<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 079200382
Report Date: 06/05/2025
Date Signed: 06/05/2025 03:53:44 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
01/31/2025 and conducted by Evaluator Alona Gomez
COMPLAINT CONTROL NUMBER: 15-AS-20250131105419
FACILITY NAME:BROOKDALE DIABLO LODGEFACILITY NUMBER:
079200382
ADMINISTRATOR:GRADY, WILLIAMFACILITY TYPE:
740
ADDRESS:950 DIABLO ROADTELEPHONE:
(925) 838-8300
CITY:DANVILLESTATE: CAZIP CODE:
94526
CAPACITY:128CENSUS: 105DATE:
06/05/2025
UNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Executive Director, Rachael Davis TIME COMPLETED:
04:10 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not ensure residents room is kept clean
Staff allowed resident to be left in soiled clothing for an extended period of time
Staff do not provide resident with feeding assistance
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 6/05/2025 at 1:20 PM, Licensing Program Analyst (LPA) A Gomez arrived unannounced to continue the complaint investigation and deliver findings for the above allegations. LPA met with Executive Director, Rachael Davis and Health & Wellness Director, Navjinder Kaur, and explained the purpose of the visit.

During the course of the investigation the LPA chose a random sample of residents to interview, and review their files. LPA interviewed R1, R2, R3, and R4. All residents expressed satisfaction with the care and assistance provided by the facility and staff. Because no resident was specified in the complaint and RP remained anonymous LPA was unable to identify a specific resident. LPA was unable to identify any concerns relating to the allegations. All residents and rooms were observed sanitary.

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.

No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Alona Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2025
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 1