Pleasant Hill Manor

Type of visit: Required - 1 Year

On 01/16/2026 at 8:30AM, Licensing Program Analyst (LPA) Andrew Christy arrived unannounced to conduct the 1-Year Annual Required inspection. LPA met with Administrator, Richard Gindlesburger, and explained the purpose of the visit. The facility currently houses five (5) residents with a max capacity of six (6) residents. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. No bodies of water were observed. A comfortable indoor temperature is maintained at 70.0 degrees Fahrenheit. The hot water temperature in the residents’ shared bathroom was measured at 114.2 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 01/04/2026. At 10:00AM, LPA reviewed five (5) resident files and three (3) staff files. The emergency disaster plan was last reviewed 01/20/2025. Quarterly emergency drills were last conducted 12/04/2025. A review of resident medications and the Medication Administration Record (MAR) found no outstanding errors. Continued on LIC809C..... Continued from LIC809..... The following deficiencies were cited during the inspection: The backyard exit door is damaged and difficult to open during emergency. During file review, all residents were missing updated Appraisal Needs And Service Plans and Consent For Emergency Medical Treatment forms (LIC627C). Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted and a copy of this report, along with Appeal Rights, was provided to the administrator.the state’s words, verbatim · CDSS document, Jan 16, 2026

Allegation investigated: Staff prevented the long-term care ombudsman representatives from conducting a facility visit

On 6/19/2025, at 8:30 am, Licensing Program Analyst (LPA), K. Nguyen, arrived unannounced to conduct interviews regarding the above allegation. LPA met with Administrator (ADM) Richard W. Gindlesberger and explained the purpose of the visit. Allegation: Staff prevented the long-term care ombudsman representatives from conducting a facility visit During the course of the investigation, LPA reviewed the residents' roster and conducted interviews with staff and residents. Report Continued on LIC9099c... Unsubstantiated Based on interviews conducted, the Administrator denied the allegation “Staff prevented the long-term care ombudsman representatives from conducting a facility visit.” ADM stated that my staff 1 (S1) let the ombudsman 1 (O1) and Ombudsman 2 (O2) in when O1 and O2 asked. S1 stated, “O1 asked to come in and have a walk through the facility and looked at the residents' rooms. O1 and O2 also talked to all the residents. When O1 asked about medication, S1 stated that S1 needs to contact ADM to clarify. S1 didn’t understand what O1 was requesting regarding medication. ADM later came alittle later and spoke with O1 at the facility. S1 stated ADM just wanted to clarify exactly what O1 needed with the medication. ADM explained to O1 that ADM needed to get clarification from licensing if O1 wanted to see medication files. However, O1 got upset and said, “I will contact licensing”. ADM tried to explain to O1 that ADM needed consent from residents before showing any medication that is being requested. O1 and O2 left. On 6/19/2025, LPA interviewed 5 of 5 residents. Resident 1 (R1) states R1 spoke to the Ombudsman, but didn’t know that they were the Ombudsman. R1 stated, “They never introduce themselves, but handed R1 a business card. R1 stated, 'They asked if I was okay at the facility, and I answered I am ok". Resident 2 (R2) recalled talking to the Ombudsman, but didn’t know they were an Ombudsman. Resident 3 (R3) stated, “I spoke to them and asked if I had any complaints. I said no!”. Resident 4 (R4) talked to the Ombudsman, but didn’t know who they were. Resident 5 (R5) talked to the Ombudsman. R5 stated, “They asked if I like the facility and how’s the food, etc”. I told them that this is my home, and I have no complaint”. LPA interviewed ADM. ADM confirmed with LPA that ADM Staff did not prevented the long-term care ombudsman representatives from conducting a facility visit Based on interviews conducted, the above 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. There is no deficiency noted.the state’s words, verbatim · CDSS document, Jun 19, 2025 · control 15-AS-20250612114717

Type of visit: Case Management - Other

On 6/19/2025 at 12:30 pm, LPA conducted a case management in regraded to the complaint number: 15-AS-20250612114717 LPA provided education about Administrator collaboration with the ombudsman and provided resources to ADM to know more about the role of the ombudsman. Resources Provide: WIC chapter 11 PIN 22-32 ASC No deficiency issue on today's date.the state’s words, verbatim · CDSS document, Jun 19, 2025

Type of visit: Required - 1 Year

At around 9:00 am, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct an annual required inspection and met with Administrator, Richard Gindlesberger. Administrator Certificate Number: 7001615740 Effective Date: 11/15/23 Expired Date: 11/14/2025 LPA inspected the facility inside and out including but not limited to 3 resident rooms, 2 bathrooms, kitchen, dining area and backyard. Hot water measured at 111 degrees Fahrenheit in one resident bathroom. There was sufficient supply of perishable and non perishable foods. Linen, towels and warm blankets were observed. Hygiene products were available to the residents. There was fire extinguisher observed that appeared full. Smoke detectors and carbon monoxide were tested and observed operational. First aid kit was complete. Disaster plan, complaint poster, Ombudsman poster and other required notices were posted on the wall in the dining area. Passageways and hallways were free of obstruction. Chemicals, medications as well as knives and other sharp objects were observed locked in different locations. Liability Insurance effective 5/04/2024 and expire on 5/4/2025. Fire Drill was last conducted on 12/11/2024. Emergency Disaster Plan last updated on 2/1/2024. At 11 am, LPA reviewed 5 client files and 2 staff files. All staff are fingerprint cleared and have current first aid and CPR training. LPA reviewed medication and log. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jan 6, 2025

Type of visit: Required - 1 Year

On 1/29/2024 at 1:00PM, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, RICHARD W. GINDLESBERGER and explained the purpose of the visit. The required annual inspection is incomplete and LPA will return to complete inspection at a later date. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided via email.the state’s words, verbatim · CDSS document, Jan 29, 2024