Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(e)(3)
- Regulation authority
- CCR
What the official deficiency says
(e) Water supplies and plumbing fixtures shall be maintained as follows: (3) Taps delivering water at 125 degree F (52 degrees C) or above shall be prominently identified by warning signs. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above as water temperature observed at 150.1 degrees Fahrenheit which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 12/02/2025 Plan of Correction By POC date, the administrator agrees to submit weekly temperate checks and send a copy to CCLD. Administrator agrees to submit proof of maintenance/staff adjusting the water temperate between 105 and 120 degrees Fahrenheit and submit to CCLD.
Background checksType A
- Official classification
- Type A
- Official code
- 87355(e)(3)
- Regulation authority
- CCR
What the official deficiency says
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or 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 S1 associated to the facility, which poses an immediate health and safety risk to person in care.
Official plan of correction
POC Due Date: 12/02/2025 Plan of Correction By POC date, Administrator agreed to send LIC9182 and S1 identification to CCLD to be associated.
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 1569.618(c)(3)
- Regulation authority
- HSC
What the official deficiency says
(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 that out of the 4 staff members, none of the staff members on duty had proof of CPR training in which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 12/08/2025 Plan of Correction By POC date, The Administrator agrees to schedule at least one staff member to receive CPR training and submit documentation of scheduled training to CCLD. Administrator agreed to also send the completion of the training on 12/8/2025.
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 record review, the licensee did not comply with the section cited above in that 0 out of 4 staff members did not have first aid certification on file which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 12/08/2025 Plan of Correction By POC date, The Administrator agrees to schedule all staff members to receive first aid training and submit documentation of scheduled training to CCLD by POC date. Administrator agreed to also send the completion of the training on 12/8/2025.
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
This requirement is not met as evidenced by: Deficient Practice Statement Based on file review, the licensee did not comply with the section cited above in that the facility did not have a current fire drill since the last drill was conducted 6/15/2025 which poses a potential health and safety rights risk to persons in care.
Official plan of correction
POC Due Date: 12/08/2025 Plan of Correction Administrator has agreed to conduct emergency disaster fire drills quarterly and will send a copy of the most recent drill to CCLD by POC date. Administrator has agreed to conduct a fire drill in the facility by 12/8/2025.