Inspection Reports for
San Leandro Senior Living

The complaint was substantiated based on the preponderance of evidence standard. The allegation involved improper care of a resident's pressure injury. Other allegations about wheelchair use, bed cleanliness, and room sanitation were unsubstantiated.

The allegation that staff did not properly care for the resident's pressure injury was substantiated, citing a violation of California Code of Regulations, Title 22. Other allegations regarding extended wheelchair use, unclean bed, and unclean room were unsubstantiated due to lack of preponderance of evidence.

The visit was complaint-related and involved a substantiated deficiency regarding the outdated Physician Report for resident R1.

The Licensing Program Analysts observed that the Physician Report for resident R1 had not been updated, constituting a deficiency for failure to maintain current medical assessments, which poses a potential health and safety risk.

The complaint alleged that staff did not provide sufficient notice to the resident's authorized person of change in use. The allegation was substantiated based on interviews and record reviews.

The investigation found that the facility provided a 60-day notice letter dated July 17, 2024, to residents and families about relocating 3rd floor residents and de-licensing the 3rd floor. However, the letter did not comply with California Community Care Licensing regulations and lacked many required components for a notice of eviction. The allegation was substantiated.

The facility was found to have changed its plan of operation without obtaining approval from Community Care Licensing, specifically advertising independent renters aged 55 and older on its website, which poses a potential health, safety, or personal rights risk to assisted living residents.

The complaint was substantiated based on the preponderance of evidence standard. The allegation involved staff not ensuring a resident took medication as prescribed, with medications found hidden under the resident's bed.

The investigation found that medications were discovered under a resident's bed, indicating the resident was likely 'cheek-ing' medications and not taking them as prescribed. The allegation was substantiated based on interviews and observations.

The resident was not harmed, staff training was conducted, and the resident was reassessed by a doctor. A technical violation advisory was issued during the visit. The facility plans to ensure the resident's safety pending updated medical information.

The visit was conducted while investigating complaint #15-AS-20240523150242.

A deficiency was observed where a staff member (S1) was fingerprint cleared but not associated with the facility in the Guardian system. The facility corrected this during the visit by associating S1 to the facility.

Complaint was substantiated. The allegation that the licensee charged residents for laundry services was confirmed by records and interviews. The licensee failed to comply with the requirement to provide laundry services without additional cost.

The investigation substantiated the allegation that residents were being charged for personal laundry services starting March 2024, which is not in compliance with regulations. Records and interviews confirmed the charges and notification to residents.

The visit was complaint-related under Control # 15-AS-20240311152642. The deficiency was substantiated as the unlocked laundry room was observed. Failure to submit proof of correction by the plan of correction due date may result in a civil penalty.

The Licensing Program Analyst observed that the laundry room where laundry supplies are kept was unlocked, posing an immediate health and safety risk to persons in care. A deficiency was cited for failure to secure hazardous items as required by Title 22 California Code of Regulations.

The facility was inspected thoroughly including resident apartments, common areas, and records. One deficiency was found where a staff member was not fingerprint cleared, posing an immediate risk. A civil penalty of $500 was assessed.

The Administrator failed to submit the required death report within seven days as mandated by California Code of Regulation, Title 22, posing a potential personal rights risk to the resident. Additional documentation related to the resident's death was obtained during the visit.

The complaint was substantiated regarding medication security. The allegation that staff did not secure resident's medications was substantiated. Other allegations related to medication administration, documentation, and staff training were unsubstantiated.

The allegation that staff did not secure residents' medications was substantiated due to unsecured medication delivery posing immediate health and safety risks. Allegations that staff did not administer medications as prescribed, did not properly document medications, and were not properly trained were found to be unsubstantiated based on record reviews and staff interviews.

The complaint was substantiated based on observations and interviews. The allegation was that the facility was in disrepair due to water damage in a resident's apartment.

The Licensing Program Analyst observed water damage in the walls and ceiling of one resident's apartment, confirmed by resident interviews, and found the allegations substantiated. The facility did not comply with maintenance and operation requirements, posing a potential safety risk.

The complaint was substantiated based on observations and interviews. The allegation was that the facility was in disrepair, specifically water damage and heating issues.

The investigation found water damage to the ceiling and walls in one resident's apartment due to leaking during a storm, substantiating the complaint. Additional findings included frozen condensers on the roof causing heating issues, which were addressed by maintenance and contractors. Facility temperatures were comfortable during the visit.

Investigation of complaint (15-AS-20220428123317) regarding failure to report a positive COVID-19 case and maintenance issues.

The facility failed to report a positive COVID-19 case to Community Care Licensing and Local Public Health. Additionally, maintenance deficiencies were found including a broken shower head fixture holder and a clogged P-trap in resident apartments.

The complaint investigation was substantiated based on interviews, inspections, and record reviews. Allegations included water leaks, missing grab bars, and uncomfortable temperatures. The facility was found non-compliant with Title 22 California Code of Regulations sections 87303(a), 87303(e)(4), and 87303(b).

The investigation substantiated the allegations, finding water leaks in multiple apartments and hallways, a missing grab bar in a resident's shower, and uncomfortable temperatures in the dining area and residents' apartments due to non-functioning heaters.

The complaint investigation was substantiated for allegations that a resident sustained a fracture while in care and that the facility failed to provide proper eviction notification. The allegation regarding failure to notify about rate increases was unsubstantiated.

The investigation substantiated that a resident sustained a fractured spine after multiple falls and that the facility failed to reassess the resident's care needs. It was also substantiated that the facility did not provide proper eviction notification to the resident's representative. One allegation regarding failure to notify about rate increases was unsubstantiated.

The visit was complaint-related, investigating multiple falls of resident R1 and lack of reassessment documentation. The deficiency was substantiated and cited.

The investigation found that a resident diagnosed with Dementia had multiple falls between 09/2019 and 02/2020, but the facility did not conduct reassessment or update the resident’s Appraisal Needs and Services Plan. Staff were unaware of the resident’s Dementia diagnosis. A deficiency was cited for failure to meet reappraisal requirements.

The visit was triggered by a complaint incident report of a resident with dementia who left the facility through a fire exit door and was found by police walking on the street. The complaint was substantiated by the findings.

The facility was found to have deficiencies related to the care of a resident diagnosed with dementia, which is not appropriate for the facility's design. This posed an immediate health and safety risk to persons in care.