Inspection visit

ComplaintMarch 13, 2025

WALNUT CREEK WILLOWSLicense 0756014312 citations on this visit

2 citations recorded

Inspector’s narrative

What the inspector wrote

LIC9099-C (Page 2) Allegation: Staff do not accord dignity to resident(s) in care. Finding: Substantiated LPA interviewed W1 that stated lack of respect when requesting the caregiver to change their diaper and that it makes them feel uncomfortable. LPA interviewed R1, R2 and R3 and all stated that they don't feel comfortable with some of the caregivers that don't cover them when showering or getting their diapers changed. Allegation: Staff do not ensure that resident's diapering needs are met while in care. Finding: Substantiated LPA interviewed W1 that stated that they were left in a wet diaper until the next shift started. LPA interviewed R1, R2, R3 that all stated that they have been left in wet diapers. R1, R2 and R3 all stated that during the NOC shift that they have to wait till the next shift starts before getting their diapers changed. Allegation: Staff do not ensure that resident's hygiene needs are met while in care. Finding: Substantiated LPA interviewed W1 that stated that the caregivers do not answer their call buttons and that caregiver comes in the room, turn the light off, goes out and doesn't return back. LPA interviewed R1, R2, R3 and all stated that they have experienced when they use the call buttons specifically during the NOC shift, it takes approximately 30 mins before a caregiver responds. R3 stated that when the caregiver cleans them they are not completely clean and still have "poop" on them. LIC9099-C Continued... LIC9099-C (Page 5) LPA interviewed S1, S2, S3 and all stated that they have not heard or seen any caregivers yell at any of the residents. The subject staff caregiver no longer works at the facility to interview. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview conducted 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.

87468.2(a)Type B
Residents in private facilities have the following rights
87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. Based on observation, interview and record review, the licensee did not comply with the section cited above by not, including but not limited to, responding to residents' call buttons in a timely manner and addressing the residents' care needs after turing off the call light which poses a potential health, safety or personal rights risk to persons in care.
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1569.261(b)Type B
§1569.261 Legislative intent; fundamental rights for residents of residential care facilities (b) In establishing this bill of rights, the Legislature intends that persons residing in residential care facilities for the elderly be treated with dignity, kindness, and respect, and that their civil liberties be fully honored. Based on interviews the licensee did not comply with the section cited above in by treating residents with dignity, kindness and respect including but not limited to how staff communicates while giving care to residents in care which poses a potential health and safety risk and personal rights to persons in care.
87468.2(a)(4)Type B
Right to sufficient care and qualified staff
87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. Based on interviews the licensee did not comply with the section cited above in by responding to call light buttons timely, changing diapers including but not limited to making sure residents' are completely cleaned after soiled diaper changes during NOC shift and between shift changes which poses a potential health, safety risk and personal rights to persons in care.
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FAQ · About this visit

Common questions about this visit

What happened during the March 13, 2025 inspection of WALNUT CREEK WILLOWS?

This was a complaint inspection of WALNUT CREEK WILLOWS on March 13, 2025. 2 citations were issued: 2 Type B.

Were any citations issued to WALNUT CREEK WILLOWS on March 13, 2025?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed i..."

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 June 8, 2026. If you believe any information is inaccurate, report it here.

Complaint·March 13, 2025