Inspection visit

Incident investigationMarch 4, 2026

DISCOVERY COMMONS SAN RAMONLicense 0792014551 citation on this visit

1 citation recorded

Inspector’s narrative

What the inspector wrote

On 03/4/2026 at 9:00AM Licensing Program Analyst (LPA) A Gomez conducted an unannounced Case Management visit regarding a self-reported incident. LPA met with Executive Director (ED), Kiel Stromgren, and explained the purpose of the visit. A self-reported incident report was received on 2/26/2026 from facility that indicated Resident 1 (R1) eloped from the facility on 2/24/2026. R1 is a memory care resident. During the visit, LPA interviewed ED. ED states that on the day R1 eloped from the facility the alarm went off in memory care that the door had been activated. Staff assumed that a resident (R2) with a history of triggering the door had activated the alarm and when they checked and saw R2 was present they reset the alarm and did not follow proper procedure. ED states that staff should have done a head count and room inspection to ensure all residents were accounted for. Because this did not happen staff did not realize that R1 had eloped until police notified the facility that they had found one of their residents. According to incident report the alarm went off at at approximately 10:45pm and police notified the facility of finding a resident at approximately 11:20pm . ED states that they provided additional training to staff and a disciplinary action to S1. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.

Citations

1 citation 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 A
(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services.This requirment was not met as evidence by: Based on interview the facility did not meet this requirement by S1 not providing the service neccesary to insure R1's safety because they did not follow procedure when the memory care egress door alarmed which posed an immediate safety risk to residents in care.
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FAQ · About this visit

Common questions about this visit

What happened during the March 4, 2026 inspection of DISCOVERY COMMONS SAN RAMON?

This was a other inspection of DISCOVERY COMMONS SAN RAMON on March 4, 2026. 1 citation were issued: 1 Type A (serious).

Were any citations issued to DISCOVERY COMMONS SAN RAMON on March 4, 2026?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to m..."

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 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.

Incident investigation·March 4, 2026