<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 019200513
Report Date: 04/28/2026
Date Signed: 04/28/2026 11:16:02 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 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
01/26/2026 and conducted by Evaluator David Doidge
COMPLAINT CONTROL NUMBER: 15-AS-20260126121040
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: 105DATE:
04/28/2026
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Resident Care Director Hoaan NisperosTIME COMPLETED:
11:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not ensure resident's pendent was working properly
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 04/28/2026 at 10:30 AM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to deliver findings in regards to the allegation above. LPA met with Executive Director Anthony Garcia and explained the purpose of the visit.

During the course of the investigation, LPA interviewed S1, S2, S3, R2 and R3. LPA also inspected a few pendents and the monitor in the main office that alerts staff.

Allegation: Staff did not ensure resident's pendent was working properly

Investigation Findings: It was reported to the department that R1 fell and pressed the emergency fob given to R1 by the facility to alert staff of R1’s fall. The fob did not function when activated. R3 had to alert staff of the fall. LPA interviewed S1 about the signal system in the facility. S1 informed LPA that residents are issued pendants to alert staff in emergencies.

Continued on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: David Doidge
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026
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 3
Control Number 15-AS-20260126121040
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME: OAKLAND HEIGHTS SENIOR LIVING
FACILITY NUMBER: 019200513
VISIT DATE: 04/28/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Continued from LIC9099

When the pendant is pressed, an alert will prompt on three monitors spaced throughout the facility. The alert shows who is calling for help and where the resident is calling from. Staff respond to the alert and touch their ID badge to the pendent to clear the alert. S2 demonstrated to LPA how the pendants alert and operate. The pendent will flash yellow when pressed to indicate a low battery, and the resident is instructed to inform staff when the battery gets low. S3 informed LPA that residents in Independent Living are instructed and reminded to inform staff when the battery gets low so staff can change out the battery. S3 reported that R1 was given a pendent with instructions on how to operate and check the battery, however R1 had never informed staff of a low battery nor brought the pendent in for staff to look over. Although staff instructed in R1 how to operate and check the battery status of the provided pendent, it is still the responsibility of staff to monitor the pendent and ensure it is in working condition. As staff did not regularly inspect the pendent after giving it to R1, staff did ensure the pendent was functioning, therefore the allegation is SUBSTANTIATED.

Based on LPA's information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED.

Deficiency is cited from Title 22 California Code of Regulations (see LIC9099D). Failure to submit proof of correction by plan of correction due date and any repeat violation within 12-month period may result in an additional civil penalty.

Deficiency and plan and proof of correction were discussed with Executive Director Anthony Garcia f

Exit interview conducted, Appeal Rights, and a copy of this report provided.

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: David Doidge
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 15-AS-20260126121040
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: OAKLAND HEIGHTS SENIOR LIVING
FACILITY NUMBER: 019200513
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/28/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/12/2026
Section Cited
CCR
87303(i)(B)
1
2
3
4
5
6
7
Facilities shall have signal systems which shall meet the following criteria: Transmit a …auditory signal to a…location…loud enough to summon staff.

This requirement was not met as evidence by
1
2
3
4
5
6
7
By POC date Executive Director agrees to check all batteries for all pendents and create a system to regularly check the batteries.
8
9
10
11
12
13
14
Based on observation, the licensee did not comply with the section cited above by not having the supplied pendent functioning which posed a potential health and safety risk to persons in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: David Doidge
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3