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Inspection visit

Follow-up

WALNUT CREEK WILLOWSLicense 0756014313 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

On 02/03/2026 at 5:00 p.m., Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct a Case Management visit. LPA met with Medication Technician (Med Tech) Vanessa Ladaban and advised her of the purpose of the visit. Ms. Ladaban notified Administrator Elisabeth Cortes by telephone. While conducting complaint investigations #15-AS-20260202152031 and #15-AS-20260129093204 on 02/03/2026, LPA conducted a review of facility records. LPA requested the following documents for review: resident admission agreements, Physician’s Reports (LIC 602), Appraisal Needs and Services plans (LIC 625), hospice care plans, home health care service plans, resident care notes, staff schedules, staff roster (LIC 500), staff contact information (telephone numbers), and incident reports for Residents R1 through R8. Facility staff were unable to produce the requested documents at the time of the visit. Failure to maintain and provide required resident and facility records constitutes a violation of the California Code of Regulations, Title 22. The deficiencies were documented on LIC 809D. Failure to correct the cited deficiencies may result in civil penalties. An exit interview was conducted. A copy of this report and appeal rights were provided.

Citations

10 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.

  • Conformance with applicable laws and regulations

    87405 Administrator - Qualifications and Duties (d) The administrator shall have the qualifications specified in Sections 87405(d)...(2) Knowledge...ability...the applicable laws, rules and regulations.This requirement is not met as evidenced by: Based on record reviews, the licensee did not comply with the section cited above in by completing the required 2hrs minumum courses with a approved CCLD vendor to cover policy procedures, laws and staff requirements in regards to staff trainings. The training certificates were for other topics and previous dates other than the proposed 12/10/25 class date. This poses a potential health, safety or personal rights risk to persons in care.

  • 80087(a)Type B

    (a) The facility shall be...in good repair at all times...This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by having disrepair flooring in residents rooms with tiles cracked, buckling and lifting which poses a potential health and safety risk to persons in care.

  • Keep bath, laundry and kitchen floors clean

    87303 Maintenance and Operation(a) The facility shall be clean, safe, sanitary and in good repair at all times. (1) Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition.This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by not having shower floors clean, resident bedroom floors repaired with cracks, tile bulkling in assisted living and memory care units which poses an health and safety risk to persons in care.

  • Provide resident hot water for personal care

    87303 Maintenance and Operation(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C).This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by not having water temperatures maintained at 105-120 degrees F. in residents' shared bathrooms. Water temps measured at 94.3 and 97.5 degrees F. in assisted living memory care units which poses an health and safety risk to persons in care.

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  • 87309(a)Type A

    Ensure hazardous items are locked and not unattended

    87309 Storage Space and Access(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions...and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage.This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by not having Clorox Bleach and Shurgard HP disinfectant chemicals inaccessible to residents in unlocked laundry room and Clorox Bleach under cabinet in memory care unit which poses an immediate health and safety risk to persons in care.

  • 87555(23)Type B

    87555 General Food Service Requirements(23) All readily perishable foods... shall be stored in covered containers at appropriate temperatures.This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by having food in the freezer uncovered and not in a food container in memory care unit which poses a potential health and safety risk to persons in care.

  • 87618(b)(E)(I)Type B

    87618 Oxygen Administration - Gas and Liquid (b) In addition to Section 87611(b), the licensee shall be responsible for the following: (E) Oxygen tanks that are not portable shall be secured in a stand or to the wall. (I) Equipment shall be removed from the facility when no longer in use by the resident.This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by not having oxygen tanks secured in a stand/wall and removed when resident was discharged or passed away which poses an health and safety risk to persons in care.

  • 87412(f)Type B

    Allow licensing inspection and controlled record removal

    87412 Personnel Records(f) All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements:This requirement is not met as evidenced by: Based on file review and interview, the licensee did not comply with the section cited above by not having staff records available including but not limited to staff schedules for Nov '25 thru Feb '26, LIC 500 (staff roster) and staff contact information which poses an health and safety risk to persons in care.

  • 87506(d)Type B

    Records available to licensing agency for inspection

    87506 Resident Records(d) All resident records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours.This requirement is not met as evidenced by: Based on file review and interview, the licensee did not comply with the section cited above by not having resident records for R1-R8 available for Licensing review including but not limited to admission agreements, emergency contact info., physician's reports, appraisals/Appraisal Needs and Services, hospice care plans, home health care plans, care notes, MARS, doctor's orders which poses an health and safety risk to persons in care.

  • Notification to department after hospice care starts

    87632 Hospice Care Waiver(d) If the Department grants a hospice care waiver..to ensure the well-being of terminally ill residents and of all other facility residents, which shall include, but not be limited to, the following requirements: (2) The licensee shall notify the Department in writing within five working days of the initiation of hospice care services for any terminally ill resident in the facility or within five working days of admitting a resident already receiving hospice care services. The notice shall include the resident's name and date of admission to the facility and the name and address of the hospice. Based on file review and interview, the licensee did not comply with the section cited above by not notifying Licensing of residents (R2-R10) with a notice of hospice services initiated within 5 working days which poses an health and safety risk to persons in care.

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FAQ · About this visit

Common questions about this visit

What happened during the February 3, 2026 inspection of WALNUT CREEK WILLOWS?

This was an other inspection of WALNUT CREEK WILLOWS on February 3, 2026. 3 citations were issued: 3 Type B.

Were any citations issued to WALNUT CREEK WILLOWS on February 3, 2026?

Yes, 3 citations were issued (0 Type A, 3 Type B). The first citation was for: "87405 Administrator - Qualifications and Duties (d) The administrator shall have the qualifications specified in Section..."

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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