015601394-9-3-2026-15-AS-GLUK-DY32XD-20260918174657

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 015601394
Report Date: 09/03/2026
Date Signed: 09/03/2026 02:25:00 PM

Unsubstantiated

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
07/08/2026 and conducted by Evaluator Yasamin Brown

COMPLAINT CONTROL NUMBER: 15-AS-20260708160656

FACILITY NAME:	SAN LEANDRO SENIOR LIVING		FACILITY NUMBER:	015601394
ADMINISTRATOR:	BERTUCCI, GLENDA T		FACILITY TYPE:	740
ADDRESS:	348 W JUANA AVE		TELEPHONE:	(510) 357-1691
CITY:	SAN LEANDRO	STATE: CA	ZIP CODE:	94577
CAPACITY:	90	CENSUS: 66	DATE:	09/03/2026
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Glenda Bertucci, Executive Director		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Staff do not ensure the facility is maintained in good repair
Staff do not ensure residents are provided activities
Staff do not properly position residents
Staff do not assist residents with attending medical appointments as needed
Staff do not maintain facility at a comfortable temperature for residents

INVESTIGATION FINDINGS:

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On 9/3/2026 at 10:30 am, Licensing Program Analyst (LPA) Y. Brown arrived unannounced to conduct a continued complaint investigation and deliver findings for the allegations above. LPA met with Executive Director Glenda Bertucci and explained the purpose of the visit.

LPA obtained and reviewed the following documents for residents (R1, R2 and R4): LIC602 (physicians report), outside agency documentation, physician communication, face sheet and appraisal needs and services plan. LPA also obtained the residents doctors appointment log and maintenance- garage door report. LPA obtained and reviewed Staff training, Maintenance Log (May 2026-July 2026) and activities calendar (May 2026-July 2026). LPA conducted interviews with staff and residents. LPA obtained and reviewed the resident and staff roster.

Continued on LIC9099-C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Yasamin Brown
LICENSING EVALUATOR SIGNATURE:	DATE: 09/03/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 15-AS-20260708160656

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: SAN LEANDRO SENIOR LIVING	FACILITY NUMBER: 015601394
	VISIT DATE: 09/03/2026

NARRATIVE

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Continued from LIC9099.

Allegation: Staff do not ensure the facility is maintained in good repair
Finding: Unsubstantiated
During investigation, LPA observed the facility elevator was in operable condition on 7/16/2026, 7/24/2026 and 9/3/2026. R2, R3, and R4 stated that sometimes the maintenance team works on the elevators, but it is fixed that same day. R4 stated that the facility lets the residents know when the elevator will be out of service. R5 stated that they never experienced the elevator being out for a long time that they couldn't go downstairs. Interviews with staff stated that the facility uses a third-party service to operate on the elevator when it breaks down. W2 stated that they have implemented a proposal regarding the elevator and replacing the rail. W2 stated that the mechanic has observed user error. W2 stated that the proposal will identify and correct the issues with the elevator.

Allegation: Staff do not ensure residents are provided activities

Finding: Unsubstantiated
During investigation, on 7/24/2026, LPA observed that the facility conducted a community shopping trip and bingo. LPA obtained and reviewed a copy of the monthly activity calendar. R1 stated that the facility provides activities, but they do not like to participate. R2, R3, and R4 stated that the facility provides activities such as exercise, bingo and shopping. S1, S2, S3, S5 and S7 stated that the facility provides different activities. S7 stated that they plan activities based on residents’ interests. S3 stated that they have never experienced activities not being provided to residents.

Allegation: Staff do not properly position residents
Finding: Unsubstantiated
During investigation, LPA reviewed R1’s Service Plan dated 12/29/2025 and R1’s Skilled Nursing Facility discharge instructions from Kaiser Permanente dated 12/29/2025 and LPA observed that there was no order that R1 required repositioning in a specific frequency of time. LPA reviewed and obtained a copy of staff training that was conducted regarding R1 and the use of sliding transfer dated 12/30/2025. LPA obtained and reviewed R1’s outside agency documentation and observed that R1 receives Home Health and they help R1 with repositioning, assist with standing, and strengthen mobility.

Continue on LIC9099-C.

SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Yasamin Brown
LICENSING EVALUATOR SIGNATURE:	DATE: 09/03/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2026

LIC9099 (FAS) - (06/04)

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Control Number 15-AS-20260708160656

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: SAN LEANDRO SENIOR LIVING	FACILITY NUMBER: 015601394
	VISIT DATE: 09/03/2026

NARRATIVE

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Continued from LIC9099-C.

S1, S2, S3 and S4 stated that staff consistently check on R1 and reposition as necessary. R1 stated that staff help them reposition. LPA reviewed and obtained a copy of CNA transfer training conducted by ABL Health Care regarding R1 dated 7/14/2026.

Allegation: Staff do not assist residents with attending medical appointments as needed

Finding: Unsubstantiated
During investigation, LPA obtained and reviewed a copy of the facilities residents’ doctors’ appointment log and observed the list of appointment times, dates, address and transportation type for each resident. S2 and S3 stated that they are not aware of any residents missing their doctors’ appointments. S4 stated that the front desk staff will print out the doctors’ appointments log weekly, so staff are aware of who has an appointment. S4 and S5 stated that staff remind residents about 30 minutes before their appointment time to ensure they have ample time to come down to the lobby. R3 stated that the facility provides transportation for their medical appointments. R3 stated that the facility has never made them miss their appointments.

Allegation: Staff do not maintain facility at a comfortable temperature for residents
Finding: Unsubstantiated
During investigation, R2, R4 and R6 stated that the apartments do not come with air conditioning, but they have purchased their own AC units. S5 stated that residents have a fan or their own AC unit. S1 stated that the facility has extra blankets and fans for residents if they request them. On 9/3/2026, LPA observed extra blankets and extra fans for residents upon request. S2 stated that staff in the dining room will adjust the temperature based on what the residents want.

Based on interviews, record review and observations conducted, the above allegations are unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

No deficiencies cited. Exit Interview conducted with Glenda and copy of this report provided.

SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Yasamin Brown
LICENSING EVALUATOR SIGNATURE:	DATE: 09/03/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2026

LIC9099 (FAS) - (06/04)

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