Facts
Civil penalty amount: 500
Capacity: 140
Census: 75
Plan of Correction Due Date: Oct 14, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Diane Pederson | Executive Director | Met with Licensing Program Analyst and discussed deficiencies and civil penalty |
| Alicia Delmundo | Licensing Program Analyst | Conducted complaint investigation and authored report |
| Bennett Fong | Licensing Program Manager | Oversaw complaint investigation process |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 140
Deficiencies: 2
Date: Oct 13, 2021
Visit Reason
The visit was conducted as part of an investigation of a complaint (Control # 15-AS-20190926095603) regarding the care of a resident with dementia and review of facility records.
Complaint Details
Investigation of complaint Control # 15-AS-20190926095603 regarding care of a resident with dementia. Deficiencies were substantiated related to missing medical assessments and lack of Dementia Care Plan.
Findings
The facility failed to provide medical assessments for the resident with dementia for 2018 and 2019 and did not have or submit a Dementia Care Plan as required by regulations. These deficiencies posed potential health and safety risks to the resident.
Deficiencies (2)
Resident with dementia did not have medical assessments for 2018 and 2019 as required.
Facility did not have a Dementia Care Plan nor submitted an addendum to the Plan of Operation for residents with dementia.
Report Facts
Deficiencies cited: 2
Plan of Correction Due Date: Oct 27, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Diane Pederson | Executive Director | Met during visit and discussed deficiencies and plan of correction. |
| Alicia Delmundo | Licensing Program Analyst | Conducted investigation and authored report. |
| Bennett Fong | Licensing Program Manager | Supervisor named in report. |
Inspection Report
Annual Inspection
Census: 72
Capacity: 140
Deficiencies: 0
Date: Sep 22, 2021
Visit Reason
The inspection was an infection control annual inspection conducted to evaluate the facility's compliance with COVID-19 infection control practices and other regulatory requirements.
Findings
The facility was found to be in compliance with infection control protocols, including proper use of PPE, symptom screening, social distancing, and emergency preparedness. No deficiencies were cited during this visit.
Report Facts
Staff wearing face masks: 16
Residents eating lunch: 14
Vaccination rate: 95
Emergency food supplies: 7
Emergency food supplies: 2
Administrator onsite hours: 20
Facility room temperature: 73
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daisy Panlilio | Licensing Program Analyst | Conducted the infection control annual inspection |
| Diane Pederson | Administrator | Facility administrator met with Licensing Program Analyst during inspection |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager on the report |
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