Senior Care Records.

Facility Evaluation Report

Spyglass Senior Villa III, Brentwood01/28/2026Licence 079200607

Capacity8
Census5
Date signed01/28/2026 06:51:08 PM
Name of licensing program analystJames Sampair
Name of licensing program managerHarpreet Humpal
The inspector’s account

On 1/28/2026 at 10:15 AM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct this Case Management Annual Continuation Inspection. Upon entry, the LPA stated the purpose of the visit to Caregiver Jake Lapuz, shortly thereafter the LPA spoke with Administrator Shahid Siddiqui by phone.

The LPA reviewed facility documents, 5 resident records, and 5 staff records.

14 Type B citations were issued during the inspection.

Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC 809-D. Failure to submit Proof of Corrections (POCs) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties.

The Required Annual Inspection is complete.

Exit interview conducted and a copy of this report provided.

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