Senior Care Records.

Facility Evaluation Report

Grand Lake Vista, Oakland11/13/2025Licence 019201433

Capacity15
Census11
Date signed11/13/2025 02:23:22 PM
Name of licensing program analystDavid Doidge
Name of licensing program managerBennett Fong
The inspector’s account

On 11/13/2024 at 12:40 PM, Licensing Program Analysts (LPA) David Doidge arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Caregiver Mary Ann Ocenada and explained the purpose of the visit. Administrator Hasmin Koo arrived at 1:45 PM.

LPA toured the facility including but not limited to, bedrooms, bathrooms, multiple activity rooms, kitchen, common area and backyard. LPA observe lighting in all rooms is adequate for the comfort and safety of the residents. Hallway temperature was maintained at 71 degrees Fahrenheit. The hot water temperature in a common bathroom was measured at 107.2 degrees Fahrenheit. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps are locked and inaccessible to residents in care.

Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 11/06/2025. Emergency disaster drills are conducted quarterly; last conducted on 10/14/2025. First aid kit was observed to be complete.

LPA reviewed five (5) resident records and four (4) staff records, all were complete.

No deficiencies observed or cited during this visit.

Exit interview conducted and a copy of this report provided

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction