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Inspection visit

complaint

ARBOR AT BERKELEYLicense 0192011431 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

...continued from LIC9099. On 04/21/25, S1 submitted an LIC 624 stating. “The community will be seeking a three-day discharge” for R1; no Eviction Notice was provided to CCLD at that time. On 04/24/25, LPA requested the Eviction Notice that was provided to R1. On 04/28/25, S1 emailed LPA a 30-day notice of discharge addressed to W1 dated 04/22/25. On 04/29/25, LPA advised S1, S2, and S3 via email, W1 by voicemail on 04/29/25 and by phone conversation on 04/30/25 that the Notice of Eviction presented to R1 was unlawful, and that the facility’s Licensee would be required to provide notification to R1 and R1’s responsible party that the notice would be rescinded immediately. W1 was unaware of the notice, the details, and had not received any written Eviction Notice from any representatives from the facility. W1 provided proof of a formal notice hand delivered to R1 while in the community amongst other residents. R1 is currently admitted in Memory Care (MC) and the notice contained confidential information signed by residents R2, R3, and R4, other than R1. S2 confirmed that he.she was instructed by S1 to hand deliver the notice to R1 in the presence of other residents. Based on LPA’s interviews and records reviewed, the preponderance of evidence standard has been met; therefore, the above allegation is SUBSTANTIATED . Deficiency is cited from Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of correction by plan of correction due date, and any repeat violations within a 12-month period may result in civil penalties. Exit interview conducted, appeal rights and a copy of this report provided to Tsedey Mekonnen, Concierge..

Citations

5 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.

  • 1569.80(b)Type B

    1569.80 Care and services decision making; meeting; written record (b) Once prepared, the written record...to determine the care and services provided to the resident written record shall be sent by the facility to that physician. Licensee/ED did not provide written record to R1's physician for the decision making for care and services.

  • 87303(b)(3)Type B

    87303 Maintenance and Operation (b) A comfortable temperature for residents shall be maintained at all times. (3) Nothing in this section shall prohibit residents from adjusting individual thermostatic controls. -This requirement is not met as evidenced by: Licensee/ED did not ensure the facility maintained a comfortable temperature for all residents at all times.

  • 87468.2(a)(2)Type B

    87468.2...Personal Rights of Residents in Privately Operated Facilities(a) ...Residents in All Facilities...shall have all of the following personal rights:(2) To have their records and personal information remain confidential...-This requirement is not met as evidenced by: Licensee/ED did not ensure that R1's and RP's records be presented and maintained with confidentiality.

  • 87203Type A

    87203 Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic.-This requirement is not met as evidenced by: Licensee to review the regulation, provide training to staff and submit proof to CCLD by POC. Locks removed from two gates during the visit to allow emergency exiting on both sides.

  • 87224(f)Type B

    87224 Eviction Procedures (f) A written report of any eviction shall be sent to the licensing agency within five (5) days.-This requirement is not met as evidenced by: Licensee did not provide the notice of eviction in a timely matter to CCLD. The notice provided to R1's RP was unlawful.

FAQ · About this visit

Common questions about this visit

What happened during the May 2, 2025 inspection of ARBOR AT BERKELEY?

This was a complaint inspection of ARBOR AT BERKELEY on May 2, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to ARBOR AT BERKELEY on May 2, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "1569.80 Care and services decision making; meeting; written record (b) Once prepared, the written record...to determine ..."

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 CCLDView original report

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