Inspection Reports for
Willow Creek Alzheimer’s & Dementia Care Community

22424 Charlene Way, Castro Valley, CA 94546, United States, CA, 94546

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 0.2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

95% better than California average
California average: 4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2021
2022
2023
2024
2025

Occupancy

Latest occupancy rate 76% occupied

Based on a August 2025 inspection.

This facility has shown a decline in demand based on occupancy rates.

Occupancy rate over time

40% 60% 80% 100% 120% 140% Sep 2021 Oct 2022 Sep 2023 Aug 2024 Aug 2025

Inspection Report

Annual Inspection
Census: 37 Capacity: 49 Deficiencies: 0 Date: Aug 27, 2025

Visit Reason
The visit was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements at the Willow Creek Alzheimer's & Dementia Care Center.

Findings
The inspection found no deficiencies. The facility was toured, records reviewed, and safety equipment checked, all of which were in compliance with regulations.

Report Facts
Residents records reviewed: 6 Staff records reviewed: 6 Resident medications reviewed: 6 Fire extinguisher last serviced: May 5, 2025 Emergency disaster plan last posted: Jan 1, 2025 Emergency disaster drill last conducted: Jul 7, 2025 Hallway temperature: 71 Hot water temperature: 106

Employees mentioned
NameTitleContext
Elizabeth CarsonAdministratorMet with Licensing Program Analyst during inspection
Ardalan GharachorlooLicensing Program AnalystConducted the inspection visit
Yvonne Flores-LariosLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Complaint Investigation
Census: 30 Capacity: 49 Deficiencies: 0 Date: May 16, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations that a resident sustained an unexplained injury while in care and that facility staff did not seek medical attention for residents in care.

Complaint Details
The complaint was unsubstantiated. Although the allegations may have happened or are valid, there was not enough evidence to prove the alleged violations occurred. The resident was assessed, no additional injuries or signs of distress were found, and the care plan was adjusted accordingly.
Findings
The investigation found that the resident had a small bruise likely caused by accidental contact or the resident's own fingernails, and that the resident received proper medical evaluation. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.

Report Facts
Facility capacity: 49 Resident census: 30

Employees mentioned
NameTitleContext
Elizabeth CarsonVP of OperationsMet with Licensing Program Analysts during the investigation
Ardalan GharachorlooLicensing EvaluatorConducted the complaint investigation
Greg ClarkLicensing Program AnalystAssisted in conducting the complaint investigation
Yvonne Flores-LariosSupervisorSupervisor overseeing the investigation

Inspection Report

Annual Inspection
Census: 39 Capacity: 49 Deficiencies: 0 Date: Aug 1, 2024

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

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

Report Facts
Staff records reviewed: 5 Resident records reviewed: 6 Resident medications reviewed: 6 Fire extinguisher last serviced: Mar 20, 2024 Emergency disaster plan last posted: Jan 12, 2024 Emergency disaster drill last conducted: Jun 13, 2024 Hot water temperature: 111.5 Hallway temperature: 70

Employees mentioned
NameTitleContext
Elizabeth CarsonAdministratorMet with Licensing Program Analyst during inspection
Ardalan GharachorlooLicensing Program AnalystConducted the inspection
Yvonne Flores-LariosSupervisorSupervisor overseeing the inspection

Inspection Report

Census: 34 Capacity: 49 Deficiencies: 0 Date: Feb 15, 2024

Visit Reason
An unannounced case management visit was conducted to clarify and gather information regarding an incident report received on 2024-02-06 involving a resident's hospitalization.

Findings
The Licensing Program Analyst reviewed the resident's medical records and interviewed staff regarding the incident. The resident was hospitalized due to a health decline but returned with medication and diet changes. No deficiencies were issued during the visit.

Employees mentioned
NameTitleContext
Elizabeth CarsonAdministratorMet with Licensing Program Analyst during the visit and involved in incident discussion.
Kelly NguyenLicensing Program AnalystConducted the unannounced case management visit.

Inspection Report

Annual Inspection
Census: 34 Capacity: 49 Deficiencies: 0 Date: Sep 29, 2023

Visit Reason
An unannounced required 1-year inspection was conducted to evaluate compliance with licensing regulations at the facility.

Findings
The inspection found no deficiencies. Facility conditions, medication storage, safety equipment, and staff records were all in compliance with regulations.

Report Facts
Staff records reviewed: 5 Resident records reviewed: 5 Resident medications reviewed: 5 Hot water temperature hallway bathroom: 111.4 Hot water temperature resident room #7: 107.7 Freezer temperature: 0 Refrigerator temperature: 40

Employees mentioned
NameTitleContext
Kelly NguyenLicensing Program AnalystConducted the inspection and documented findings
Rohini ChandResident CoordinatorMet with the Licensing Program Analyst during the inspection

Inspection Report

Routine
Census: 29 Capacity: 49 Deficiencies: 0 Date: Nov 9, 2022

Visit Reason
The visit was an unannounced Infection Control Inspection conducted as part of the required 1-year routine inspection.

Findings
The facility was found to have adequate infection control measures including proper PPE use, sufficient food supply, posted visitor policies, and routine screening records. No deficiencies were cited during the visit.

Report Facts
Staff records reviewed: 5 Staff records with TB test on file: 5 Food supply duration: 2 Food supply duration: 7 PPE supply duration: 30

Employees mentioned
NameTitleContext
Teresa TruongAdministratorMet with Licensing Program Analyst during inspection
Kelly NguyenLicensing Program AnalystConducted the Infection Control Inspection
Bennett FongSupervisorSupervisor overseeing the inspection

Inspection Report

Complaint Investigation
Census: 28 Capacity: 49 Deficiencies: 0 Date: Oct 12, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit conducted due to an allegation that the facility failed to properly dispense a medication resulting in a questionable death.

Complaint Details
The complaint was received on 2021-01-26 alleging improper medication dispensing resulting in a questionable death. The allegation was unsubstantiated based on the evidence gathered.
Findings
The investigation included interviews with staff, hospice nurses, clients, and a doctor, as well as review of medical records. The allegation was found to be unsubstantiated as the resident's health was declining prior to the medication error and the death certificate listed Alzheimer's disease as the cause of death.

Report Facts
Capacity: 49 Census: 28

Employees mentioned
NameTitleContext
Jill Clancy-CzulegerLicensing Program AnalystConducted the complaint investigation and delivered findings
Teresa TruongAdministratorMet with the Licensing Program Analyst during the investigation

Inspection Report

Complaint Investigation
Census: 29 Capacity: 49 Deficiencies: 1 Date: Oct 12, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility failed to allow indoor compassion care visits.

Complaint Details
The complaint was received on 01/26/2021 alleging failure to allow indoor compassion care visits. The allegation was substantiated based on interviews and record reviews. The facility did not allow visitation despite guidelines issued in October 2020 for end of life visitation.
Findings
The allegation was substantiated as the facility refused to allow indoor compassion care visits despite being aware of state guidelines allowing end of life visitation. The Administrator confirmed no visitation had been allowed since March 2020, which posed a potential risk to resident health and safety.

Deficiencies (1)
Facility failed to allow visitors to visit privately during reasonable hours and without prior notice, violating Personal Rights of Residents in All Facilities.
Report Facts
Capacity: 49 Census: 29 Plan of Correction Due Date: Nov 2, 2022

Employees mentioned
NameTitleContext
Jill Clancy-CzulegerLicensing Program AnalystConducted the complaint investigation and authored the report
Teresa TruongAdministratorFacility Administrator who confirmed visitation policies and was interviewed during the investigation

Inspection Report

Complaint Investigation
Census: 33 Capacity: 49 Deficiencies: 0 Date: Jul 1, 2022

Visit Reason
The inspection visit was an unannounced complaint investigation triggered by an allegation that facility staff lacked proper understanding of medication procedures.

Complaint Details
The complaint alleged that facility staff lacked proper understanding of medication procedures. The allegation was unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found that all reviewed staff training records were current and staff demonstrated proper medication procedures. There was insufficient evidence to substantiate the allegation, resulting in an unsubstantiated finding.

Report Facts
Staff training records reviewed: 6 Staff interviewed: 3

Employees mentioned
NameTitleContext
Kelly NguyenLicensing EvaluatorConducted the complaint investigation
Elizabeth M CarsonAdministratorFacility administrator contacted by phone during investigation
Rohini ChandResident CoordinatorMet with Licensing Program Analysts during investigation

Inspection Report

Routine
Census: 37 Capacity: 49 Deficiencies: 0 Date: Sep 14, 2021

Visit Reason
The inspection was an unannounced infection control inspection conducted as a required one-year visit to assess compliance with COVID-19 mitigation and infection control protocols.

Findings
The facility was found to have adequate COVID-19 signage, hand washing stations, PPE, and supplies. Screening questions were maintained for all staff, residents, and visitors, and commonly touched surfaces were disinfected 2-3 times daily. No deficiencies were cited during the visit.

Report Facts
Capacity: 49 Census: 37

Employees mentioned
NameTitleContext
Elizabeth M CarsonAdministratorFacility administrator named in report header
Teresa TruongAdministratorMet with Licensing Program Analyst during inspection
Allison O'HollarenLicensing Program AnalystConducted the infection control inspection

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