Skip to main content

Inspection visit

Follow-up

GOOD SHEPHERD OF DANVILLELicense 0792012573 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

On 05/28/2025 at 12:00 PM Licensing Program Analyst (LPA) A Gomez arrived unannounced to conduct a Case Management visit while delivering findings for complaint 15-AS-20240910163010 . LPA met with Backup Administrator, Merdith Castro and explained the reason for the visit. Upon arrival to the facility LPA observed S1 yelling at R1 in their room and LPA heard S1 state "thats not my job". S1 stopped yelling at R1 once R1 started yelling back and LPA announced themself. LPA then interviewed R1. During the course of the case management LPA reviewed the care plan for R1, interviewed S1, S2, S3, R1, and R2. LPA observed R1s careplan and found that it is not being followed. LPA found that S1 has previously spoken to residents inappropriately and it has not been reported to CCLD. THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: Staff talking to resident inappropriately Staff not reporting incidents as required Staff not following residents care plan The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided

Citations

8 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.

  • 87411(a)Type B

    Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.This requirement was not met as evidence by: Based on interviews the facility did not comply with the section cited above by not having adequete staff to respond to residents needs in a timely manner which posed a potential health, and personal rights risk to persons in care.

  • 87468.1(a)(3)Type B

    (a)Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3)To be free from punishment, humiliation, intimidation, abuse, …This requirement was not met as evidence by: Based on interviews the facility did not comply with the section cited above by speaking inappropriately to residents which posed a potential personal rights risk to persons in care.

  • 87468.2(a)(1)Type B

    (a)In addition … residents …shall have all of the following personal rights:(1)To have …personal privacy in… communications…and meetings of resident and family groups.This requirement was not met as evidence by: Based on interviews and observation the facility did not comply with the section cited above by not providing privacy to residents which posed a potential personal rights risk to persons in care.

  • 87625(b)(3)Type B

    (b)In addition … the licensee shall be responsible for the following: (3) Ensuring that incontinent residents are kept clean and dry … from incontinenceThis requirement was not met as evidence by: Based on interviews and record review the facility did not comply with the section cited above by not keeping R1 clean and dry from incontinence which posed a potential health , and personal rights risk to persons in care.

  • 87211(a)(1)(D)Type B

    (a) Each licensee shall furnish... reports...to, the following:(1)A written report shall be submitted ...within seven days(D)Any incident which threatens the welfare,... of any resident.This requirement was not met as evidence by: Based on interviews, and record reviews, the facility did not comply with the section cited above by not reporting incidents to CCLD as required ehich posed a potential personal rights risk to persons in care.

  • 87464(f)(4)Type B

    (f) Basic services shall at a minimum include:(4)Personal assistance.. as indicated in the pre-admission appraisal, with ...bathing ...This requirement was not met as evidence by: Based on interviews, and record reviews, the facility did not comply with the section cited above by not providing resident with bathing as specified in their care plan which posed a potential personal rights risk to persons in care.

  • 87468.1(a)(1)Type B

    (a)Residents of residential care facilities for the elderly shall have all of the following rights: (1)To be accorded dignity in their personal relationships with staff, residents, and other persons.This requirement was not met as evidence by: Based on interviews, and observation, the staff did not comply with the section cited above by speaking inappropriately to residents which posed a potential personal rights risk to persons in care.

  • 1569.269(a)(6)Type A

    (a) Residents... have all of the following rights: (6) To care, ...that meet their individual needs ... by staff that are...competency to meet their needs.This requirement was not met as evidence by: Based on interviews, record reviews, and observations the facility did not comply with the section cited above by not providing resident with competent care which resulted in pressure injuries which posed an immediate health, and personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 28, 2025 inspection of GOOD SHEPHERD OF DANVILLE?

This was a other inspection of GOOD SHEPHERD OF DANVILLE on May 28, 2025. 3 citations were issued: 3 Type B.

Were any citations issued to GOOD SHEPHERD OF DANVILLE on May 28, 2025?

Yes, 3 citations were issued (0 Type A, 3 Type B). The first citation was for: "Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet ..."

What type of inspection was this?

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

SourceView on CCLDView original report

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

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