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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 079200765
Report Date: 07/14/2026
Date Signed: 07/14/2026 04:52:07 PM

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
03/30/2026 and conducted by Evaluator Alona Gomez
COMPLAINT CONTROL NUMBER: 15-AS-20260330125931
FACILITY NAME:PLEASANT HILL OASISFACILITY NUMBER:
079200765
ADMINISTRATOR:ELEGADO, LIZAFACILITY TYPE:
740
ADDRESS:40 BOYD RDTELEPHONE:
(925) 937-5348
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY:49CENSUS: 45DATE:
07/14/2026
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Executive Director, Liza ElegadoTIME COMPLETED:
05:15 PM
ALLEGATION(S):
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Staff do not keep facility free from pests
Facility is not clean and sanitary
Facility shower are in disrepair
INVESTIGATION FINDINGS:
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On 7/14/2026 at 2:00 PM, Licensing Program Analyst (LPA), A. Gomez arrived unannounced to deliver complaint findings for the allegations above. LPA met with Executive Director, Liza Elegado and explained the reason for the visit.

During the course of the investigation LPA conducted interviews, toured facility, made observations, reviewed compliance history, and reviewed records

report continues on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Alona Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026
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 6
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
03/30/2026 and conducted by Evaluator Alona Gomez
COMPLAINT CONTROL NUMBER: 15-AS-20260330125931

FACILITY NAME:PLEASANT HILL OASISFACILITY NUMBER:
079200765
ADMINISTRATOR:ELEGADO, LIZAFACILITY TYPE:
740
ADDRESS:40 BOYD RDTELEPHONE:
(925) 937-5348
CITY:PLEASANT HILLSTATE:CAZIP CODE:
94523
CAPACITY:49CENSUS: 45DATE:
07/14/2026
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Executive Director, Liza ElegadoTIME COMPLETED:
05:15 PM
ALLEGATION(S):
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2
3
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9
Staff not competent to provide care
Staff does not treat residents with dignity and respect
INVESTIGATION FINDINGS:
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On 7/14/2026 at 2:00 PM, Licensing Program Analyst (LPA), A. Gomez arrived unannounced to deliver complaint findings for the allegations above. LPA met with Executive Director, Liza Elegado and explained the reason for the visit.

During the course of the investigation LPA conducted interviews, toured facility, made observations, reviewed compliance history, and reviewed records

report cotinues on LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Alona Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 15-AS-20260330125931
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: PLEASANT HILL OASIS
FACILITY NUMBER: 079200765
VISIT DATE: 07/14/2026
NARRATIVE
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On the allegation Staff not competent to provide care LPA reviewed staff training's and observed staff providing care. LPA observed that staff is up to date on their training's and LPA did not observe any improper care being provided. LPA also interviewed R2 who states that they have not had any issues with care therefore the allegation is Unsubstantiated.

On the allegation Staff does not treat residents with dignity and respect LPA interviewed R1 who states that S2 spoke to them inappropriately. LPA also interviewed R2 who stated "Staff is good and does not speak inappropriately to residents." R2 also stated that some older residents sometimes get upset with the staff and get "snappy" but that staff do not yell or curse at them when that happens. LPA attempted to interview other residents however they declined. LPA was unable to establish a preponderance of evidence to support the allegation therefore the allegation is 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 and a copy of this report provided.

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Alona Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 15-AS-20260330125931
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: PLEASANT HILL OASIS
FACILITY NUMBER: 079200765
VISIT DATE: 07/14/2026
NARRATIVE
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On the allegation Staff do not keep facility free from pests. On 4/3/2026 LPA toured the facility with Business Office Manager (BOM) and observed Bed bugs and roaches throughout facility. LPA requested and reviewed the facilities \pest control plan with BOM. LPA also observed during the visit that facility staff were utilizing heat treatments to help remove bedbugs. LPA observed that the pest control agreement did not show that they were treating for bedbugs. LPA interviewed BOM who stated that they have been utilizing the heat treatments for bedbugs but that the staff administering the treatment are not certified pest control. BOM also states that they have not been able to fully eradicate the bedbugs. LPA also reviewed facilities compliance history and past licensing reports and observed that the pests have been an on going issue for over a year. While at the facility on 7/14/2026 LPA conducted a walk through of the facility and observed an excess of small flying black bugs throughout the facility and on residents beds. LPA also briefly spoke with R1 and R3 who both stated that there has been an on going issue of roaches, bedbugs, and fruit flies/ gnats therefore the allegation is Substantiated.

On the allegation Facility is not clean and sanitary On 4/3/2026 LPA toured the facility with Business Office Manager (BOM) and observed unclean floors throughout, black mold growing in common bathroom shower, black mold on ceilings, unclean surfaces and walls, as well as bug carcasses. Also observed through photos received were feces coming out of the drain when shower was in disrepair therefore the allegation is substantiated

On the allegation Facility shower are in disrepair LPA received photos from W2 of shower drain with brown water pooled around and it not draining properly. LPA also spoke with executive director who states that there were some repairs done on the shower as it was in disrepair. ED states that a professional plumber came out to fix the shower. plumber therefore the allegation is substantiated


Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are 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. Appeal Rights and a copy of this report provided.
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Alona Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 6
Control Number 15-AS-20260330125931
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: PLEASANT HILL OASIS
FACILITY NUMBER: 079200765
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/14/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/01/2026
Section Cited
CCR
1569.269(a)(5)
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(a) Residents of residential care facilities for the elderly shall have all of the following rights:(5) To be accorded safe, healthful, and comfortable accommodations, furnishings, and equipment.

This requirement is not met as evidenced by:
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By POC facility agrees to have treatments done as neccesary to completely exterminate all bugs and deep clean the facility of their remains and LPA will return to inspect and complete a POC visit.
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Based on observation, the licensee did not comply with the section cited above having roaches, bedbugs, and gnats throughout the facility which poses an immediate personal rights risk to persons in care.
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Type A
09/01/2026
Section Cited
CCR
87303(a)
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(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.

This requirement is not met as evidenced by:
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By POC facility agrees to deep clean the facility and LPA will return to inspect and complete a POC visit.
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Based on observation, the licensee did not comply with the section cited above having unclean floors throughout facility, black mold growing in common bathroom shower, black mold on ceilings, unclean surfaces and walls, as well as bug carcasses which poses an immediate 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.
SUPERVISOR'S NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Alona Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 15-AS-20260330125931
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: PLEASANT HILL OASIS
FACILITY NUMBER: 079200765
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/14/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/15/2026
Section Cited
CCR
87307(d)(2)
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(d) The following space and safety provisions shall apply to all facilities: (2) The premises shall be maintained in a state of good repair and shall provide a safe and healthful environment.

This requirement is not met as evidenced by:
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Facility states that they have already repaired the shower POC clear.
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Based on interview and review of photos, the licensee did not comply with the section cited above by the back shower being in disrepair and feces coming from the drain which posed a potential health and 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.
SUPERVISOR'S NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Alona Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 6