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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 075600335
Report Date: 03/12/2025
Date Signed: 03/12/2025 11:04:02 AM

Document Has Been Signed on 03/12/2025 11:04 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME:REUTLINGER COMMUNITY, THEFACILITY NUMBER:
075600335
ADMINISTRATOR/
DIRECTOR:		MAMMAD, JULIEFACILITY TYPE:
741
ADDRESS:4000 CAMINO TASSAJARATELEPHONE:
(925) 648-2800
CITY:DANVILLESTATE: CAZIP CODE:
94526
CAPACITY: 120CENSUS: 82DATE:
03/12/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Executive Director, Julie MammadTIME VISIT/
INSPECTION COMPLETED:
11:20 AM
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On 03/12/2025 at 9:00 a.m., Licensing Program Analyst (LPA) A Gomez arrived unannounced to conduct a case management visit due to receiving a self report of suspected abuse (SOC341) of a resident having fallen in their room and caregivers not appropriately assessing. LPA met with Executive Director, Julie Mammad and explained the purpose of the visit.

R1 was admitted to the facility on 2/22/25. R1 is in memory care . Report indicates that R1 had a fall on 3/3/2025 at approximately 3:23am and S3 was notified at 3:31am. S3 called S1 and S1 went to check on R1. Camera footage confirms that S1 went to check on R1 at 3:32am. S2 was on shift at the same time as S1 and was assigned to R1's room. After S1 checked on R1 they notified S2 that R1 was in bed asleep. S1 checked on R1 again at 3:34am. At 6:04 am S2 checked on R1. No injuries were reported until morning ADL's when it was discovered that R1 had blood on their pillow and R1 was sent out to the emergency room. LPA observed the video footage of R1's fall and them getting back into bed as well as the checks done by staff. S1 and S2 both received additional training as a result of this incident and were put on suspension pending an investigation. It was found that S1 did promptly check on R1 but that S1 should have woken R1 up to have a full assessment done. Both S1 and S2 received verbal warnings and in service training. R1 is currently back at the facility and is in physical therapy.

No deficiencies cited at this time. Exit interview conducted and a copy of this report provided.
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Alona Gomez
LICENSING EVALUATOR SIGNATURE: DATE: 03/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/12/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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