Inspection Reports for
The Point at Rockridge Senior Living

CA, 94611

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Deficiencies (last 6 years)

Deficiencies (over 6 years) 3.2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

20% better than California average
California average: 4 deficiencies/year

Deficiencies per year

8 6 4 2 0
2021
2022
2023
2024
2025
2026

Occupancy

Latest occupancy rate 61% occupied

Based on a February 2026 inspection.

Occupancy rate over time

0% 40% 80% 120% 160% Jul 2021 Feb 2023 May 2023 Oct 2023 Oct 2024 Dec 2025 Feb 2026

Inspection Report

Complaint Investigation
Census: 114 Capacity: 186 Deficiencies: 0 Date: Feb 13, 2026

Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation that staff did not safeguard a resident’s personal belongings.

Complaint Details
The complaint alleged that staff did not safeguard a resident’s personal belongings. The investigation included interviews with the resident and six staff members, review of relevant records, and observation. The allegation was determined to be unsubstantiated due to insufficient evidence.
Findings
The investigation found that money was reported missing from a resident’s purse on two occasions, but due to the resident's mild cognitive impairment and lack of evidence, the allegation was unsubstantiated. No deficiencies were cited during the visit.

Report Facts
Facility capacity: 186 Census: 114 Number of staff interviewed: 6 Number of incidents reported: 2

Employees mentioned
NameTitleContext
Anna ReddyExecutive DirectorMet with Licensing Program Analyst during the investigation
David DoidgeLicensing Program AnalystConducted the complaint investigation
Bennett FongSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 114 Capacity: 186 Deficiencies: 0 Date: Feb 13, 2026

Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff did not safeguard a resident’s personal belongings.

Complaint Details
The allegation that staff did not safeguard resident’s personal belongings was unsubstantiated due to lack of preponderance of evidence. The resident has mild cognitive impairment and bipolar disorder. Theft and Loss Records were completed for two incidents involving missing money and a debit card.
Findings
The investigation found that money was reported missing from a resident’s purse on two occasions. The facility completed Theft and Loss Records and notified the responsible party and police for the lost credit card but not for the missing cash. The resident has mild cognitive impairment and bipolar diagnosis, and evidence was insufficient to substantiate the allegation. No deficiencies were cited.

Report Facts
Capacity: 186 Census: 114 Number of staff interviewed: 6 Number of incidents reported: 2

Employees mentioned
NameTitleContext
Anna ReddyExecutive DirectorMet with Licensing Program Analyst and involved in investigation
David DoidgeLicensing Program AnalystConducted the complaint investigation
Bennett FongSupervisorSupervisor overseeing the investigation

Inspection Report

Census: 110 Capacity: 186 Deficiencies: 0 Date: Feb 3, 2026

Visit Reason
The visit was an unannounced health and safety check conducted by the Licensing Program Analyst to assess the facility's compliance with health and safety standards.

Findings
The Licensing Program Analyst toured the facility and found sufficient supplies of perishable and nonperishable foods, multiple fire extinguishers last serviced on 07/10/2025, and no deficiencies were cited during the visit.

Employees mentioned
NameTitleContext
Anna ReddyExecutive DirectorMet with Licensing Program Analyst during the inspection visit
David DoidgeLicensing Program AnalystConducted the health and safety check inspection
Bennett FongLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 104 Capacity: 186 Deficiencies: 0 Date: Dec 19, 2025

Visit Reason
An unannounced complaint investigation was conducted in response to allegations regarding the facility elevator being in disrepair, lack of resident supervision by staff, and administration qualifications.

Complaint Details
The complaint investigation was triggered by allegations that the facility elevator was in disrepair, staff did not ensure residents were provided supervision, and concerns about administration qualifications. All allegations were found unsubstantiated based on observations, interviews, and documentation.
Findings
The investigation found all allegations to be unsubstantiated. Both elevators were observed to be in working condition, residents were appropriately supervised with one resident independently engaging in outdoor activities, and the administrator had not quit as alleged.

Report Facts
Complaint Control Number: 15-AS-20251216165342 Facility Capacity: 186 Census: 104 Elevator maintenance date: Nov 21, 2025 Elevator technician arrival time: 923 Elevator repair completion time: 1308

Employees mentioned
NameTitleContext
David DoidgeLicensing Program AnalystConducted the complaint investigation and delivered findings
Anna ReddyExecutive DirectorMet with Licensing Program Analyst during investigation and provided information

Inspection Report

Complaint Investigation
Census: 109 Capacity: 186 Deficiencies: 0 Date: Dec 9, 2025

Visit Reason
The inspection visit was conducted to investigate a complaint alleging that the licensee was not providing resident's records to their responsible party as required.

Complaint Details
The complaint alleged that the licensee was not providing resident's records to their responsible party as required. The allegation was unsubstantiated because the request was made by an attorney without proper standing, and the facility subsequently provided the documents.
Findings
The investigation found that the request for records came from the responsible party’s attorney who did not have standing to request the documents. The facility has since provided all requested documents. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

Report Facts
Facility capacity: 186 Census: 109

Employees mentioned
NameTitleContext
David DoidgeLicensing Program AnalystConducted the complaint investigation and delivered findings
Anna ReddyExecutive DirectorMet with Licensing Program Analyst during the investigation

Inspection Report

Complaint Investigation
Census: 104 Capacity: 186 Deficiencies: 0 Date: Nov 4, 2025

Visit Reason
The inspection visit was conducted as an unannounced complaint investigation following allegations regarding staff response times to call buttons, adequacy of food service, and elevator maintenance.

Complaint Details
The complaint included allegations that staff were not responding to residents' call buttons in a timely manner, staff were not providing adequate food service, and staff did not ensure the elevator was not in disrepair. The investigation concluded all allegations were unsubstantiated.
Findings
All allegations were found to be unsubstantiated after interviews with residents, staff, and review of facility records and service orders. The investigation found no preponderance of evidence to prove the alleged violations occurred.

Report Facts
Capacity: 186 Census: 104 Average call response time: 20 Elevator repair timeframe: 60

Employees mentioned
NameTitleContext
Anna ReddyExecutive DirectorMet with Licensing Program Analysts during the investigation and received findings
Lori Alexander-WashingtonLicensing Program AnalystConducted the complaint investigation
Bennett FongSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Annual Inspection
Census: 117 Capacity: 186 Deficiencies: 0 Date: Jul 16, 2025

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

Findings
The facility was toured and inspected, including resident apartments, common areas, and safety equipment. All reviewed resident and staff records were complete, and no deficiencies were cited during the visit.

Report Facts
Fire extinguisher service date: Jul 10, 2025 Emergency disaster drill date: Jul 2, 2025 Residents records reviewed: 5 Staff records reviewed: 5

Employees mentioned
NameTitleContext
David DoidgeLicensing Program AnalystConducted the inspection and met with Executive Director
Anna ReddyExecutive DirectorMet with Licensing Program Analyst during inspection

Inspection Report

Complaint Investigation
Census: 122 Capacity: 186 Deficiencies: 0 Date: Feb 13, 2025

Visit Reason
The inspection visit was an unannounced complaint investigation conducted in response to allegations that staff hurt a resident and that staff do not clean the facility properly.

Complaint Details
The complaint alleged that staff hurt a resident and that staff did not clean the facility properly. The investigation included interviews with 3 residents, 3 staff members, and one witness, review of housekeeping schedules and cleaning checklists, and facility tour. The complaint was found unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found both allegations to be unsubstantiated after interviews with residents, staff, and a witness, as well as review of facility documents and observation of the facility's cleanliness and lighting.

Report Facts
Capacity: 186 Census: 122

Employees mentioned
NameTitleContext
Kelly NguyenLicensing Program AnalystEvaluator who conducted the complaint investigation
Anna ReddyExecutive DirectorFacility representative met during the investigation
Jeff SumabatAdministratorFacility administrator named in the report
Bennett FongSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Complaint Investigation
Census: 122 Capacity: 186 Deficiencies: 0 Date: Feb 13, 2025

Visit Reason
Licensing Program Analyst K. Nguyen arrived unannounced to conduct a case management visit due to a complaint.

Complaint Details
Visit was complaint-related; no deficiencies were found and the complaint was not substantiated.
Findings
No deficiency issues were found during the visit. The facility was requested to conduct an in-service training for all care staff including ADL and resident personal rights, with signatures submitted by 02/21/2025.

Report Facts
Training submission deadline: Feb 21, 2025

Employees mentioned
NameTitleContext
Kelly NguyenLicensing Program AnalystConducted the complaint-related case management visit
Jeff SumabatAdministrator/DirectorFacility administrator named in the report header
Anna ReddyExecutive DirectorMet with during the inspection visit
Bennett FongSupervisorSupervisor named in the report

Inspection Report

Capacity: 186 Deficiencies: 0 Date: Jan 15, 2025

Visit Reason
The visit was an unannounced collateral visit to obtain an amended copy of the LIC 9099 and LIC 9099-C from a prior complaint, which required signature by a member of the management team.

Findings
The Licensing Program Analyst reviewed the amended LIC 9099 and LIC 9099-C documents with the Executive Director, who then signed them. An exit interview was conducted and a copy of the report was provided.

Employees mentioned
NameTitleContext
Becca BlackExecutive DirectorMet with during the visit and signed amended documents.
James SampairLicensing Program AnalystConducted the collateral visit and reviewed documents.

Inspection Report

Complaint Investigation
Census: 125 Capacity: 186 Deficiencies: 0 Date: Dec 26, 2024

Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff were sleeping during the evening shifts.

Complaint Details
The complaint alleging staff sleeping during evening shifts was investigated and found to be unsubstantiated.
Findings
The investigation found that staff take breaks in the dining area and may occasionally close their eyes to rest, but there was no evidence that staff were sleeping while on duty. The complaint was determined to be unsubstantiated due to lack of preponderance of evidence.

Report Facts
Capacity: 186 Census: 125

Employees mentioned
NameTitleContext
Gregory ClarkLicensing EvaluatorConducted the complaint investigation
Stephanie BriceAdministratorFacility administrator named in the report
Ebony FoyGenerations Program DirectorMet with LPAs during the investigation
Yvonne Flores-LariosSupervisorSupervisor overseeing the investigation

Inspection Report

Census: 125 Capacity: 186 Deficiencies: 0 Date: Nov 12, 2024

Visit Reason
The visit was an unannounced case management inspection conducted regarding an incident involving resident R1 injuring resident R2 on 2024-10-30, which was reported to the Department on 2024-11-02.

Complaint Details
The visit was complaint-related concerning an incident involving R1 injuring R2. No substantiation status is stated.
Findings
LPAs reviewed R1's Physician's report, Service Plan, and Progress notes. The facility informed that they are starting the process of evicting R1. An exit interview was conducted and a copy of the report was provided.

Employees mentioned
NameTitleContext
Ebony FoyGenerations Program DirectorMet with LPAs during the visit and provided information about the incident and eviction process.

Inspection Report

Complaint Investigation
Census: 125 Capacity: 186 Deficiencies: 0 Date: Nov 12, 2024

Visit Reason
The inspection visit was an unannounced complaint investigation conducted to examine allegations that staff did not promptly answer communications from a resident's representative and did not prevent a resident from inappropriately grabbing another resident.

Complaint Details
The complaint was unsubstantiated. The allegations included staff not promptly answering communications from a resident's representative and failure to prevent inappropriate physical contact between residents. The investigation involved interviews and record reviews, concluding no evidence supported the allegations.
Findings
The investigation found no supporting evidence for the allegations after reviewing interviews, email messages, facility records, and health records. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.

Report Facts
Facility capacity: 186 Census: 125

Employees mentioned
NameTitleContext
James SampairLicensing EvaluatorConducted the complaint investigation
Stephanie BriceAdministratorFacility administrator named in the report
Ebony FoyGenerations Program DirectorMet with LPAs during the investigation and interviewed
David DoidgeLicensing Program AnalystAssisted in conducting the complaint investigation
Harpreet HumpalSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 54 Capacity: 186 Deficiencies: 3 Date: Oct 31, 2024

Visit Reason
Unannounced complaint investigation visit conducted due to allegations including staff engaging in physically inappropriate interactions with residents, sexually inappropriate comments, and leaving a resident on the floor after a fall for a prolonged period.

Complaint Details
The complaint investigation was substantiated. Allegations included staff engaging in physically inappropriate interactions and sexually inappropriate comments towards a resident, and staff leaving a resident on the floor after a fall for a prolonged period (1 hour and 10 minutes). Other allegations such as medication storage, questionable death, and dietary needs were unsubstantiated.
Findings
The investigation substantiated allegations of staff engaging in physically inappropriate and sexually inappropriate behavior towards a resident, and staff leaving a resident on the floor after a fall for over an hour. Other allegations regarding medication storage, questionable death, and dietary needs were unsubstantiated.

Deficiencies (3)
Failure to keep resident free from humiliation, posing potential health and safety risk.
Failure to accord dignity in personal relationships with residents, posing potential health and safety risk.
Insufficient and incompetent facility personnel to provide necessary services, posing potential health and safety risk.
Report Facts
Census: 54 Total Capacity: 186 Response Time: 70 Number of Deficiencies: 3 Plan of Correction Due Date: Nov 1, 2024

Employees mentioned
NameTitleContext
Laura HallLicensing EvaluatorConducted complaint investigation
Ebony FoyGenerations Program DirectorMet with Licensing Program Analysts during investigation and agreed to plans of correction
Kathleen L KnoxAdministratorFacility administrator named in report
David DoidgeLicensing Program AnalystAssisted in complaint investigation

Inspection Report

Complaint Investigation
Census: 54 Capacity: 186 Deficiencies: 2 Date: Oct 31, 2024

Visit Reason
The visit was an unannounced case management inspection conducted on 10/31/2024, triggered by a complaint investigation (15-AS-20230224104657). The purpose was to review compliance related to fingerprinting of staff and administrator certification.

Complaint Details
The visit was conducted during a complaint investigation 15-AS-20230224104657. The complaint was substantiated by findings of noncompliance regarding fingerprinting and administrator certification.
Findings
Two deficiencies were cited: one for failure to fingerprint and associate staff member S2 with the facility, and another for the facility not having a qualified and certified administrator. Both deficiencies pose potential health and safety risks to persons in care.

Deficiencies (2)
Failure to fingerprint and associate staff member S2 with the facility as required by CCR 87355(d).
Facility did not have a qualified and certified administrator as required by CCR 87405(a).
Report Facts
Plan of Correction Due Date: Nov 1, 2024 Plan of Correction Due Date: Nov 11, 2024

Employees mentioned
NameTitleContext
Ebony FoyGenerations Program DirectorMet during inspection and agreed to corrective actions
Stephanie BriceAdministrator/DirectorFacility administrator noted as not qualified and certified

Inspection Report

Complaint Investigation
Census: 120 Capacity: 186 Deficiencies: 1 Date: Sep 13, 2024

Visit Reason
The inspection was an unannounced complaint investigation conducted in response to allegations that staff handled residents in a rough manner and caused multiple injuries, as well as concerns about inadequate supervision of residents.

Complaint Details
The complaint investigation was substantiated for the allegation that staff handled residents roughly. The allegations that staff caused multiple injuries and did not provide adequate supervision were unsubstantiated.
Findings
The investigation substantiated that staff handled residents roughly during Activities of Daily Living (ADL) care, posing a potential health and safety risk. Two staff members involved were terminated or resigned. Allegations regarding staff causing multiple injuries and inadequate supervision were unsubstantiated due to lack of evidence.

Deficiencies (1)
Personal Rights of Residents in All Facilities. To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature. Licensee did not comply with this section by staff performing ADL care in a rough manner posing a potential health and safety risk.
Report Facts
Capacity: 186 Census: 120 Deficiency Type: 1 Plan of Correction Due Date: Sep 23, 2024

Employees mentioned
NameTitleContext
Stephanie BriceExecutive DirectorMet with Licensing Program Analyst during investigation
Grace LukLicensing Program AnalystConducted the complaint investigation
Kathleen L KnoxAdministratorFacility administrator named in report

Inspection Report

Annual Inspection
Capacity: 186 Deficiencies: 0 Date: Aug 8, 2024

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

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

Report Facts
Residents records reviewed: 5 Staff records reviewed: 5 Fire extinguisher last serviced: Jul 11, 2024 Emergency Disaster Plan last posted: Jun 28, 2024 Emergency disaster drill last conducted: Jun 28, 2024 Hot water temperature: 116 Hallway temperature: 68

Employees mentioned
NameTitleContext
Stephanie BriceAdministratorMet with Licensing Program Analysts during inspection
Ardalan GharachorlooLicensing Program AnalystConducted the inspection
David DoidgeLicensing Program AnalystConducted the inspection

Inspection Report

Complaint Investigation
Census: 115 Capacity: 186 Deficiencies: 0 Date: Mar 6, 2024

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2024-02-28 regarding lack of night security, elevator malfunction, and untimely staff assistance to residents.

Complaint Details
The complaint was found to be unfounded, meaning the allegations were false, could not have happened, or lacked reasonable basis.
Findings
The investigation found all allegations to be unfounded. The facility has night staff and alarmed locked doors for security, at least one elevator was operational with maintenance performed recently, and call logs showed an average resident assistance response time of 23 minutes. No deficiencies were observed or cited.

Report Facts
Census: 115 Total Capacity: 186 Average Response Time: 23

Employees mentioned
NameTitleContext
Stephanie BriceExecutive DirectorMet with Licensing Program Analyst during complaint investigation
Jill Clancy-CzulegerLicensing EvaluatorConducted the complaint investigation visit
Harpreet HumpalSupervisorSupervisor overseeing the complaint investigation

Inspection Report

Census: 118 Capacity: 186 Deficiencies: 0 Date: Jan 30, 2024

Visit Reason
The visit was an unannounced case management visit conducted due to the facility receiving residents from Vista Terrace of Belmont (VTB).

Findings
During the visit, the Licensing Program Analyst toured the facility and observed no health or safety concerns. No deficiencies were cited during the visit.

Report Facts
Residents from Vista Terrace of Belmont remaining: 2

Employees mentioned
NameTitleContext
Stephanie BriceAdministratorMet with Licensing Program Analyst during the visit
Gregory ClarkLicensing Program AnalystConducted the unannounced case management visit

Inspection Report

Monitoring
Census: 127 Capacity: 186 Deficiencies: 0 Date: Dec 18, 2023

Visit Reason
The Licensing Program Analyst conducted an unannounced case management visit to verify if an individual is currently not employed at the facility.

Findings
The analyst verified that the individual is not present, employed, or residing at the facility and advised the licensee to disassociate the individual from their roster and submit an updated LIC 500.

Employees mentioned
NameTitleContext
Stephanie BriceExecutive DirectorMet with during the visit
Kelly NguyenLicensing Program AnalystConducted the case management visit
Bennett FongSupervisorSupervisor overseeing the visit

Inspection Report

Monitoring
Census: 127 Capacity: 186 Deficiencies: 0 Date: Nov 30, 2023

Visit Reason
The visit was an unannounced case management visit conducted because the facility received residents from Vista Terrace of Belmont (VTB).

Findings
The facility was toured including apartments housing VTB residents, all of which were adequately furnished and supplied. Food, staffing, and hygiene supplies were adequate, and no imminent health or safety concerns were observed. No deficiencies were cited during the visit.

Report Facts
Residents from Vista Terrace of Belmont: 7

Employees mentioned
NameTitleContext
Gregory ClarkLicensing Program AnalystConducted the unannounced case management visit
Stephanie BriceAdministratorMet with Licensing Program Analyst during the visit

Inspection Report

Annual Inspection
Census: 127 Capacity: 186 Deficiencies: 0 Date: Nov 30, 2023

Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate the facility's compliance with licensing requirements.

Findings
The Licensing Program Analyst toured the facility and reviewed resident and staff records, finding all records complete and no deficiencies cited during the visit.

Report Facts
Hot water temperature: 116.8 Hallway temperature: 70 Residents records reviewed: 5 Staff records reviewed: 5

Employees mentioned
NameTitleContext
Stephanie BriceExecutive DirectorMet with Licensing Program Analyst during inspection
Gregory ClarkLicensing Program AnalystConducted the inspection
Yvonne Flores-LariosSupervisorSupervisor of the Licensing Program Analyst

Inspection Report

Complaint Investigation
Census: 126 Capacity: 186 Deficiencies: 1 Date: Nov 30, 2023

Visit Reason
The inspection was an unannounced complaint investigation conducted in response to allegations of staff overcharging residents for services not received and financial abuse of residents.

Complaint Details
The complaint investigation was triggered by an allegation that staff were overcharging residents for services not received. The allegation was substantiated based on evidence including billing records and email correspondence. Another allegation of financial abuse by staff was investigated and found unsubstantiated.
Findings
The investigation substantiated the allegation that a resident was overcharged for tray services not provided, resulting in a personal rights violation. The Executive Director refunded the overcharges and implemented new billing procedures. The allegation of financial abuse by staff was unsubstantiated due to lack of evidence.

Deficiencies (1)
Licensee charged a resident for services not provided, violating personal rights of residents.
Report Facts
Capacity: 186 Census: 126 Deficiencies cited: 1

Employees mentioned
NameTitleContext
Stephanie BriceExecutive DirectorMet with Licensing Program Analyst during investigation and named in findings related to billing errors and corrective actions
Grace LukLicensing Program AnalystConducted the complaint investigation and delivered findings

Inspection Report

Census: 127 Capacity: 186 Deficiencies: 0 Date: Oct 26, 2023

Visit Reason
An unannounced case management visit was conducted due to the facility receiving residents from Vista Terrace of Belmont (VTB).

Findings
The visit included a tour of the facility and interviews with residents, confirming adequate supplies, food, staffing, and hygiene. No imminent health or safety concerns were observed and no deficiencies were cited.

Report Facts
Residents from Vista Terrace of Belmont: 7

Employees mentioned
NameTitleContext
David AyalaResident Services DirectorMet with Licensing Program Analyst during the visit
Gregory ClarkLicensing Program AnalystConducted the unannounced case management visit
Yvonne Flores-LariosSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Census: 133 Capacity: 186 Deficiencies: 0 Date: Sep 14, 2023

Visit Reason
The visit was an unannounced case management visit conducted due to the facility receiving residents from Vista Terrace of Belmont (VTB).

Findings
The Licensing Program Analyst toured the facility, observed adequate supplies and furnishings, spoke with residents who confirmed they had necessary supplies, and found no imminent health or safety concerns. No deficiencies were cited during the visit.

Report Facts
Residents from Vista Terrace of Belmont: 7 Resident death: 1

Employees mentioned
NameTitleContext
Gregory ClarkLicensing Program AnalystConducted the unannounced case management visit and evaluation
Stephanie BriceAdministratorMet with Licensing Program Analyst during the visit

Inspection Report

Census: 8 Capacity: 186 Deficiencies: 0 Date: Aug 17, 2023

Visit Reason
The visit was an unannounced case management visit conducted due to the facility receiving residents from Vista Terrace of Belmont (VTB).

Findings
The facility was toured including the apartments housing the transferred residents. All apartments were fully furnished and residents reported having adequate supplies. Food, staffing, and hygiene supplies were adequate, and no imminent health or safety concerns were observed. No deficiencies were cited during the visit.

Report Facts
Residents transferred from Vista Terrace of Belmont: 8 Apartments toured: 7

Employees mentioned
NameTitleContext
David AyalaResident Services DirectorMet with Licensing Program Analyst during the visit
Gregory ClarkLicensing Program AnalystConducted the unannounced case management visit

Inspection Report

Census: 134 Capacity: 186 Deficiencies: 0 Date: Jul 12, 2023

Visit Reason
The visit was an unannounced case management visit conducted due to receiving a death report with incorrect dates.

Findings
The Licensing Program Analyst found that the death report contained incorrect dates and advised the Resident Care Director to submit a corrected report, which was received during the visit. No deficiencies were cited during the visit.

Employees mentioned
NameTitleContext
Gregory ClarkLicensing Program AnalystConducted the case management visit and reviewed the death report.
Stephanie BriceAdministratorMet with the Licensing Program Analyst during the visit.

Inspection Report

Census: 134 Capacity: 186 Deficiencies: 0 Date: Jul 12, 2023

Visit Reason
An unannounced case management visit was conducted due to the facility receiving residents from Vista Terrace of Belmont (VTB).

Findings
The facility was toured including apartments housing VTB residents; all apartments were fully furnished and residents reported having adequate supplies. Food, staffing, and hygiene supplies were adequate, and no imminent health or safety concerns were observed. No deficiencies were cited during the visit.

Report Facts
Residents from Vista Terrace of Belmont: 8

Employees mentioned
NameTitleContext
Stephanie BriceAdministratorMet with Licensing Program Analyst during the visit
Gregory ClarkLicensing Program AnalystConducted the unannounced case management visit
Yvonne Flores-LariosSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Complaint Investigation
Census: 136 Capacity: 186 Deficiencies: 0 Date: Jul 7, 2023

Visit Reason
The inspection visit was conducted as a result of a priority 2 complaint to perform a health and safety check at the facility.

Complaint Details
The visit was triggered by a priority 2 complaint. No deficiencies were cited during the inspection.
Findings
The Licensing Program Analyst toured the facility and found no deficiencies. The facility was found to have adequate food supplies, proper medication storage, functioning smoke and carbon monoxide detectors, a complete first-aid kit, and a full fire extinguisher.

Report Facts
Hot water temperature: 116 Food supply duration: 7 Food supply duration: 2

Employees mentioned
NameTitleContext
Stephanie BriceExecutive DirectorMet with Licensing Program Analyst during inspection
Grace LukLicensing Program AnalystConducted the inspection visit
Harpreet HumpalSupervisorSupervisor overseeing the inspection

Inspection Report

Capacity: 186 Deficiencies: 0 Date: Jun 23, 2023

Visit Reason
The visit was an unannounced case management visit conducted in connection with a suicide incident that occurred at the facility.

Findings
The Licensing Program Analyst obtained multiple records for Resident 1 related to the incident and made a referral to the Investigations Branch. The Resident Care Director was advised on proper reporting procedures for incident and death reports.

Employees mentioned
NameTitleContext
David AyalaResident Care DirectorMet with Licensing Program Analyst during the case management visit and was advised on reporting procedures.

Inspection Report

Census: 138 Capacity: 186 Deficiencies: 0 Date: Jun 1, 2023

Visit Reason
An unannounced case management visit was conducted due to the facility receiving residents from Vista Terrace of Belmont (VTB).

Findings
The Licensing Program Analyst toured the facility and spoke with residents, confirming adequate supplies, food, staffing, and hygiene. No imminent health or safety concerns were observed, and no deficiencies were cited during the visit.

Employees mentioned
NameTitleContext
Gregory ClarkLicensing Program AnalystConducted the unannounced case management visit.
Stephanie BriceAdministratorMet with Licensing Program Analyst during the visit.

Inspection Report

Census: 138 Capacity: 186 Deficiencies: 0 Date: May 24, 2023

Visit Reason
An unannounced case management visit was conducted due to the facility receiving residents from Vista Terrace of Belmont (VTB).

Findings
The Licensing Program Analyst toured the facility, including the 10 apartments housing VTB residents, and found all apartments fully furnished with adequate hygiene supplies. Residents expressed feeling welcome, comfortable, and safe. Food, staffing, and hygiene supplies were observed to be adequate with no imminent health or safety concerns noted.

Employees mentioned
NameTitleContext
Stephanie BriceAdministratorMet with Licensing Program Analyst during the visit.
Kelly NguyenLicensing Program AnalystConducted the unannounced case management visit.

Inspection Report

Census: 139 Capacity: 186 Deficiencies: 0 Date: May 17, 2023

Visit Reason
An unannounced case management visit was conducted due to the facility receiving residents from Vista Terrace of Belmont (VTB).

Findings
The Licensing Program Analyst toured the facility, including 10 apartments housing residents from VTB, and found all apartments fully furnished with adequate hygiene supplies. Food, staffing, and hygiene supplies were observed to be adequate with no imminent health or safety concerns noted.

Employees mentioned
NameTitleContext
Gregory ClarkLicensing Program AnalystConducted the unannounced case management visit.
Stephanie BriceAdministratorMet with Licensing Program Analyst during the visit.

Inspection Report

Census: 136 Capacity: 186 Deficiencies: 0 Date: May 11, 2023

Visit Reason
An unannounced case management visit was conducted due to the facility receiving residents from Vista Terrace of Belmont (VTB).

Findings
The facility was toured including the apartments housing VTB residents, all of which were fully furnished and adequately supplied. Food, staffing, and hygiene supplies were observed to be adequate, and no imminent health or safety concerns were noted.

Report Facts
VTB residents received: 11 Current VTB resident census: 10

Employees mentioned
NameTitleContext
Gregory ClarkLicensing Program AnalystConducted the unannounced case management visit
Stephanie BriceAdministratorMet with Licensing Program Analyst during the visit

Inspection Report

Census: 138 Capacity: 186 Deficiencies: 0 Date: May 5, 2023

Visit Reason
An unannounced case management visit was conducted due to the facility receiving 12 residents from Vista Terrace of Belmont.

Findings
The facility was toured including apartments housing new residents. All apartments were fully furnished and residents appeared well groomed and in good spirits. Food, staffing, and hygiene supplies were adequate. No imminent health or safety concerns were observed.

Report Facts
Residents received from another facility: 12

Employees mentioned
NameTitleContext
Greg ClarkLicensing Program AnalystConducted the unannounced case management visit
Stephanie BriceAdministratorMet with Licensing Program Analyst during the visit

Inspection Report

Census: 137 Capacity: 186 Deficiencies: 0 Date: Apr 29, 2023

Visit Reason
An unannounced case management visit was conducted due to the facility receiving 11 residents from Vista Terrace of Belmont (VTB).

Findings
The Licensing Program Analyst toured the facility and observed that all apartments for the new residents were fully furnished and hygiene supplies were adequate. Food, staffing, and hygiene supplies were all adequate, and no imminent health or safety concerns were noted.

Report Facts
Residents transferred from Vista Terrace of Belmont: 11

Employees mentioned
NameTitleContext
Gregory ClarkLicensing Program AnalystConducted the unannounced case management visit
Stephanie BriceAdministratorMet with Licensing Program Analyst during the visit

Inspection Report

Census: 126 Capacity: 186 Deficiencies: 0 Date: Apr 28, 2023

Visit Reason
An unannounced case management visit was conducted due to the facility receiving 11 residents from Vista Terrace of Belmont (VTB).

Findings
The Licensing Program Analyst found no imminent health or safety concerns during the visit. The facility administrator and one resident from VTB reported that the resident felt safe and that her needs were being met. The analyst planned to return the next day to confirm arrival of beds, belongings, and staffing coverage.

Report Facts
Residents transferred: 11

Employees mentioned
NameTitleContext
Greg ClarkLicensing Program AnalystConducted the unannounced case management visit
Stephanie BriceAdministratorMet with Licensing Program Analyst during the visit

Inspection Report

Complaint Investigation
Census: 123 Capacity: 186 Deficiencies: 4 Date: Feb 6, 2023

Visit Reason
The inspection was conducted as a case management visit during the course of a complaint investigation to assess deficiencies related to resident care and regulatory compliance.

Complaint Details
The visit was complaint-related, investigating allegations of failure to update service plans and report incidents. The complaint was substantiated with observed deficiencies and a civil penalty was assessed.
Findings
The Department observed multiple deficiencies including failure to update residents' needs and service plans, lack of annual needs and physician reports for residents with dementia, and failure to report incidents of resident falls resulting in hospitalization. A civil penalty of $250 was assessed for a repeating violation.

Deficiencies (4)
Staff did not update needs & service plan (LIC625) when resident's health condition changed.
Staff did not have annual needs & service plan (LIC625) for residents.
Staff did not have annual physician’s report for residents diagnosed with dementia.
Staff did not report incidents to licensing when resident sustained falls and was admitted to hospital on 11/7/22 and 11/8/22.
Report Facts
Civil penalty: 250 Capacity: 186 Census: 123

Employees mentioned
NameTitleContext
Kathleen L KnoxAdministratorNamed in relation to agreement to review regulations and submit plan of corrections.
Catherine LinLicensing Program AnalystConducted the inspection and documented findings.
Laura BensonInterim Executive DirectorMet with Licensing Program Analyst during inspection.

Inspection Report

Complaint Investigation
Census: 123 Capacity: 186 Deficiencies: 1 Date: Feb 6, 2023

Visit Reason
The inspection was an unannounced complaint investigation conducted in response to allegations including unsanitary conditions, resident falls, residents left in soiled bedding, and unmet hygiene needs.

Complaint Details
The complaint investigation was substantiated for the allegation of unsanitary conditions due to lack of janitorial staff. Allegations of resident falls, being left in soiled bedding, and unmet hygiene needs were unsubstantiated.
Findings
The investigation substantiated the allegation that the facility was unsanitary due to no janitor being on duty in the memory care unit for almost two months. Other allegations regarding resident falls, soiled bedding, and hygiene needs were found to be unsubstantiated based on records review, interviews, and observations.

Deficiencies (1)
Facility was not clean, safe, sanitary, and in good repair as no janitor was on duty for almost 2 months, posing potential health, safety, or personal rights risk.
Report Facts
Capacity: 186 Census: 123 Deficiency count: 1 Plan of Correction Due Date: Feb 20, 2023

Employees mentioned
NameTitleContext
Kathleen L KnoxAdministratorNamed in relation to the admission that no janitor was on duty
Catherine LinLicensing Program AnalystConducted the complaint investigation
Laura BensonInterim Executive DirectorMet with the evaluator during the inspection and discussed findings

Inspection Report

Complaint Investigation
Census: 129 Capacity: 186 Deficiencies: 2 Date: Jan 10, 2023

Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations of financial abuse and failure to refund after a resident deceased.

Complaint Details
The complaint investigation was substantiated. The facility was found to have accrued rent after the resident's death and failed to refund partial rent timely. Refund checks totaling $11,957 were issued on the date of the investigation.
Findings
The investigation substantiated that the facility continued to accrue monthly rent after the resident passed away on 10/30/2022 and the room was vacated on 11/19/2022. Refunds for the partial month of rent were not made timely, posing potential health, safety, or personal rights risks.

Deficiencies (2)
Failure to terminate admission agreement fees upon death of resident as monthly rent accrued after resident's death.
Failure to refund fees within 15 days after personal property removal following resident's death.
Report Facts
Census: 129 Total Capacity: 186 Refund Amount: 2302 Refund Amount: 9655 Deficiency Count: 2

Employees mentioned
NameTitleContext
Catherine LinLicensing Program AnalystConducted the complaint investigation and delivered findings
Roselynn MuzzyRegional Vice PresidentMet with Licensing Program Analyst during investigation and discussed deficiencies and plan of correction

Inspection Report

Census: 125 Capacity: 186 Deficiencies: 1 Date: Nov 29, 2022

Visit Reason
The visit was a case management visit conducted to address deficiencies observed during an investigation by the Department.

Findings
Two bottles of chemical supplies were found in memory care residents' rooms, which violated regulations requiring toxic substances to be stored inaccessible to residents with dementia. The administrator removed the bottles and instructed staff to lock them up during the visit.

Deficiencies (1)
Two bottles of disinfectant and cleaner were found in memory care residents' rooms 201 and 205, posing an immediate health, safety, or personal rights risk.
Report Facts
Deficiencies cited: 1

Employees mentioned
NameTitleContext
Kathleen KnoxAdministratorMet with Licensing Program Analyst during case management visit and involved in deficiency correction

Inspection Report

Complaint Investigation
Census: 132 Capacity: 186 Deficiencies: 1 Date: Sep 23, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to an allegation that facility staff refused to accept a resident back after a hospital stay.

Complaint Details
The complaint was substantiated. The facility failed to accept a resident back after a hospital stay due to the Administrator not responding to hospital calls and emails dated 9/16/2022. The resident was tentatively scheduled to return on 9/24/2022.
Findings
The allegation was substantiated based on observations, record review, and interviews. The Administrator admitted to not responding to hospital communications regarding the resident's return, which posed a potential health and safety concern.

Deficiencies (1)
Administrator did not comply with the requirement to have the personal characteristics, physical energy and competence to provide care and supervision, evidenced by failure to respond to hospital for resident's return.
Report Facts
Capacity: 186 Census: 132 Deficiencies cited: 1 Plan of Correction Due Date: Sep 30, 2022

Employees mentioned
NameTitleContext
Kathleen L KnoxAdministratorNamed in deficiency related to failure to respond to hospital for resident return
Catherine LinLicensing Program AnalystConducted the complaint investigation
Bennett FongSupervisorSupervisor overseeing the investigation

Inspection Report

Census: 132 Capacity: 186 Deficiencies: 1 Date: Sep 23, 2022

Visit Reason
The visit was a case management visit conducted by Licensing Program Analyst C. Lin to investigate a resident's fall that resulted in hospital admission and to review compliance with reporting requirements.

Findings
The licensee failed to report a resident's fall resulting in hospital admission on 9/8/2022 to the Community Care Licensing Division (CCLD), and no record of the required LIC624 form was found. This deficiency was cited under California Code of Regulation, Title 22.

Deficiencies (1)
Failure to report resident's fall resulting in hospital admission to CCLD as required by CCR 87211(a)(1)(D).
Report Facts
Deficiency Type: 1 Plan of Correction Due Date: Sep 30, 2022

Employees mentioned
NameTitleContext
Kathleen L KnoxAdministratorMet with Licensing Program Analyst during the case management visit and involved in exit interview.
Catherine LinLicensing Program AnalystConducted the case management visit and investigation.
Bennett FongSupervisorSupervisor overseeing the licensing evaluation.

Inspection Report

Complaint Investigation
Census: 131 Capacity: 186 Deficiencies: 0 Date: Jul 14, 2022

Visit Reason
An unannounced complaint investigation was conducted regarding allegations including staff yelling at residents, humiliating residents, force feeding residents, not following dietary needs, aggressive behavior, and resident injuries.

Complaint Details
The complaint investigation was unsubstantiated as there was no preponderance of evidence to prove the alleged violations occurred. No deficiencies were cited.
Findings
The investigation found that staff denied the allegations of yelling, humiliating, force feeding, not following dietary needs, and aggressive behavior. A resident had a witnessed fall with skin tears but received appropriate wound care and medical attention. The allegations were unsubstantiated and no deficiencies were cited.

Report Facts
Capacity: 186 Census: 131

Employees mentioned
NameTitleContext
Catherine LinLicensing Program AnalystConducted the complaint investigation
Paul WillamsBuilding Services DirectorMet with during the investigation
Bennett FongSupervisorSupervisor overseeing the investigation

Inspection Report

Annual Inspection
Census: 131 Capacity: 186 Deficiencies: 1 Date: Jul 14, 2022

Visit Reason
The visit was an unannounced Infection Control Inspection conducted as part of the required 1-year evaluation to assess compliance with infection control and medication administration regulations.

Findings
The inspection found that a caregiver passed medication to residents without the required training, with no training records on file for that caregiver. The deficiency was cited under California Code of Regulations and requires correction by the Plan of Correction due date.

Deficiencies (1)
Caregiver passed medication to residents without required training; no training records on personnel file.
Report Facts
Plan of Correction Due Date: Jul 21, 2022

Employees mentioned
NameTitleContext
Paul WilliamsBuilding Services DirectorMet with Licensing Program Analyst during inspection
Deborah SavoieAdministratorParticipated in exit interview and agreed to Plan of Correction
Catherine LinLicensing Program AnalystConducted the Infection Control Inspection
Bennett FongSupervisorSupervisor overseeing the inspection

Inspection Report

Annual Inspection
Census: 139 Capacity: 186 Deficiencies: 0 Date: Aug 25, 2021

Visit Reason
The inspection was an unannounced annual required/infection control inspection conducted by Licensing Program Analysts.

Findings
The facility was toured including all floors and memory care units. Observations included proper infection control measures such as availability of PPE, hand sanitizers, and COVID-19 postings. Medication storage and visitor screening procedures were also verified. The facility was found to have sufficient PPE and food supplies.

Employees mentioned
NameTitleContext
Deborah SavoieAdministratorMet with Licensing Program Analysts during the inspection.

Inspection Report

Complaint Investigation
Census: 140 Capacity: 186 Deficiencies: 0 Date: Jul 20, 2021

Visit Reason
An unannounced complaint investigation was conducted following allegations that staff hit a resident and engaged in an argument with a resident.

Complaint Details
The complaint was investigated based on allegations of staff hitting a resident and staff engaging in an argument with a resident. Interviews and document reviews indicated the involved party was an employee of an outside agency. The complaint was found to be unfounded.
Findings
The investigation found the complaint to be unfounded, meaning the allegations were false, could not have happened, or were without reasonable basis. The complaint was dismissed.

Report Facts
Complaint Control Number: 15

Employees mentioned
NameTitleContext
Deborah SavoieExecutive DirectorMet with Licensing Program Analysts during the investigation
Laura HallLicensing EvaluatorConducted the complaint investigation
Harpreet HumpalSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 140 Capacity: 186 Deficiencies: 1 Date: Jul 20, 2021

Visit Reason
The visit was an unannounced case management inspection conducted during complaint investigation #15-AS-20210715162512 to assess the facility's compliance with reporting incidents to the Community Care Licensing Division (CCLD).

Complaint Details
Complaint investigation #15-AS-20210715162512 was substantiated by the observation that the facility did not report an incident to CCLD as required.
Findings
The facility failed to report an incident to CCLD, reporting it instead to the Ombudsman. This deficiency was cited under California Code of Regulation, Title 22, and poses a potential health and safety risk to persons in care.

Deficiencies (1)
Failure to submit a written incident report (LIC624) to CCLD within seven days of the occurrence as required by CCR 87211(a)(1).
Report Facts
Deficiencies cited: 1 Plan of Correction Due Date: 7

Employees mentioned
NameTitleContext
Deborah SavoieExecutive DirectorMet with Licensing Program Analysts during the visit and agreed to submit LIC624 by POC date
Laura HallLicensing EvaluatorConducted the inspection and signed the report
Harpreet HumpalSupervisorSupervisor overseeing the inspection

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