1900 20TH ST, Oroville CA 95965
60 bedsLatest official report Jul 16, 2026Licensed
The available records show 40 Type A and 24 Type B deficiencies for this facility.
No later report is available, so the records do not show what happened afterward.
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.
Counts cover the five-year public record. Typical figures are the median for the 8 Butte County facilities licensed for 50 or more beds, except where too few exist to state one — those come from facilities with 7 or more beds.
In the available public five-year record, CCLD published 91 reports for this facility: 29 inspections, 58 complaint investigations, and 4 licensing or administrative records.
Those records contain 40 Type A and 24 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
More than the typical 6
12 in the last 12 months
Well above the typical 4
15 in the last 12 months
Well above the typical 1
11 in the last 12 months
Well above the typical 2
4 in the last 12 months
Well above the typical 1
5 in the last 12 months
Last 36 months
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.
Cited in 19 reports, with 20 deficiencies in total.
Jun 15, 2026May 13, 2026Mar 30, 2026Jan 29, 2026Jan 15, 2026Jan 6, 2026Dec 4, 2025Dec 4, 2025Oct 28, 2025Oct 9, 2025Jul 11, 2025Apr 17, 2025Feb 20, 2025Nov 25, 2024Nov 14, 2024Nov 14, 2024Mar 19, 2024Mar 14, 2024Nov 1, 2023
Cited in 4 reports, with 4 deficiencies in total.
Cited in 4 reports, with 4 deficiencies in total.
Cited in 3 reports, with 3 deficiencies in total.
Cited in 3 reports, with 3 deficiencies in total.
All preserved reports from the most recent to the oldest, sortable by report type.
87411(a) Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by: Based on interviews and document review the facility failed to ensure that 1 of 27 residents was not able to elope from the facility at night and was located in a hospital 24 miles away from the facility. This poses an immediate health and safety risk to residents in care.
The licensee agrees to hold training with all staff on the requirement to provide care and supervision at all times to all residents in care to ensure their safety. The licensee shall submit to LPA a staff training attendance roster which is signed by all staff as proof of correction.
Deadline recorded: Jul 30, 2026. A deadline is not proof that correction was completed.
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
87303(b)(2) Maintenance and Operation (b) A comfortable temperature for residents shall be maintained at all times. (2) The facility shall cool rooms to a comfortable range, between 78 degrees F (26 degrees C) and 85 degrees F (30 degrees C), or in areas of extreme heat to 30 degrees F less than the outside temperature. This requirement was not reached as evidenced by: Based on interviews, inspection and observation the facility failed to ensure that temperatures were within Title 22 requirements. This poses an immediate health and safety risk to residents in care.
The licensee agrees to hire a licensed contractor to replace the broken air conditioning unit and have the functioning units re-assessed to ensure they are operating properly to ensure safe temperatures throughout the facillity. The facility shall rent or purchase additional cooling units to ensure the facility is cooled properly until the repairs have been completed on the existing units. Licensee shall submit repair / replacement invoices to LPA as proof of correction.
Deadline recorded: Jun 29, 2026. A deadline is not proof that correction was completed.
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
87303(b)(2) Maintenance and Operation (b) A comfortable temperature for residents shall be maintained at all times. (2) The facility shall cool rooms to a comfortable range, between 78 degrees F (26 degrees C) and 85 degrees F (30 degrees C), or in areas of extreme heat to 30 degrees F less than the outside temperature. This requirement was not reached as evidenced by: Based on interviews and observation the facility failed to ensure that temperatures were within Title 22 requirements. This poses an immediate health and saftey rsik to resident in care.
The licensee agrees to hire a licensed contractor to repair or replace the exising air conditioning units in the building. Licensee shall submit repair invoices to LPA as proof of correction. LPA will follow-up with random visits to ensure the temerature requirements are being met.
Deadline recorded: May 27, 2026. A deadline is not proof that correction was completed.
(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 the section cited above which poses a potential health, safety or personal rights risk to persons in care. LPA observed the following during the inspection: A broken plexiglass window in the medication room (currently not in use) located in the lower portion of the facility next to the common area. This plexiglass needs to be replaced. Discarded wheelchairs, mattresses, beds etc. located in the sunroom in memory care unit. These items need to be removed. Broken/discarded bed located on the porch on the south side of the facility in the garden area. This needs to be removed. Discarded chairs located in the exterior alcove located on the exterior of the upper memory care medication room. These need to be removed. One window screen was on the ground on the exterior east side of the facility in the garden area. This screen needs to be re-installed. Portion of sidewalk located in the rear garden next to the back fence had puddles of water from the drip irrigation system. This system needs to be inspected and repaired to prevent pooling of water. Discarded commode, walker, and wheelchair in the shaded exterior activities area. These items need to be removed.
POC Due Date: 04/13/2026 Plan of Correction Licensee agrees to remove all discarded items from the facility grounds, repair/replace plexiglass window in medication room that is no longer in use, re-install one window screen, inspect and repair drip irrigation system that is flooding the sidewalk in the garden area. Licensee shall submit photographs of all areas that have been discussed after the repairs have been completed and discarded items have been removed from facility premises.
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited · investigated over 2 visits
No deficiencies recorded in this report87468.1 (a)(3) Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature. This requirement is not met as evidenced by: Based on interviews it was determined that Staff 1 (S1) sprayed R1 with Febreze which violates R1’s personal rights. This poses an immediate health and safety risk to residents in care.
Administrator agrees to submit a plan of correction advising how this type of violation will be avoided in the future. In addition, the administrator shall provide training for all direct care staff concerning treating residents with dignity and respect. Administrator will schedule the training and provide LPA with the content of the training and signed staff attendance sheet as the POC. The proof of correction is to be received by LPA Knight by 03/26/2026.
Deadline recorded: Mar 26, 2026. A deadline is not proof that correction was completed.
Allegations2 substantiated · 5 unsubstantiated · 0 unfounded · 2 cited · investigated over 2 visits
87411(a) Personnel Requirements – General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. This requirement was not met as evidenced by: Based on records review staff did not record toileting care for 2 residents, which poses a potential health, safety, or personal rights risk to residents in care.
Licensee agrees to provide training to all staff on the requirement to accurately record toileting care of all residents. Licensee shall submit signed staff training sign in sheet as proof of correction. Licensee shall submit POC requirements to LPA by 03/20/2026.
Deadline recorded: Mar 10, 2026. A deadline is not proof that correction was completed.
87311 Telephones - All facilities shall have telephone service on the premises. This requirement was not met as evidenced by: Based on interviews the licensee failed to ensure that the facility had reliable and correctly functioning telephone service which prevented families from being able to contact residents. This poses a potential health, safety, and personal rights risk to residents in care.
The licensee agrees to arrange to have a fully functioning telephone that can be heard and answered anytime, anywhere in the facility. The licensee shall conduct staff training on the use of the telephone and the requirement to answer the telephone at all times. Licensee agrees to send LPA staff training sign in sheet as proof of correction.
Deadline recorded: Feb 12, 2026. A deadline is not proof that correction was completed.
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this report87411(a) Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by: Based on interviews and document review the facility failed to ensure that 1 of 24 residents was not able elope from the facility out into the street at night where they were found in their wheelchair in a parking lot ditch. This poses an immediate health and safety risk to residents in care.
The licensee agrees to hold training with all staff on the requirement to provide care and supervision at all times to all residents in care to ensure their safety. The licensee shall submit to LPA a staff training attendance roster which is signed by all staff as proof of correction.
Deadline recorded: Jan 29, 2026. A deadline is not proof that correction was completed.
87303 Maintenance and Operation (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 was not met as evidenced by: LPA observed that the interior door with key pad entrance was malfunctioning. When staff entered the code the door opened and dis-alarmed. When staff let go of the door LPA observed that the door did not automatically close though the keypad read that the door was secured. This is likely how R1 was able to enter the facility lobby through the unlatched door.This poses an immediate health and safety risk to residents in care.
The licensee agrees to have the interior lobby door and keypad mechanism inspected and repaired by a licensed professional. Licensee agrees tosumit invoices of inspection and repair to LPA as proof of correction.
Deadline recorded: Jan 29, 2026. A deadline is not proof that correction was completed.
Part of the complaint whose outcome is recorded on Feb 24, 2026 · Control 59-AS-20260102150659
87303 Maintenance and Operation (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 was not met as evidenced by: LPA inspected Room 2 and found that there was a water leak in the ceiling on the north-west corner. LPA witnessed buckling paint on the interior wall. LPA viewed the exterior wall of the room (which is in a corner of the building and determined that a leak was present in the corner. This poses an immediate health and safety risk to residents in care.
Licensee agrees to have the ceiling and walls inspected in Room 2 for leaks and will also ensure that all electrical outlets are functioning safely and have not bee affected by the leak.Licensee agrres tom complete all necessary repairs. Licensee shall send invoices from the contractor to LPA as proof of correction.
Deadline recorded: Jan 20, 2026. A deadline is not proof that correction was completed.
Part of the complaint whose outcome is recorded on Mar 12, 2026 · Control 59-AS-20251218125151
87213 Finances The licensee shall have a financial plan that conforms to the requirements of Section 87155, Application for License, and that assures sufficient resources to meet operating costs for care of residents; shall maintain adequate financial records; and shall submit such financial reports as may be required upon the written request of the licensing agency. Such request shall explain the need for disclosure. The licensing agency reserves the right to reject any financial report and to request additional information or examination including interim financial statements. This requirement has not been met as evidenced by: Based on LPA record review the facility did not pay their PGE bill which resulted in PGE serving a FINAL NOTICE BEFORE DISCONNECTION. The facility currently has a past due amount of $4,481.00 that is due by 12/23/2025. LPA reviewed past due invoices from multiple vendors who have not been paid by the licensee. This poses an immediate health, safety, and personal rights risk to residents in care.
Licensee agrees to pay all past due invoices within 24 hours of this citation. If licensee cannot pay within 24 hours, the licensee shall submit a plan to LPA within 24 hours of how they will pay all past due invoices to all vendors within 30 days. Submit plan to LPA as proof of corretcion.
Deadline recorded: Jan 22, 2026. A deadline is not proof that correction was completed.
Allegations1 substantiated · 3 unsubstantiated · 1 unfounded · 1 cited · investigated over 2 visits
No deficiencies recorded in this report87303(b) Maintenance and Operation (b) A comfortable temperature for residents shall be maintained at all times. (1) The facility shall heat rooms that residents occupy to a minimum of 68 degree F, (20 degrees C).This requirement was not met as evidenced by: Based on observation the facility failed to ensure that common areas and resident rooms are at a comfortable temperature which poses an immediate health, safety and personal rights risk to residents in care.
Licensee will immediately ensure that common areas and resident rooms in all areas of the facility are heated to a minimum of 68 F. Licensee shall increase the temperature immediately and submit plan to LPA to ensure that the temperature wll be maintained. LPA will follow-up with visits to ensure this requirement has been met.
Deadline recorded: Dec 5, 2025. A deadline is not proof that correction was completed.
87303(a) Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. This requirement was not met as evidenced by: Based on observation and record review the facility failed to ensure that the fire alarm system was in good repair which poses an immediate health, and safety risk to residents in care.
The licensee agrees to submit a plan to replace the fire alarm system by 12/11/2025. The replacement of the fire alarm system shall be completed by a licensed contractor by 12/18/2025. Licensee will submit signed contract and photograph of the new fire alarm system as proof of correction. LPA will follow-up with a visit to the facility to ensure the plan of correction has been fulfilled. Plan to replace fire alarm system due 12/11/2025. Replacement of fire alarm system due 12/18/2025. ED to contact LPA if contractor needs more time to complete.
Deadline recorded: Dec 18, 2025. A deadline is not proof that correction was completed.
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportPart of the complaint whose outcome is recorded on Dec 18, 2025 · Control 59-AS-20251020142705
87303 Maintenance and Operation (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 was not met as evidenced by: LPA observed the linolem in the laundry room is damaged / worn, two ceiling lighting ballasts in the laundry room that were not in working order, upper floor food service area observed that four cabinet drawers were missing and one cabinet door is missing.
Licensee agrees to replace the linoleum in the laundry room, replace the light bulbs and / or replace the ballasts in the laundry room, replace or repair the drawers and doors that are missing or damaged in the upper food service area. Licensee shal submit photographs to LPA as proof of repair.
Deadline recorded: Nov 11, 2025. A deadline is not proof that correction was completed.
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this report(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 was not met as evidenced by: LPA observed a pronounced mildew smell in the facility and observed a large hole had been cut into the floor of the electrical room of the facility which poses a potential health, safety or personal rights risk to persons n care.
Licensee agrees to hire a licensed contractor who will diagnose and repair the issue. The licensed contractor will obtain the required construction permits from the appropriate government authorities. Licensee shall submit a plan that includes anticipated dates of completipn of the repair, name and license number of the contractor, bids for repair, and signed contract as proof of correction. Once the repair has been completed LPA will follow-up with a visit.
Deadline recorded: Oct 23, 2025. A deadline is not proof that correction was completed.
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations2 substantiated · 2 unsubstantiated · 0 unfounded · 2 cited · investigated over 2 visits
87411 (c)(6) Personnel Requirements – General (c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69. (6) The licensee shall maintain documentation pertaining to staff training in the personnel records, as specified in Section 87412(c)(2). For on-the-job training, documentation shall consist of a statement or notation, made by the trainer, of the content covered in the training. Each item of documentation shall include a notation that indicates which of the criteria of Section 87411(c)(3) is met by the trainer. This requirement was not met as evidenced by: Based on LPA record review the licensee failed to document that Staff 1 (S1) had completed training before being allowed to dispense medications which poses a potential health and safety risk to residents in care.
Licensee agrees to develop a process and plan that outlines how they will ensure that all staff training is documented in staff files. Licensee shall submit this plan to LPA as proof of correction. POC due 08/28/2025.
Deadline recorded: Aug 28, 2025. A deadline is not proof that correction was completed.
Part of the complaint whose outcome is recorded on Aug 14, 2025 · Control 59-AS-20250701120437
87303(a) Maintenance and Operation (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 was not met as evidenced by: LPA obserevd the kitchen temperatre to be 97 degrees F at 11:10 AM. LPA found a large amount of dirt, dust, and debris under resident beds, under night stands and in corners of the rooms. The rooms were generally untidy and unclean. This poses a potential health and safety risk to resident in care and staff working in the facility.
Licensee agrees to install a commercial air conditioning unit in the facility kitchen starting immediately and ending when the hot weather abates for the season. Licensee agrees to hire a second full time house keeping staff for a total of two full time house keeoing staff. The commercial air conditioning unit shall be installed by the end of day 07/11/2025. Licensee shall submit photograph of instaled unit and invocie for its purchase or rental. Licensee shall hire a second full time housekeeper by 07/25/2025 and agrees to submit proof of hire and updated schedule to LPA as proof of correction.
Deadline recorded: Jul 25, 2025. A deadline is not proof that correction was completed.
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations2 substantiated · 1 unsubstantiated · 0 unfounded · 2 cited
87303(a) Maintenance and Operation (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 was not met as evidenced by: Based on observation, document review and interviews it was determined that although the facility has monthly pest control services the issue with rodents still persists. This poses a potential Health, Safety and Personal Rights risk to residents in care.
The licensee shall implement and correct all observations made by pest control to help to prevent rodents from entering the facility to include: Trim back all trees 4 feet from roof line, ensure all screens have been replaced or repaired to ensure proper fit, inspect all exterior doors and repair all gaps/opening at bottom of doors to prevent rodents from entering the facility. Licensee shall submit a plan for all repairs with estimated dates of completion to LPA. Licensee shall submit this plan to LPA by 05/01/2025. All repairs must be completed within 30 days. LPA will conduct a follow-up visit to ensure all items have been completed according to the plan as proof of correction.
Deadline recorded: May 1, 2025. A deadline is not proof that correction was completed.
87303(1)(i)(c) Maintenance and operation (i) Facilities shall have signal systems which shall meet the following criteria: (1) All facilities licensed for 16 or more … shall have a signal system which shall: (C) Identify the specific resident living unit. This requirement was not met as evidenced by: Based on observation it was determined that six rooms in the lower hallway have exterior call lights that either do not light or are very dim when the call button is pushed in the resident room. This poses a potential Health, Safety and Personal Rights risk to clients in care.
The licensee shall test all call lights from every resident room in the facility and observe the exterior light of each room. Licensee shall make a list with every room number and the current status of the exterior light (functioning properly, not working, dim). Once the list has been completed licensee shall repair every light that is not lighting correctly and add the date of repair to the list. After all repairs have been completed licensee shall submit final list to LPA as proof of correction. POC due date is 05/01/2025.
Deadline recorded: May 1, 2025. A deadline is not proof that correction was completed.
(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review, the licensee did not comply with the section cited above in 2 of 6 staff files which did not contain First aid certificates.which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/06/2025 Plan of Correction LIcensee agrees to submit completed first aid training certificates for two staff as proof of correction.
87303 Maintenance and Operation (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 the section cited above in Lower activities room common bathroom sink not draining. Room 9 shower floor soiled. Room 26 bathroom light fixture missing glass cover. Room 26 bathroom fan dirty. Discarded items need to be removed from west side entrance to include motorized wheelchair and mattress. Sun room currently has discarded rental equipment (beds, oxygen cannisters, wheelchairs, walkers) that need to be picked up by rental company. Two window screens need to be re-installed on exterior windows on South side of the building. Weeds need to be removed from gutters overs entrance to activity room. Discarded metal table needs to be removed from backyard. Discarded heavy metal doors need to be removed from east side activity area.which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/06/2025 Plan of Correction Licensee agrees to remove all discraded items, replace light fixture cover in room 26 bathroom, clean bathroom fan in room 26, repair bathroom sink in activities area, clean shower floor in room 9, re-install window screens, ensure gutters are cleaned. Licensee shall submit a plan to ensure all discarded rental items are removed by rental company.
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
87303(b)(1) Maintenance and Operation (b) A comfortable temperature for residents shall be maintained at all times. (1) The facility shall heat rooms that residents occupy to a minimum of 68 degree F, (20 degrees C). Based on LPA observation resident rooms in the lower hall measured 62 degrees in four resident rooms, this is below the required minimum temperature reading of 68 degrees.
Licensee agrees to arrange and complete the repair and/or adjustments of the thermostats and HVAC in the building to ensure that resident rooms reach the required minimum temperature of 68 degrees. Licensee agrees to contact LPA when the adjustments/repars have been completed and LPA will return to the facility to take temperature readings. Due date is December 09, 2024.
Deadline recorded: Dec 9, 2024. A deadline is not proof that correction was completed.
Allegations1 substantiated · 6 unsubstantiated · 0 unfounded · 1 cited
87303(g)(1) Maintenance and Operation (g) Facilities which have machines and do their own laundry shall: (1) Have adequate supplies available and equipment maintained in good repair. This requirement was not met as evidenced by: Based on interviews and document review it was determined that the facility ran out of laundry detergent causing the laundry to pile up. This poses a potential health and safety risk to residents in care.
Licensee agrees to develop a plan that will ensure the facility does not run out of laundry detergent and laundry does not stack up and will submit the plan to LPA as proof of correction. The proof of correction is to be received by LPA Knight by 11/28/2024.
Deadline recorded: Nov 28, 2024. A deadline is not proof that correction was completed.
Allegations2 substantiated · 3 unsubstantiated · 0 unfounded · 1 cited
87303(a) Maintenance and Operation (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 was not met as evidenced by: Based on LPA observation it was determined that the shower floor for 1 resident was very dirty. In the upper dining room LPA observed significant dirt and grime on the floor next to the double doors. In the upper dining room the section of wall under the breakfast bar had been patched but needed to be painted. In the decline to the left of the hallway the section of wall was missing the baseboard and this wall needed to be painted. In this decline hallway the linoleum baseboards needed to be cleaned. The baseboard outside of water heater closet was missing and the wall needs to be painted in addition hallway wall needs to be painted. This poses a potential health and safety risk to residents in care.
Licensee agrees to submit a plan to LPA that will ensure that resident shower floors are cleaned immediately if they become soiled. Licensee agrees to clean the dirt and grime in the dining room floor next to the double doors. Licensee agrees to paint the breakfast bar wall, decline hallway walls, replace all missing baseboards, clean any dirty baseboards and will submit photographs to LPA as proof of correction. The proof of correction is to be received by LPA Knight by 11/28/2024.
Deadline recorded: Nov 28, 2024. A deadline is not proof that correction was completed.
Allegations1 substantiated · 4 unsubstantiated · 0 unfounded · 1 cited
87465(a)(4) Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on interviews and document review it was determined that due to R1 not receiving his levothyroxine medication, his hyperthyroidism was untreated, and R1 was hospitalized and treated for severe hypothyroidism. This poses an immediate health and safety risk to residents in care.
Licensee agrees to conduct a medication training for all staff exclusive to the requirement of ensuring that residents have all required medications upon admission to the facility and will provide LPA with training subject matter and sign in sheet with dates and staff signatures. Civil penalties are being asessed in the amount of $1,000.00 for repeat violaton within a 12 month period. The proof of correction is to be received by LPA Knight by 07/02/2024.
Deadline recorded: Jul 2, 2024. A deadline is not proof that correction was completed.
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations2 substantiated · 3 unsubstantiated · 0 unfounded · 2 cited
87468.2 (a)(4) Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are competent to meet their needs. This requirement was not met as evidenced by: Based on interviews and document review it was determined that staff did not ensure that a seatbelt was placed on R1 prior to transport in the facility van which resulted in R1 falling out of their wheelchair. This poses a potential health and safety risk to residents in care.
Licensee agrees to conduct a staff training concerning the requirement to safely transport residents. Licensee shall submit the staff sign in sheet with dates and staff signatures as proof of correction. The proof of correction is to be received by LPA Knight by 05/16/2024.
Deadline recorded: May 16, 2024. A deadline is not proof that correction was completed.
Health and Safety Code section 1569.2(c) provides: (c) " Care and supervision " means the facility assumes responsibility for, or provides… ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered. Assistance includes assistance with taking medications, money management, or personal care. This requirement was not met as evidenced by: Based on interviews and document review it was determined that staff did not ensure that Resident 1 is provided assistance in showering with the required number of showers as required in their care plan. This poses a potential health and safety risk to residents in care.
Licensee agrees to conduct a staff training concerning the requirement to assist residents with showers. Licensee shall submit the staff sign in sheet with dates and staff signatures as proof of correction. Additionally, licensee agrees to submit a plan for staff to follow specific to providing R1 assistance with showering and ensuring that R1 receives the required number of showers outlined in their care plan. The proof of correction is to be received by LPA Knight by 05/16/2024.
Deadline recorded: May 16, 2024. A deadline is not proof that correction was completed.
Allegations2 substantiated · 2 unsubstantiated · 0 unfounded · 2 cited · investigated over 2 visits
87468.1 (a)(1) Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff. This requirement was not met as evidenced by: Based on interviews it was determined that S4 yelled at residents. This poses a potential health and safety risk to residents in care.
Licensee agrees to conduct training with all staff on the personal rights of residents to be accorded dignity in their relationships with staff and will submit sign in sheet with dates and staff signatures as proof of correction. Staff 4 was terminated from employment as a result of this incident. The proof of correction is to be received by LPA Knight by 05/07/2024.
Deadline recorded: May 7, 2024. A deadline is not proof that correction was completed.
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
87465(a)(4) Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on interviews and document review it was determined that R1 ran out of multiple medications for a period ranging from 8 to 18 days. This poses an immediate health and safety risk to residents in care.
Licensee agrees to conduct a medication training for all med techs concerning the requirement to ensure that residents do not run out of their medications and will provide LPA with training subject matter and sign in sheet with dates and staff signatures. In addition, licensee shall submit a plan to LPA that outlines the process that all med techs must follow to ensure that residents do not run out of medications. The proof of correction is to be received by LPA Knight by 05/07/2024.
Deadline recorded: May 7, 2024. A deadline is not proof that correction was completed.
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
87506(a) Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff. This requirement was not met as evidenced by: Based on interviews and document review it was determined that the paper file for R1 was not on file and the facility had not entered the resident’s record into their database where it could be accessed by facility staff. This resulted in staff not being able to provide EMS with the identifying records that are required by EMS in order to transport a resident to hospital. This poses a potential health and safety risk to residents in care.
Licensee agrees to submit an updated process that ensures staff access to resident records immediately upon admission of a new resident. Additionally, licensee will conduct staff training on the new process which shall include the requirement to present EMS with resident records any time a resident is transported to hospital. Licensee shall submit staff sign in sheet as proof of correction. The proof of correction is to be received by LPA Knight by 05/07/2024.
Deadline recorded: May 7, 2024. A deadline is not proof that correction was completed.
87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. This requirement was not met as evidenced by: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/02/2024 Plan of Correction LIcensee agrees to remove and dispose of all named debris, defrost refrigerator, clean gutters, and replace window screens. Licensee shall submit photographs to LPA as proof of correction.
(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. 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 4 of 6 staff files which pose a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/02/2024 Plan of Correction
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
87465(a)(4) Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on interviews and document review it was determined that a med tech dispensed the wrong medication to 1 resident resulting in hospitalization. This poses an immediate health and safety risk to residents in care.
Licensee agrees to conduct a medication distribution training for all staff and will provide LPA with training subject matter and sign in sheet with dates and staff signatures. The proof of correction is to be received by LPA Knight by 04/02/2024.
Deadline recorded: Apr 2, 2024. A deadline is not proof that correction was completed.
Part of the complaint whose outcome is recorded on Apr 23, 2024 · Control 59-AS-20240308090656
87303 Maintenance and Operation (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 was not met as evidenced by: Based on LPA observation and interviews it was determind that 1 washing machine is inoperational, 3 shower hoses need to be replaced in resident rooms, latch in laundry room door is malfunctioning. This poses a potential health and saftey risk to residents in care.
Licensee agrees to repair washing machine, replace latch on laundry room door, replace malfunctioning hoses in showers in room 5, 6, and 9. Licensee shall submit proof of repairs to LPA by 3/28/2024.
Deadline recorded: Mar 28, 2024. A deadline is not proof that correction was completed.
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations1 substantiated · 7 unsubstantiated · 0 unfounded · 1 cited
87303(A) Maintenance and Operation - Facilities shall have signal systems which shall meet the following criteria: (1) All facilities licensed for 16 or more … shall have a signal system which shall: (A) Operate from each resident's living unit. This requirement is not met as evidenced by: Based on LPA interviews and observation it was determined that the call light in 1 resident room is missing the pull cord causing R1 to not be able to activate their call light unless they are in their bed against the wall which poses a potential health and safety risk to residents in care.
Administrator agrees to repair the broken call light in R1’s room and inspect all call lights in the facility to ensure they all have all complete parts and function correctly. Administrator shall submit photograph of repaired call light in R1’s room and submit a facility roster with room numbers, date of inspection, and inspection results to LPA as proof of correction. The proof of correction is to be received by LPA Knight by 11/15/2023.
Deadline recorded: Nov 15, 2023. A deadline is not proof that correction was completed.
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations1 substantiated · 3 unsubstantiated · 0 unfounded · 1 cited
Personal Rights - To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs. This requirement was not met as evidenced by: Based on interviews and document review, the licensee did not ensure that the resident’s authorized representatives were regularly informed of the resident’s change of condition.
The administrator agrees to weekly inform the resident’s authorized representative of the resident’s ongoing condition. The administrator shall submit a copy of the initial document for review to the licensing agency.
Deadline recorded: Aug 2, 2023. A deadline is not proof that correction was completed.
87705(f)(2) Care of Persons with Dementia - (f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement is not met as evidenced by: Based on interviews, it was determined that Resident 1 gained access to a laundry room and was found by staff with a cup of laundry detergent in their hand and laundry detergent around their mouth. This poses an immediate health and safety risk to residents in care.
Licensee has installed a spring hinge to the laundry room doors. In addition licensee will conduct a training for all staff on the requirement to ensure that all cleaning toxins are stored inaccessible to residents. Licensee will schedule the training and provide LPA with the training content and signed staff attendance sheet as the POC. The proof of correction is to be received by LPA Knight by 06/15/2023.
Deadline recorded: Jun 15, 2023. A deadline is not proof that correction was completed.
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations3 substantiated · 2 unsubstantiated · 0 unfounded · 3 cited · investigated over 2 visits
Basic Services: A facility need not accept a particular resident for care. However, if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs… This requirement was not met as evidenced by: Based on interviews and records reviewed, the licensee did not ensure that the resident received medical attention for his feet and toes. This poses an immediate health, safety, and personal rights risk to residents in care.
The administrator agrees to develop a policy to ensure how this deficiency will be avoided in the future. Administrator shall submit to the licensing agency.
Deadline recorded: May 31, 2023. A deadline is not proof that correction was completed.
Healing Wounds: the licensee shall be permitted to accept or retain a resident who has a healing wound under the following circumstances: When care is performed by or under the supervision of an appropriately skilled professional. This requirement was not met as evidenced by: Based on interviews and records reviewed, the licensee did not ensure that care for the resident was under the supervision of an appropriately skilled professional. This poses an immediate health, safety, and personal rights risk to residents in care.
The administrator agrees to develop a policy to ensure how this deficiency will be avoided in the future. Administrator shall submit to the licensing agency.
Deadline recorded: May 31, 2023. A deadline is not proof that correction was completed.
Allegations1 substantiated · 7 unsubstantiated · 0 unfounded · 1 cited
Maintenance and Operation - 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 was not met as evidenced by: Based on documentation and interviews, the licensee did not ensure that the facility was clean, safe and sanitary. This poses an immediate health and safety risk to residents in care.
The administrator agrees to seek alternative methods to eradicate roaches and mice. Administrator agrees to seek another pest control company in an effort to eliminate the rodents.
Deadline recorded: May 31, 2023. A deadline is not proof that correction was completed.
Allegations6 substantiated · 2 unsubstantiated · 0 unfounded · 6 cited · investigated over 4 visits
Fire Safety - All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. The licensee did not ensure that the Facility Fire Alarm System was in working condition. This is a zero tolerance violation and the facility shall be served a civil penalty this date.
The administrator shall provide to the licensing agency with a current copy of a report that indicates that the fire alarm system is updated and in working condition. Civil Penalty is served this date.
Deadline recorded: May 10, 2023. A deadline is not proof that correction was completed.
Part of the complaint whose outcome is recorded on May 9, 2023 · Control 25-AS-20220711103123
Finances - The licensee shall have a financial plan that conforms to the requirements of Section 87155, Application for License, and that assures sufficient resources to meet operating costs for care of residents; shall maintain adequate financial records; and shall submit such financial reports as may be required upon the written request of the licensing agency… The licensee did not ensure that there were sufficient resources to meet operating costs for the care of residents.
The licensee agrees to follow the recommendations that are indicated in the report.
Deadline recorded: Apr 17, 2023. A deadline is not proof that correction was completed.
Accountability of Licensee Governing Body - The licensee, whether an individual or other entity, shall exercise general supervision over the affairs of the licensed facility and establish policies concerning its operation in conformance with these regulations and the welfare of the individuals it serves. If the licensee is a corporation or an association, the governing body shall be active, and functioning in order to assure accountability. The licensees did not exercise general supervision over the affairs of their licensed facilities.
The licensee agrees to follow the recommendations that are indicated in the report.
Deadline recorded: Apr 17, 2023. A deadline is not proof that correction was completed.
Liability Insurance - On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. The licensee did not maintain liability insurance per the Health and Safety Code.
The licensee agrees to follow the recommendations that are indicated in the report.
Deadline recorded: Apr 17, 2023. A deadline is not proof that correction was completed.
Allegations0 substantiated · 2 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportPart of the complaint whose outcome is recorded on May 30, 2023 · Control 59-AS-20230228144815
Managed Incontinence - The licensee shall be permitted to accept or retain a resident who has a manageable bowel and/or bladder incontinence condition under the following circumstances:... The licensee did not have the appropriate number of incontinence products available to ensure that the residents remain changed and dry.
The administrator agrees to submit a plan advising how this type of deficiency will be avoided in the future. The administrator shall submit a receipt indicating that the incontinence products have been purchased.
Deadline recorded: Mar 8, 2023. A deadline is not proof that correction was completed.
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Maintenance and Operation - 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. The licensee did not ensure that the resident’s room was safe, as there were needles and syringes in a Sharps Container, that were not disposed of.
The administrator agrees to develop a policy as to how this citation will be avoided in the future. ,
Deadline recorded: Mar 7, 2023. A deadline is not proof that correction was completed.
Part of the complaint whose outcome is recorded on May 9, 2023 · Control 25-AS-20220711103123
No deficiencies recorded in this reportAllegations3 substantiated · 1 unsubstantiated · 0 unfounded · 3 cited · investigated over 2 visits
Maintenance and Operation - The facility shall be clean, safe, sanitary and in good repair at all times… The licensee did not ensure that this requirement was met as evidenced by observations. Large stains were noted on the carpeted floors and liquid was observed on the laminate floors.
The administrator agrees to ensure that the floors are maintained and kept clean. The administrator shall submit to the licensing agency a policy advising how to ensure that the floors are maintained and are clean.
Deadline recorded: Jan 17, 2023. A deadline is not proof that correction was completed.
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations3 substantiated · 2 unsubstantiated · 2 unfounded · 1 cited
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 is evidenced by: Licensee failed this by: not having a plan for when the laundry machines stop working and the dirty laundry not being done. The window screens requiring repairs not being done timely. This is a potential risk to the health and safety of the resident.
By 01/08/2023, the licensee shall submit a written plan of correction on how they shall maintain laundry services if the machines stop working and how they shall maintain the window screens.
Deadline recorded: Jan 8, 2023. A deadline is not proof that correction was completed.
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations2 substantiated · 2 unsubstantiated · 0 unfounded · 2 cited
Incidental Medical and Dental Care. A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: The licensee shall assist residents with self-administered medications as needed. This is evidenced by: Licensee failed this by a resident being given the wrong medication and as a result the resident was sent to the hospital. This is an immediate risk to the health and safety of the resident.
By 12/09/2022, the licensee shall submit a writing on the plan to prevent medication errors in the future.
Deadline recorded: Dec 9, 2022. A deadline is not proof that correction was completed.
Basic services requirements. Every facility required to be licensed under this chapter shall provide at least the following basic services:Monitoring the activities of the residents while they are under the supervision of the facility to ensure their general health, safety, and well-being. Licensee failed this by a resident being sento the hospital and being diagnosed with a urinary tract infection and dehydration that the staff did not observe. This is an immedate health and safety risk to residents
By 12/09/2022, the licensee shall submit a written plan of correction regarding staff training on the signs and symptoms of resident with urinary tract infections and dehydration.
Deadline recorded: Dec 9, 2022. A deadline is not proof that correction was completed.
87705(c)(4) Care of Persons with Dementia-Licensees who accept and retain residents with dementia shall be responsible for ensuring: There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs. This requirement is not met as evidenced by: Based upon observation and interview the Licensee failed to provide enough care staff to ensure the safety and health care needs of 1 of 1 residents who had a history of AWOL. This poses an immediate Health, Safety and/or Personal Rights risk to residents in care.
Licensee agrees to create and implement a policy and procedure to ensure accountability of individual staff to ensure they are conducting wellness checks. Policy due to CCL no later than COB on 10/13/2022 Civil Penalty assessed in the amount of $250 due to repeat violation. Previous citation issued on 7/15/22
Deadline recorded: Oct 13, 2022. A deadline is not proof that correction was completed.
87555 General Food Service Requirements(b) The following food service requirements shall apply:(29) All equipment, fixed or mobile, and dishes, shall be kept clean and maintained in good repair and free of breaks, open seams, cracks or chips. This requirement is not met as evidenced by: Based upon observation and interview the Licensee failed to keep 4 of 4 sinks in the kitchen from leaking and creating water damage and mold. This poses an immediate Health, Safety and/or Personal Rights risk to residents in care.
Licensee agrees to have a professional cerified in mold detection and treatment come out to the facility. Appointment will be made no later than close of business on 10/13/2022 and inspection will be completed no later than COB 10/14/2022. Licensee agrees to provide appointment date and time to CCL on 10/13/2022 and findings/treatment on 10/14/22
Deadline recorded: Oct 13, 2022. A deadline is not proof that correction was completed.
Allegations3 substantiated · 3 unsubstantiated · 0 unfounded · 3 cited · investigated over 2 visits
Basic Services - Basic services shall at a minimum include: Regular observation of the resident's physical and mental condition, as specified in Section 87466, Observation of the Resident. The licensee did not ensure that this requirement was met as evidenced by interviews and records review in that it was documented in several places that the resident needed assistance and supervision when walking. This poses an immediate risk to residents in care.
The assistant administrator agrees to assess all residents that are a fall risk. The assistant administrator shall develop a system in place to assist in preventing residents from falls and agrees to submit the plan of correction to the licensing agency
Deadline recorded: Aug 10, 2022. A deadline is not proof that correction was completed.
Incidental Medical and Dental Care - The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. The licensee did not ensure that this requirement was met as evidenced by interviews and record reviews in that a staff person working the nighttime shift did not contact Emergency Services (911) when a resident fell and sustained a large skin tear on her arm. This poses an immediate risk to residents in care.
The assistant administrator agrees to provide training to all care providers and medication technicians, as to the importance of when it is appropriate to send a resident to the hospital. Names and staff signatures and training dates shall be sent to the licensing agency.
Deadline recorded: Aug 10, 2022. A deadline is not proof that correction was completed.
Safeguards for Resident Cash, Personal Property, and Valuables - Every facility shall take appropriate measures to safeguard residents' cash resources, personal property and valuables which have been entrusted to the licensee or facility staff. The licensee did not ensure that this requirement was met as evidenced by interviews and record reviews in that when the resident left the facility, she did not receive all of her belongings. This poses a potential risk to resident’s in care.
The assistant administrator agrees to ensure that resident’s belongings are listed on the Property and Valuables document. The assistant administrator shall update her records for at least 13 residents and shall submit a copy to the licensing agency.
Deadline recorded: Aug 23, 2022. A deadline is not proof that correction was completed.
Part of the complaint whose outcome is recorded on Aug 9, 2022 · Control 25-AS-20220516120548
No deficiencies recorded in this reportAllegations3 substantiated · 2 unsubstantiated · 0 unfounded · 3 cited · investigated over 2 visits
Observation of a resident - When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. The licensee did not ensure that a resident’s medical professional was notified of a resident’s health change.This poses an immediate Health and Safety risk to residents.
The administrator agrees to develop a policy that ensures cross training is provided between staff to make certain that coverage is existent when a physician needs to know that a resident has had a change in health condition.
Deadline recorded: Aug 10, 2022. A deadline is not proof that correction was completed.
Incidental Medical and Dental Care - The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis except as specified in Sections 87469(c)(2), (c)(3), or (c)(4). The licensee did not ensure that staff persons called 911 during an incident that caused an imminent threat to the resident’s health. This poses an immediate Health and Safety risk to residents.
The administrator agrees to ensure that all medication technicians and care staff are prepared and trained to know when to contact Emergency Services (911) and when there is a life-threatening medical crisis. Civil penalties in the amount of $500.00 are assessed today for a resident sustaining a serious bodily injury while in care.
Deadline recorded: Aug 10, 2022. A deadline is not proof that correction was completed.
Incidental Medical and Dental Care - Facility staff, except those authorized by law, shall not administer injections, but staff designated by the licensee may assist persons with self-administration as needed. The licensee did not ensure that this requirement was met as evidenced by documentation that reflects an order change; however, was not followed. This poses an immediate risk to residents.
The administrator agrees to have all of the medication technicians and management trained in ensuring that a physician’s medication change order is followed.
Deadline recorded: Aug 10, 2022. A deadline is not proof that correction was completed.
Part of the complaint whose outcome is recorded on Aug 9, 2022 · Control 25-AS-20220325092801
No deficiencies recorded in this reportPart of the complaint whose outcome is recorded on May 9, 2023 · Control 25-AS-20220711103123
87705(c)(4) Care of Persons with Dementia-Licensees who accept and retain residents with dementia shall be responsible for ensuring: There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs. This requirement is not met as evidenced by: Based upon observation and interview the Licensee failed to provide enough care staff to ensure the safety and health care needs of 1 of 1 residents. This poses an immediate Health, Safety and/or Personal Rights risk to residents in care.
Licensee agrees to increase staffing levels during each shift to ensure the safety and health care needs of all residents. Licensee will provide staffing plan by 5pm on 7/16/2022 to LPA via e-mail. Licensee will provide daily schedules to LPA for the remainder of July 2022.
Deadline recorded: Jul 16, 2022. A deadline is not proof that correction was completed.
87303(a) Maintenance and Operation-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: Based upon observation and interview the Licensee failed to keep the gate, air conditioning unit and water heater in good repair. This poses an immediate Health, Safety and/or Personal Rights risk to residents in care.
Licensee agrees to repair the gate, air conditioning unit and water heater within 24 hours of this citation. Licensee agrees to read reg 87303 and provide memo of understanding to include a policy to ensure this will not occur again. Due to LPA Avila via e-mail within 24 hours.
Deadline recorded: Jul 16, 2022. A deadline is not proof that correction was completed.
Part of the complaint whose outcome is recorded on Jan 10, 2023 · Control 25-AS-20220713105249
87468.1 Personal Rights of Residents in All Facilities -(a)Residents in all residential care facilities for the elderly shall have all of the following personal rights:(11) To have their visitors, including ombudspersons and advocacy representatives, permitted to visit privately during reasonable hours and without prior notice This requirement is not met as evidenced by: Based upon observation and interview the Licensee failed to allow 36 of 36 residents in care their right to visitors. This poses an immediate Health, Safety and/or Personal Rights risk to residents in care.
Licensee agrees to read all PINS from 2021-2022 as well as regulation 87468.1 regarding residents rights to visitors. Licensee agrees to remove the sign from the front door and permit visitors immediatly. Licensee will provided letter of understanding regarding the PINS and regulation 87468.1 within 24 hours to LPA via e-mail
Deadline recorded: Jul 15, 2022. A deadline is not proof that correction was completed.
87303 Maintenance and Operation(b) A comfortable temperature for residents shall be maintained at all times.(2) The facility shall cool rooms to a comfortable range, between 78 degrees F (26 degrees C) and 85 degrees F (30 degrees C), or in areas of extreme heat to 30 degrees F less than the outside temperature. This requirement is not met as evidenced by: Based upon observation and interview the Licensee failed to provide a comfortable temperature to residents, This poses an immediate Health, Safety and/or Personal Rights risk to residents in care.
Licensee agrees to maintain the temperature between 78-85 degrees F or in extreme heat aka 100 degrees F to 30 degrees F less than the outside temperatur. Licensee agrees to place wall mounted bulb thermometers in every resident room, hallway and community area within the next 24 hours and provide daily readings to LPA for the next two weeks.
Deadline recorded: Jul 16, 2022. A deadline is not proof that correction was completed.
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
87464 Basic Services - (f) Basic services shall at a minimum include:(2) Safe and healthful living accommodations and services. This requirement is not met as evidenced by: Based upon observation and interview the Licensee failed to maintain the water heater which has resulted in the inability to adjust the temperature in residents own showers or sinks. This poses an immediate Health, Safety and/or Personal Rights risk to residents in care.
Licensee agrees to repair the water heater with in 24 hours. The licensee will provide proof to LPA via e-mail with in 24 hours. Licensee agrees to read regulation 87464 and provide a letter of understanding to LPA via e-mail with in 24 hours to include in procedures to prevent this from occuring again
Deadline recorded: Jul 16, 2022. A deadline is not proof that correction was completed.
Allegations0 substantiated · 0 unsubstantiated · 2 unfounded
No deficiencies recorded in this reportAllegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
87470(c)(1)(F) Infection Control Requirements: An Infection Control Plan shall be developed by the licensee and shall be included in the Plan of Operation required by Section 87208. The Infection Control Plan shall include all of the following: Staff shall demonstrate knowledge of and skill in infection control... This requirement has not been met as evidenced by: LPA's interviews and observations. Staff did not follow infection control requirements as required. This poses an immediate risk to the health and safety of residents in care.
AD agrees to develop a plan that includes the importance of staff wearing masks at all times when in the facility. The AD shall submit the POC to the licensing agency within 24 hours.
Deadline recorded: Feb 16, 2022. A deadline is not proof that correction was completed.
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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