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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 019200513
Report Date: 11/24/2025
Date Signed: 11/24/2025 02:49:00 PM

Substantiated


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
06/23/2025 and conducted by Evaluator Gregory Clark
PUBLIC
COMPLAINT CONTROL NUMBER: 15-AS-20250623113305
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: 99DATE:
11/24/2025
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Anthony Garcia, Administrator TIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Facility is charging the resident for cost of pest treatment.
INVESTIGATION FINDINGS:
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This is an amended report. On 11/24/25 at 2:15 p.m., Licensing Program Analyst (LPA) Greg Clark arrived unannounced to deliver an amended complaint investigation and deliver findings regarding the allegation above. LPA met with Anthony Garcia, Administrator and explained the purpose of the visit.

During the course of the investigation LPA interviewed W1 and S1. The Department reviewed the Bed Bug Addendum that the facility added to their admissions agreement and was signed by R1 on 3/24/24.

In March of 2024, R1 was required by the facility administrator to pay for half of the bed bug treatment to their apartment and sign a bed bug addendum requiring them to pay in full for all future bed bug treatments or face eviction. On 6/19/25, R1 paid for the full bed bug treatment for their apartment in the amount of $3,275.

***report continues on LIC9099C***
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Gregory Clark
LICENSING EVALUATOR SIGNATURE:

DATE: 11/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/24/2025
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 3
Control Number 15-AS-20250623113305
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: 11/24/2025
NARRATIVE
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***report continues from LIC9099***

The Bed Bug Addendum stipulates that residents are responsible for paying for any bed bug treatment. Per statute and regulation, residents have a right to be accorded safe, healthful, and comfortable accommodations under HSC Code §1569.269(a)(5) and 22 CCR §87468.1(a)(2). Facilities must be maintained in clean, safe, sanitary conditions under 22 CCR 87303(a). Therefore, it is the facility’s responsibility to ensure that residents are provided with safe, healthful, and comfortable accommodations. This includes maintaining the facility in a clean, safe, and sanitary condition, which encompasses pest control and bed bug eradication. This cost cannot be transferred to the residents in care.

This agency has investigated the complaint that the facility is charging the resident for cost of pest treatment. Based on interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D.

Exit interview conducted, a copy of this report and appeal rights provided.

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

DATE: 11/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/24/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 15-AS-20250623113305
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/24/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/05/2025
Section Cited
CCR
87507(h)(2)
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(h) The admission agreement shall not contain the following: (2) Written or oral agreements to waive facility responsibility or liability for the health, safety or the personal property of residents, or the provision of safe and healthful facilities, equipment and accommodations.
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Licensee to send a notice to all residents notifying them of the removal of the bed bug addendum, licensee to reimburse any residents for costs of bed bug treatments and send letter of self-attestation of completion to LPA by POC date.

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This requirement is not met as evidenced by: Based on record review the licensee did not comply with the section cited above. Licensee added a bed bug addendum to the admissions agreement requiring residents to pay for bed bug eradication, which poses a potential health, safety or personal rights risk to persons in care.

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

DATE: 11/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/24/2025
LIC9099 (FAS) - (06/04)
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