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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 019200513
Report Date: 08/06/2025
Date Signed: 08/06/2025 03:15:46 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/22/2025 and conducted by Evaluator Gregory Clark
PUBLIC
COMPLAINT CONTROL NUMBER: 15-AS-20250722125059
FACILITY NAME:OAKLAND HEIGHTS SENIOR LIVINGFACILITY NUMBER:
019200513
ADMINISTRATOR:GARCIA, ANTHONYFACILITY TYPE:
740
ADDRESS:2330, 2350, 2361 E 29TH STTELEPHONE:
(510) 534-3637
CITY:OAKLANDSTATE: CAZIP CODE:
94606
CAPACITY:197CENSUS: 100DATE:
08/06/2025
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Anthony Garcia, AdministratorTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Facility staff are not properly addressing pests in the facility
INVESTIGATION FINDINGS:
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On 8/06/25 at 12:30 p.m., Licensing Program Analyst (LPAs) Greg Clark and Luisa Fontanilla arrived unannounced to complete complaint investigation and deliver in regard to the allegations above. LPAs met with Anthony Garcia and explained the purpose of the visit.

During the course of the investigation LPAs interviewed W1, facility staff (S1, S2, S3), and 4 of the 5 affected residents. 4 of the 5 live in the independent side of the facility

Facility staff were all aware of the outbreak of scabies. S2 and S3 stated on 7/11/25 they were informed by a family member of R1 that R1 went to the doctor because of itching on her arms and legs and was diagnosed with scabies. Subsequent to R1 reporting that she had scabies 4 other residents also reported that they had been diagnosed with scabies. All residents received treatment from their primary physicians. The facility followed the treatment plans as prescribed by the physicians including isolation. As of 7/24/25 all were cleared of scabies by their physicians.
***report continues on LIC9099C***
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Gregory Clark
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 15-AS-20250722125059
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME: OAKLAND HEIGHTS SENIOR LIVING
FACILITY NUMBER: 019200513
VISIT DATE: 08/06/2025
NARRATIVE
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***report Continues from LIC9099***

S2 stated that she reported the outbreak to public health on 7/11/25 via phone and followed up with an email on 7/15/25. LPA reviewed the email documentation 7/15/25.

Interviews with residents revealed that 4 of the 5 affected residents live in the independent side of the facility and as such do not receive any care. All 4 reported that when they started feeling symptoms they sought care from their physicians and once diagnosed they reported it to the facility. LPAs attempted to interview R5’s conservator but was unable to reach her.

This agency has investigated the complaint alleging facility staff are not properly addressing pests in the facility. We have found that the complaint was unsubstantiated. 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, a copy of this report provided.

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Gregory Clark
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2