Dementia care
Cited in 3 reports, with 7 deficiencies in total.
ST JOSEPH SENIOR CARE
6437 DAPHNE CT, Newark CA 94560
6 bedsLatest official report Oct 16, 2025Licensed
Additional info
- Telephone
- (510) 795-7603
- Licensee
- ZENAIDA C BAUTISTA
- Administrator
- CLARISSA R VILLEDO
- Contact
- CLARISSA R VILLEDO
- License first date
- Nov 3, 2011
- License effective date
- Nov 3, 2011
- District office
- OAKLAND ASC · (510) 286-4201
- Regional office
- 15
- Clients served
- 985 - RCFE / HOSPICE
Summary
The available records show 12 Type A and 20 Type B deficiencies for this facility.
- Most recent inspection
- Oct 16, 2025
- Most recent deficiency
- Oct 16, 2025
No later report is available, so the records do not show what happened afterward.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 152 Alameda County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 4 reports for this facility: 4 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 12 Type A and 20 Type B deficiencies.
3 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 4
- Recorded deficiencies
- 32
- Type A deficiencies
- 12
- Type B deficiencies
- 20
- Substantiated complaints
- 0
- Repeated topics
- 3
About the same as most this size
1 in the last 12 months
Well above the typical 4
5 in the last 12 months
Well above the typical 1
3 in the last 12 months
Well above the typical 2
2 in the last 12 months
Most this size also have none
0 in the last 12 months
Last 36 months
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
Facility condition and maintenance
Cited in 2 reports, with 6 deficiencies in total.
Health conditions and treatments
Cited in 2 reports, with 6 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(e)(2)
- Regulation authority
- CCR
What the official deficiency says
(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in having hot water measuring at 127.6F which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/17/2025 Plan of Correction The Administrator will adjust hot water between 105-120F and submit self-certification of correction by POC date.
Plan of correction recorded
Correction not verified in available records
Hazardous items and storageType A
- Official classification
- Type A
- Official code
- 87309(a)
- Regulation authority
- CCR
What the official deficiency says
(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in leaving Lysol and other cleaning chemicals unlocked in the bathroom which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/17/2025 Plan of Correction The Administrator will lock all chemicals and submit self certification of correction by POC date.
Plan of correction recorded
Correction not verified in available records
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(c)
- Regulation authority
- CCR
What the official deficiency says
(c) With the prior written approval of the resident or conservator and provided such devices do not violate the resident’s rights as specified in Section 87468.1 Personal Rights of Residents in All Facilities, the licensee may use egress alert and location tracking devices as needed to ensure resident safety. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in installing a child gate on R1's room which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/17/2025 Plan of Correction The Administrator states child gate will be removed and will submit photo proof to CCL by POC date.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with section cited above by having gardening and construction supplies in the backyard and leaving dishes on counter top which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/23/2025 Plan of Correction The Administrator will clean up the kitchen and backyard and submit photo proof to CCL by POC date.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(f)(1)
- Regulation authority
- CCR
What the official deficiency says
(f) All waste shall be located, stored, and disposed of in a manner that will not transmit communicable diseases or odors, pose a risk to health and safety, or provide a breeding place or food source for insects or rodents. (1) All containers storing waste shall be in good repair, free of leaks, and emptied in a timely manner. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in having garbage can without lid which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/23/2025 Plan of Correction The Administrator will purchase garbage cans with lid and submit photo proof to CCL by POC date.
Plan of correction recorded
Correction not verified in available records
Inspection
Licensing and administrationType A
- Official classification
- Type A
- Official code
- 1569.618(b)
- Regulation authority
- HSC
What the official deficiency says
(b) At least one administrator, facility manager, or designated substitute who is at least 21 years of age and has qualifications adequate to be responsible and accountable for the management and administration of the facility pursuant to Title 22 of the California Code of Regulations shall be on the premises 24 hours per day. The designated substitute may be a direct care staff member who shall not be required to meet the educational, certification, or training requirements of an administrator. The designated substitute shall meet qualifications that include, but are not limited to, all of the following: This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in having the Administrator's certificate expired on 12/11/2023 which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/15/2024 Plan of Correction The Licensee designated an interim Administrator while obtaining current Administrator certificate. Required documents were sent to CCL during the visit. Licensee will submit the interim Administrator's Lic 501 by 11/15/24.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(e)(2)
- Regulation authority
- CCR
What the official deficiency says
(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in having hot water measure at 144.9 degrees Fahrenheit which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/14/2024 Plan of Correction Hot water temperature was adjust to 111 degrees Fahrenehit during the visit. This deficiency is cleared.
Official record says corrected or clearedOn or before Nov 14, 2024
Plan of correction recorded
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(f)(1)
- Regulation authority
- CCR
What the official deficiency says
(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in having knives and scissor unlocked which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/15/2024 Plan of Correction The Licensee will install a lock in the cabinet to store knives and other sharp objects and send photo proof to CCL.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87470(a)(2)(A)
- Regulation authority
- CCR
What the official deficiency says
(a) A licensee shall ensure that infection control practices are maintained as follows: (2) Environmental cleaning and disinfection activities shall be performed following the manufacturers' instructions for proper use of the cleaning and disinfecting products. These activities shall be completed, at a minimum, as follows: (A) Surfaces such as floors, chairs, toilets, sinks, counters and tabletops shall be cleaned and disinfected on a regular basis to ensure they are safe and sanitary. These surfaces shall also be disinfected when these surfaces are contaminated and visibly soiled with blood or body fluids or other potentially infectious material. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in having crumbs on the stove top, crumbs by the window sill, toilet with trace of feces, etc which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/30/2024 Plan of Correction By POC date, the facility will clean and disinfect the facility and send photo proof to LPA. LPA will come back to verify.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87470(a)(2)(B)
- Regulation authority
- CCR
What the official deficiency says
(a) A licensee shall ensure that infection control practices are maintained as follows: (2) Environmental cleaning and disinfection activities shall be performed following the manufacturers' instructions for proper use of the cleaning and disinfecting products. These activities shall be completed, at a minimum, as follows: (B) Walls and window coverings in resident care areas shall be dusted or cleaned on a regular schedule to ensure they are safe and sanitary and when they are visibly contaminated or soiled. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above in having dusts/mold on window and sliding doors which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/30/2024 Plan of Correction The facility will clean and disinfect window covering and walls and submit photo proof to CCL. LPA will come back to verify.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in having empty boxes, unused medical equipment, lots of stray cats in the backyard, etc which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/21/2024 Plan of Correction By POC date, the Administrator will dispose all unused equipment/empty boxes, trim bushes, ensure there are no stray cats in the backyard and clean up backyard and submit photo proof to CCL. LPA will come back to verify.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(d)(6)
- Regulation authority
- CCR
What the official deficiency says
(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in having a side table and fan blocking exit door in Room #2 which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/14/2024 Plan of Correction The Administrator removed the fan and side table during the visit. This deficiency is cleared.
Official record says corrected or clearedOn or before Nov 14, 2024
Plan of correction recorded
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87608(a)(3)
- Regulation authority
- CCR
What the official deficiency says
(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident's record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in failing to obtain doctor's orders for the two residents using 1/2 rail which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/21/2024 Plan of Correction The Administrator will obtain a doctor's order for the 1/2 rails and submit proof to CCL.
Plan of correction recorded
Correction not verified in available records
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(c)(5)
- Regulation authority
- CCR
What the official deficiency says
(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care needs. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in failing to obtain R2's updated Physician's Report which poses/posed a potential health, safety or personal rights risk to persons in care. R2 has Dementia.
Official plan of correction
POC Due Date: 11/21/2024 Plan of Correction By POC date, the Administrator will submit to CCL R2's updated Physician's Report.
Plan of correction recorded
Correction not verified in available records
Inspection
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87411(f)
- Regulation authority
- CCR
What the official deficiency says
(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health. Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review,, the licensee did not comply with the section cited above in not having S2 complete health screening and tb test which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/31/2023 Plan of Correction S2 will get screened for TB and complete health screening. A copy of Lic 503/TB test result will be submitted to CCL by POC date.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType A
- Official classification
- Type A
- Official code
- 87463(c)
- Regulation authority
- CCR
What the official deficiency says
(c) The licensee shall arrange a meeting with the resident, the resident's representative, if any, appropriate facility staff, and a representative of the resident's home health agency, if any, when there is significant change in the resident's condition, or once every 12 months, whichever occurs first, as specified in Section 87467, Resident Participation in Decision Making. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in not conducting Reappraisal for R2 who is on catheter which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/31/2023 Plan of Correction By POC date, Administrator will complete Reappraisal for R2 addressing R2's catheter and submit a copy to CCL.
Plan of correction recorded
Correction not verified in available records
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(2)
- Regulation authority
- CCR
What the official deficiency says
(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in not havong medicines in the kitchen cabinet locked which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/25/2023 Plan of Correction Staff locked medicines during visit. Deficiency is cleared.
Official record says corrected or clearedOn or before Oct 25, 2023
Plan of correction recorded
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 1569.695(a)
- Regulation authority
- HSC
What the official deficiency says
(a) In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in not having an updated Emergency Disaster Plan which poses an immediate health, safety or personal rights risk to persons in care. Last plan is dated 2011.
Official plan of correction
POC Due Date: 10/31/2023 Plan of Correction Administrator will submit to CCL updated Emergency Disaster Plan.
Plan of correction recorded
Correction not verified in available records
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(c)(2)
- Regulation authority
- CCR
What the official deficiency says
(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (2) The Emergency Disaster Plan, as required in Section 87212, addresses the safety of residents with dementia. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in not having an updated disaster plan that addresses the safety of residents with dementia which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/31/2023 Plan of Correction Administrator will submit an updated Disaster plan to CCL addressing the safety of residents with dementia and submit a copy to CCL.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(c)(2)(D)
- Regulation authority
- CCR
What the official deficiency says
(c) Licensees shall maintain in the personnel records verification of required staff training and orientation. (2) Documentation of staff training shall include: (D) Number of training hours per subject. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in not indicating training hours per subject for S1 which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/31/2023 Plan of Correction Administrator will indicate training hours completed by S1 and submit proof to CCL.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87613(a)(2)
- Regulation authority
- CCR
What the official deficiency says
(2) Ensure that facility staff who will participate in meeting the resident's specialized care needs complete training provided by a licensed professional sufficient to meet those needs. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in not having staff trained with R2's catheter which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/31/2023 Plan of Correction Administrator will condcut training with staff on R2's catheter and submit proof ot CCL.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87613(a)(2)(B)
- Regulation authority
- CCR
What the official deficiency says
(2) Ensure that facility staff who will participate in meeting the resident's specialized care needs complete training provided by a licensed professional sufficient to meet those needs. (B) Training shall be completed prior to the staff providing services to the resident. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in not having staff complete training with R2's catheter prior to staff providing service to R2 which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/31/2023 Plan of Correction Administrator will train staff on R2's catheter.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(c)(1)
- Regulation authority
- CCR
What the official deficiency says
(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in not having S2 complete first aid training which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/31/2023 Plan of Correction S2 will complet first aid training and submit proof to CCL.
Plan of correction recorded
Correction not verified in available records
Dementia careType B
- Official classification
- Type B
- Official code
- 1569.626(a)(1)
- Regulation authority
- HSC
What the official deficiency says
(a) All residential care facilities for the elderly shall meet the following training requirements, as described in Section 1569.625, for all direct care staff: (1) Twelve hours of dementia care training, six of which shall be completed before a staff member begins working independently with residents, and the remaining six hours of which shall be completed within the first four weeks of employment. All 12 hours shall be devoted to the care of persons with dementia. The facility may utilize various methods of instruction, including, but not limited to, preceptorship, mentoring, and other forms of observation and demonstration. The orientation time shall be exclusive of any administrative instruction. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in not having staff complete required dementia training which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/20/2023 Plan of Correction Administrator will conduct required training and submit proof to CCL.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.69(b)
- Regulation authority
- HSC
What the official deficiency says
(b) Each employee who received training and passed the examination required in paragraph (5) of subdivision (a), and who continues to assist with the self-administration of medicines, shall also complete eight hours of in-service training on medication-related issues in each succeeding 12-month period. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in not having staff complete required medication training hours which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/31/2023 Plan of Correction Administrator will conduct training and submit proof to CCL.
Plan of correction recorded
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(b)(16)
- Regulation authority
- CCR
What the official deficiency says
(b) Each resident's record shall contain at least the following information: (16) Records of resident's cash resources as specified in Section 87217, Safeguards for Resident Cash, Personal Property, and Valuables. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in not having the SPV form in the residents' files which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/31/2023 Plan of Correction Administrator will contact families to complete SPV and submit completed copy of the form to CCL.
Plan of correction recorded
Correction not verified in available records
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(27)
- Regulation authority
- CCR
What the official deficiency says
(b) The following food service requirements shall apply: (27) All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in having fruit flies in the kitchen/dining which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/31/2023 Plan of Correction Administrator will clean, declutter and organize kitchen and dining areas and submit photo proof to CCL.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in not having an updated disaster drill which poses/posed a potential health, safety or personal rights risk to persons in care. Last fire drill was done on April 2023.
Official plan of correction
POC Due Date: 10/31/2023 Plan of Correction Administrator will conduct drill and submit proof to CCL.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87616(b)
- Regulation authority
- CCR
What the official deficiency says
(b) Written requests shall include, but are not limited to, the following: This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in not having an approved exception for R2's catheter which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/20/2023 Plan of Correction Administrator will submit a request for exception for R2 by POC date.
Plan of correction recorded
Correction not verified in available records
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(c)(5)
- Regulation authority
- CCR
What the official deficiency says
(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care needs. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in not having an updated medical assessment for R1 who has dementia which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/31/2023 Plan of Correction Administrator will request an updated medical assessment for R2 and submit a copy ot CCL.
Plan of correction recorded
Correction not verified in available records
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(c)(4)
- Regulation authority
- CCR
What the official deficiency says
This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in installing a video camera with audio inside R1's room which poses an immediate health, safety or personal rights risk to persons in care. R1 has dementia and is able to use the bathroom independently.
Official plan of correction
POC Due Date: 10/26/2023 Plan of Correction Administrator will remove camera and will update R1's needs and services to address R1's safety. Administrator will send certifcate of removal of camera by 10/26 and submit updated needs and services plan by 10/31/2023.
Plan of correction recorded
Correction not verified in available records
Inspection
Hazardous items and storageType B
- Official classification
- Type B
- Official code
- 87309(1)(a)
- Regulation authority
- CCR
What the official deficiency says
(1) 87309 Storage Space (a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. Storage areas for poisons... shall be locked. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPAs observation licensee did not comply with the section cited above by having Clorox toilet cleaner, no more making pet spray, All laundry detergent, ultra soft fabric softner, lysol, unstopables, WD40, scissors, unlocked medication, knifts, shovel, beds vigoro garden soil, hedge trimmers, accessible to residents which poses an immediate health and safety risk do to persons in care
Official plan of correction
POC Due Date: 11/14/2022 Plan of Correction POC: Administrator agreed to store cleaners, medications, knifts and scissors in a locked cabnet. Administrator will also conduct an inservice with staff on the importance of keeping cleaning sollutions, poisons, disinfectants and other items which could pose a danger to residents in care and submit signed certification along with photos of corrections to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Source and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
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