Inspection Reports for
Oakwood Memory & Senior Care
1025 OAKWOOD AVENUE, VALLEJO, CA, 94591
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
2.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
45% better than California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
0% occupied
Based on a August 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Capacity: 30
Deficiencies: 0
Date: Aug 26, 2025
Visit Reason
The California Department of Social Services Community Care Licensing Santa Rosa Regional Office conducted an in-office meeting to review the Default Decision and Order with the licensees and discuss compliance requirements for Oakwood Memory & Senior Care facility.
Findings
The meeting reviewed the Default Decision and Order effective 9/30/2025 and discussed the need for changes to the LLC members to comply with the order. No citations were issued at the time of the office meeting.
Report Facts
Residents in care: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Victoria Bertozzi | Licensing Program Manager | Present at the meeting and reviewed the Default Decision and Order with licensees. |
| Elias Magdaleno | Licensing Program Analyst | Present at the meeting and reviewed the Default Decision and Order with licensees. |
| Bethany Moellers | Licensing Program Manager | Available remotely during the meeting. |
| Rose Mahawar | Licensee | Met with licensing staff during the meeting. |
| Suresh Mahawar | Licensee | Met with licensing staff during the meeting. |
Inspection Report
Annual Inspection
Census: 12
Capacity: 30
Deficiencies: 0
Date: Jun 30, 2025
Visit Reason
The inspection was a required unannounced 1-year annual inspection of the Oakwood Memory & Senior Care Facility.
Findings
The facility was found to be in compliance with all licensing requirements. No deficiencies were cited. The facility environment, emergency preparedness, staff and resident records, and medication storage were all satisfactory.
Report Facts
Hospice waiver capacity: 10
Hospice residents in care: 2
Fire extinguisher last inspection date: Jan 25, 2025
Water temperature range: 105
Water temperature range: 120
Perishable food supply: 2
Non-perishable food supply: 7
Staff records reviewed: 5
Resident records reviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rashmika Mahawar | Administrator | Administrator who gave permission for report receipt and whose recertification is pending. |
| Theresa Ilagan | Site Manager | Facility manager who met with Licensing Program Analyst and signed the report. |
| Elias Magdaleno | Licensing Program Analyst | Conducted the inspection. |
| Victoria Bertozzi | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Capacity: 30
Deficiencies: 1
Date: Jan 21, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations including staff not properly trained to provide care to residents, inadequate staffing, and facility disrepair.
Complaint Details
The complaint investigation was substantiated regarding staff training documentation but unsubstantiated regarding staffing adequacy and facility disrepair.
Findings
The investigation substantiated that the facility lacked documentation for required staff training hours but confirmed all staff have since completed training. The allegations of inadequate staffing and facility disrepair were unsubstantiated, with staffing found adequate and disrepair not posing danger to residents.
Deficiencies (1)
CCR 87412(c) Personnel Records: Licensees did not maintain documentation of required staff training and orientation. This posed a potential health, safety, or personal rights risk to residents.
Report Facts
Capacity: 30
Staff training documentation missing: 5
Total staff required training hours: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Arnhold | Licensing Program Analyst | Conducted the complaint investigation |
| Theresa Ilagan | Facility Manager | Met with Licensing Program Analyst during investigation |
| Rashmika Mahawar | Administrator | Spoke with Licensing Program Analyst via telephone during investigation |
Inspection Report
Annual Inspection
Census: 14
Capacity: 30
Deficiencies: 0
Date: Sep 9, 2024
Visit Reason
An unannounced annual required 1 Year inspection of the licensed senior care facility was conducted to evaluate compliance with regulations.
Findings
The facility was found to have no deficiencies cited during the visit. Some operational issues were noted such as cold food being served and a dishwashing machine not operating with hot water, which the facility was requested to fix. Other areas including water temperature, lighting, medication storage, fire safety equipment, and staff certifications were compliant.
Report Facts
Resident records reviewed: 12
Fire extinguisher last inspection date: Jan 12, 2024
Smoke alarm and sprinkler system last inspection date: Jul 3, 2024
Disaster drill date: Jul 3, 2024
Inspection Report
Annual Inspection
Census: 17
Capacity: 30
Deficiencies: 4
Date: Aug 25, 2023
Visit Reason
The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing regulations.
Findings
The facility was generally well maintained with appropriate temperature, lighting, and safety equipment. However, deficiencies were found including unlocked storage of cleaning products, improper food storage in a dirty freezer, a leaking toilet and sink, and the administrator's personnel record not being stored at the facility.
Deficiencies (4)
CCR 87309(a) Storage Space: Cleaning solutions, disinfectants, and other toxins were stored in an unlocked supply room accessible to clients, posing an immediate health and safety risk.
CCR 87303(e)(6) Maintenance and Operation: A leaking toilet and sink in the common area restroom were not maintained in working order, posing a potential health and safety risk.
CCR 87412(a) Personnel Records: The administrator's personnel record was not stored at the facility, posing a potential health and safety risk.
CCR 87555(b)(8) General Food Service Requirements: Food (meat, chicken, and ground beef) was improperly stored in a dirty freezer, posing a health and safety risk.
Report Facts
Capacity: 30
Census: 17
Inspection Report
Complaint Investigation
Census: 16
Capacity: 30
Deficiencies: 0
Date: Jul 20, 2023
Visit Reason
Unannounced complaint investigation visit conducted in response to an allegation of physical abuse reported by a resident.
Complaint Details
The complaint alleged that a staff person physically attacked a resident over a three-day period. The allegation was unsubstantiated due to insufficient evidence.
Findings
The investigation found that the resident's testimony was unreliable due to a medical diagnosis. Staff restrained the resident to prevent injury during an agitated episode. There was no preponderance of evidence to substantiate the physical abuse allegation, and no citations were issued.
Report Facts
Capacity: 30
Census: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Leibert | Licensing Evaluator | Conducted the complaint investigation |
| Rashmika Mahawar | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 17
Capacity: 30
Deficiencies: 0
Date: Jun 6, 2023
Visit Reason
Unannounced investigation of a complaint received on 2023-05-10 regarding medication administration at the facility.
Complaint Details
The complaint alleged that medications were not dispensed per physician's orders. The investigation was unsubstantiated as there was insufficient evidence to prove the allegation true or false.
Findings
The investigation found that medications previously ordered for resident R1 were not sent to the facility and were not administered. Despite attempts to obtain the medications and involvement of a Home Health Nurse, the issue was not resolved. The allegation was unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 30
Census: 17
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Leibert | Licensing Program Analyst | Conducted the complaint investigation |
| Rashmika Mahawar | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 18
Capacity: 30
Deficiencies: 1
Date: May 9, 2023
Visit Reason
The visit was conducted as a complaint investigation regarding the availability of resident records to staff.
Complaint Details
The deficiency was identified during a complaint investigation. The report does not state the substantiation status explicitly.
Findings
A deficiency was found where resident records were not readily available to staff because the records were secured in a locked office and staff could not locate the key. This posed a potential risk to resident health.
Deficiencies (1)
CCR 87506(a) Resident Records. Resident records were not readily available to staff as they were secured in a locked office and staff could not access them on or about 11/26/2022. This posed a potential risk to the health of the resident.
Report Facts
Deficiencies cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Leibert | Licensing Evaluator | Conducted the complaint investigation and signed the report |
| Carla Martinez | Supervisor | Supervisor overseeing the licensing evaluation |
| Theresa Ilagan | Facility Manager | Met with licensing evaluator during the visit |
Inspection Report
Complaint Investigation
Census: 18
Capacity: 30
Deficiencies: 0
Date: May 9, 2023
Visit Reason
Unannounced complaint investigation visit conducted in response to allegations that staff had no knowledge of the resident medical condition and/or medical history and that the facility was not meeting residents' care needs.
Complaint Details
Complaint was unsubstantiated due to lack of evidence. Attempts to contact the complainant were unsuccessful. Facility staff denied allegations and records supported awareness of resident condition and care.
Findings
The investigation found no preponderance of evidence to prove the allegations true or not true. Facility staff denied the allegations and records suggested staff were aware of the resident's condition and meeting care needs. The allegations were unsubstantiated and no citations were issued.
Report Facts
Capacity: 30
Census: 18
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Leibert | Licensing Evaluator | Conducted the complaint investigation |
| Theresa Ilagan | Facility Manager | Met with Licensing Evaluator during investigation |
| Rashmika Mahawar | Administrator | Named as facility administrator |
Inspection Report
Complaint Investigation
Census: 19
Capacity: 30
Deficiencies: 2
Date: Apr 14, 2023
Visit Reason
Unannounced investigation of a complaint received on 03/27/2023 regarding refusal to take a patient back after hospitalization and alleged illegal eviction from the facility.
Complaint Details
The complaint was substantiated. The facility staff refused to take the patient back after hospitalization and evicted the resident without proper legal procedures. The investigation was conducted unannounced on 04/14/2023.
Findings
The facility refused to accept resident R1 back after medical clearance and evicted the resident without filing an unlawful detainer or court order as required by regulation. The allegations were substantiated based on statements and documents reviewed during the investigation.
Deficiencies (2)
CCR 87464(f)(6) Basic Services. Facility refused to return R1 to the facility when medically cleared, posing an immediate risk to R1’s health and welfare.
CCR 87224(d)(1)(D) Eviction procedures. Facility failed to comply with eviction procedures by refusing R1’s return without filing an unlawful detainer action, risking R1’s personal rights.
Report Facts
Facility Capacity: 30
Resident Census: 19
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Leibert | Licensing Evaluator | Conducted the complaint investigation |
| Rashmika Mahawar | Administrator | Facility administrator named in the report |
Inspection Report
Annual Inspection
Census: 12
Capacity: 30
Deficiencies: 2
Date: Aug 19, 2022
Visit Reason
The inspection was an Annual Required 1 Year unannounced visit focused on infection control procedures and overall facility compliance.
Findings
The facility was generally compliant with infection control practices including vaccination verification and PPE supply. However, deficiencies were found related to fire safety and resident call signal systems, resulting in a civil penalty.
Deficiencies (2)
CCR 87203 Fire Safety: Two resident bedroom sliding doors were obstructed by furniture limiting safe exit, and one resident's sliding door was jammed, posing an immediate health and safety risk. A $500 civil penalty was applied.
CCR 87303(i)(1)(A) Resident Signal Systems: All 12 resident pull cords were nonfunctional and did not alert staff, posing a potential health and safety risk.
Report Facts
Civil penalty amount: 500
Resident bedrooms with nonfunctional pull cords: 12
Resident bedroom sliding doors obstructed: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Araceli Canela | Licensing Program Analyst | Conducted the inspection and cited deficiencies |
| Theresa Ilagan | Facility Manager | Met with Licensing Program Analyst during inspection |
| Rashmika Mahawar | Administrator | Facility Administrator not present during inspection |
Inspection Report
Annual Inspection
Capacity: 30
Deficiencies: 1
Date: Jul 29, 2021
Visit Reason
The inspection was a required unannounced 1 Year annual inspection focused on infection control procedures and practices at the facility.
Findings
The facility was found to have appropriate infection control measures such as temperature checks, visitor logs, PPE supplies, and isolation plans. However, the licensee failed to notify Community Care Licensing and local Department of Public Health of a staff member's positive COVID-19 test, posing an immediate health and safety risk.
Deficiencies (1)
CCR 87405(h)(3) Administrator - Qualifications and Duties. Licensee failed to notify Community Care Licensing and local Department of Public Health of a positive COVID-19 staff case, posing an immediate health and safety risk to residents.
Report Facts
Plan of Correction Due Date: Jul 30, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Erik Gonzalez Campos | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Teresa Lagan | Manager | Met with Licensing Program Analyst during inspection. |
| Rashmika Mahawar | Administrator | Facility administrator named in the report. |
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