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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 079200765
Report Date: 03/12/2025
Date Signed: 03/12/2025 05:31:30 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
E BAY DELTA AC/SC, 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
10/16/2024 and conducted by Evaluator Lori Alexander-Washington
PUBLIC
COMPLAINT CONTROL NUMBER: 15-AS-20241016154807
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: 48DATE:
03/12/2025
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Liza Elegado, Executive DirectorTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Staff did not accord resident dignity in personal relationships with staff.
Staff did not return resident’s laundry in a timely manner.
Staff spoke to resident in an inappropriate manner.
INVESTIGATION FINDINGS:
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On 03/12/2025 at 11:30 AM, Licensing Program Analyst (LPA) L. Alexander conducted a subsequent visit and met with Executive Director, Liza Elegado, to deliver the findings of above allegations. LPA explained the purpose of the visit with Executive Director.

During investigation, the Department obtained the following documents from the facility – Physician's Report, Needs and Services, Doctor's Order, MAR for R1. In addition, LPA requested LIC 500, and Laundry Schedules.

LIC9099-C Continued...







Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Lori Alexander-Washington
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.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 15-AS-20241016154807
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
E BAY DELTA AC/SC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME: PLEASANT HILL OASIS
FACILITY NUMBER: 079200765
VISIT DATE: 03/12/2025
NARRATIVE
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LIC9099-C (Page 2)

Allegation: Staff did not accord resident dignity in personal relationships with staff.
Finding: Unsubstantiated

On 10/17/2024, LPA interviewed witness (W) W1. W1 stated that they didn't know what was going on. LPA interviewed staff (S). S1 stated that resident (R) R1 gets confused. R1 was not available for interview.

Allegation: Staff did not return resident’s laundry in a timely manner.
Finding: Unsubstantiated

On 10/17/2024, LPA interviewed W1. W1 stated that S2 doesn’t return laundry back. LPA interviewed S1. S1 stated that they directed S2 and all male caregivers to not enter resident’s room. S1 stated that laundry was being done during the NOC shift. S1 stated that the laundry will be delivered the following day in the mornings by female caregivers.

Allegation: Staff spoke to resident in an inappropriate manner.
Finding: Unsubstantiated

On 03/12/2025, LPA interviewed S1. S1 stated that they will never speak or talk to any of the residents out of anger. However, S1 stated that their voice is firm to keep control of all the situations and S1 stated that the residents respect them.

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 allegations is UNSUBSTANTIATED.

Exit interview conducted and a copy of this report provided.
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Lori Alexander-Washington
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
LIC9099 (FAS) - (06/04)
Page: 2 of 2