Mid-size communityLicensed
Grand Lake Vista
365 Staten Avenue, Oakland, CA 94610
- Licensed for 15 residents
- Serves residents with dementia
- Hospice waiver
About Grand Lake Vista
Grand Lake Vista is a residential care facility for the elderly in Oakland, California, licensed by the California Department of Social Services to care for up to 15 residents. It has held its current license for 1 year. CDSS lists it as serving residents with dementia. It holds a hospice waiver, so residents can receive hospice care without moving.
Licensing & inspections
Official CDSS report- License status
- Licensed
- Facility number
- 019201433
- Licensed capacity
- 15
- Licensed since
- November 5, 2024
- Last state visit
- June 15, 2026
- Inspection visits
- 1
- Recent routine and required inspections
- Complaint visits
- 1
- Visits to investigate complaints
- Type A citations
- 0
- Immediate risk to health, safety, or rights
- Type B citations
- 0
- Could become a risk if not corrected
- Licensee:
- Koobamo Ysabella LLC
- Administrator:
- Koo, Hasmin
- CDSS office:
- OAKLAND ASC
- Serves:
- RCFE / Dementia
State license notes: Age range 60 and over. 7 ambulatory and 8 non-ambulatory. Hospice waiver granted for (8).
Data from CDSS Community Care Licensing, last checked November 3, 2026.
Location
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