Inspection visit

complaintApril 18, 2022

SAN LEANDRO SENIOR LIVINGLicense 0156013942 citations on this visit

2 citations recorded

Inspector’s narrative

What the inspector wrote

Residents are equipped with a call button that they wear on their necks, which when pressed the staff are alerted. R1 would not use the call button. Staff were aware that R1 would not use call button, rather would transfer alone. According to staff interviews, they were not sure if R1 was able to comprehend the purpose of the call button. R1 was diagnosed with Dementia on 02/07/2017. However, staff interviewed state they were unaware of R1’s Dementia diagnosis. The above allegation is substantiated. A $500 immediate civil penalty is assessed on this day for violation which resulted to the injury of R1. Civil penalty determination related to serious bodily injury is pending. Allegation: Facility did not provide resident’s representative with proper notification of eviction On 3/2/2022, LPA Luisa Fontanilla interviewed Lisa Lostica, Business Office Manager (BOM). BOM states there was no eviction letter issued to R1. R1’s change in condition prohibits facility from taking R1 back. Based on records reviewed, facility did not take R1 back due to R1 needing two persons to assist, R1 not participating in caregiver ADL assistance and that R1 was diagnosed with Dementia. And that the facility is not a dementia facility. However, facility failed to provide LPA reassessment record. On 3/15/22, LPA L. Fontanilla reviewed R1’s Admission Agreement signed by R1’s responsible person on 3/9/2013. LPA observed Xlll Basic Services Section S states “Dementia Services. The Community features a specialized Memory Care Program that is designed for those Residents with Alzheimer’s disease or related Dementias………” This allegation is substantiated. Based on interviews conducted and records reviewed, the preponderance of evidence standard has been met, therefore the above allegations are found to be substantiated. Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC 9099 D. Exit interview conducted with Senior Business Office Manager. LIC9099D, Appeal Rights and a copy of this report provided.

Citations

3 citations recorded^*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

87463(a)Type B
87463(a) ReappraisalsThe pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental, and social condition.This requirement is not met as evidenced by: Based on records obtained by the Department, R1 has fallen multiple times between 09/2019 and 02/2020. There is no documentation to show that the facility conducted a reassessment of the resident and updated the resident’s Needs and Services Plan for changes in condition following these falls which poses a potential risk to the health and safety of clients under care.
87224(a)(4)Type B
87224 (a) (4) Eviction Procedures(a) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required except as otherwise specified in paragraph (5)(4) If, after admission, it is determined that the resident has a need not previously identified and a reappraisal has been conducted pursuant to Section 87463, and the licensee and the person who performs the reappraisal believe that the facility is not appropriate for the resident. This requirement is not met as evidenced by: Based on interview and records review, facility failed to issue R1 a 30-day notice of eviction. Facility refused to take back R1 when R1 was ready for discharge back to the facility from the skilled nursing facility (SNF).
Read full inspector narrative
87705(c)(5)(a)Type A
87705(c) (5) (A) Care of Persons with Dementia(A) When any medical assessment, appraisal, or observation indicates that the resident’s dementia care needs have changed, corresponding changes shall be made in the care and supervision provided to that resident. This requirement is not met as evidenced by: Based on investigation conducted by the Department, R1 had fallen multiple times between 9/2019 and 2/2020. There is no documentation to show that the facility conducted a reassessment of R1. On 2/26/2020, R1 fell in the bathroom which resulted in a fractured spine. Medical records show R1 diagnosed with Dementia on 02/07/2017.

FAQ · About this visit

Common questions about this visit

What happened during the April 18, 2022 inspection of SAN LEANDRO SENIOR LIVING?

This was a complaint inspection of SAN LEANDRO SENIOR LIVING on April 18, 2022. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to SAN LEANDRO SENIOR LIVING on April 18, 2022?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "87463(a) ReappraisalsThe pre-admission appraisal shall be updated, in writing as frequently as necessary to note signif..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLD View original report

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Data from CCLD public records. Last updated May 25, 2026. If you believe any information is inaccurate, report it here.

complaint·April 18, 2022