SCARLET HOUSE FOR THE ELDERLY

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 as unlocked cleaning chemicals were found in various parts of the facility, which poses an immediate health, safety, or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/23/2026 Plan of Correction On or before plan of correction due date, licensee will provide photo proof to CCL that all chemicals were removed from unlocked cabinets and that the storage areas can be locked.

Official classification

Type A

Official code

87309(a)(1)

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. (1) Disinfectants, cleaning solutions, and poisonous substances shall be stored in areas separate from food supplies as specified in Section 87555, General Food Service Requirements. 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 the sharps drawer in the kitchen was left unlocked, which poses an immediate health, safety or personal rights, risk to persons in care.

Official plan of correction

POC Due Date: 02/23/2026 Plan of Correction Fixed on site. Licensee locked the sharps drawer during inspection.

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 as the medication closet was left unlocked, which poses an immediate health, safety, or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/23/2026 Plan of Correction Fixed on site. Licensee demonstrated the lock on the medication closet works.

Official classification

Type B

Official code

87202(a)

Regulation authority

CCR

What the official deficiency says

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: 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 the licensee allowed fire extinguishers to be unserviced for over a year, which poses a potential health, safety, or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/27/2026 Plan of Correction On or before plan of correction due date, licensee will send CCL photo proof of new tags indicating that the fire extinguishers have been serviced.

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 as emergency drills are not being conducted, which poses a potential health, safety, or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/27/2026 Plan of Correction On or before plan of correction due date, licensee will submit to CCL a copy of emergency drills being done for this quarter of the year.

Official classification

Type A

Official code

87464(f)(1)(c)

Regulation authority

CCR

What the official deficiency says

87464 Basic Services (f)Basic services shall at a minimum include: (1)Care and supervision…. (c) " Care and supervision " means the facility assumes responsibility for...assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered. This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above. Staff injured a resident while assisting her into the shower which poses an immediate health, safety, or personal rights risk to persons in care.

Official plan of correction

Administrator to re-train staff in the proper way to transport R1 into her shower chair and into the shower and send proff to CCL by POC date. POC cleared during visit.

Deadline recorded: Feb 27, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87755(a)

Regulation authority

CCR

What the official deficiency says

(a) Any duly authorized officer, employee or agent of the licensing agency may, upon proper identification and upon stating the purpose of his/her visit, enter and inspect the entire premise... with or without advance notice. This requirement was not met as evidence by: Based on observation the Licensee did not comply with the section cited above in letting the LPAs enter the facility, which poses a potential health and safety risk to person in care.

Official plan of correction

Caregiver opened the door and let LPAs inside the premise after 10 minuets. Deficiency cleared during visit. *A civil penalty of $500.00 was assessed date*

Deadline recorded: Feb 4, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87307(a)

Regulation authority

CCR

What the official deficiency says

(a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents... The following provisions shall apply: This requirement was not met as evidence by: Based on observation and interview the Licensee did not comply with the section cited above in using R2's bedroom closet for R2's personal belongings, which poses a potential health and safety risk to persons in care.

Official plan of correction

Licensee agreed to remove ramp and closet doors and submit photo to CCLD by POC date.

Deadline recorded: Feb 10, 2025. A deadline is not proof that correction was completed.

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. Based on observation the Licensee did not comply with the section cited above in keeping kitchen free of insects which poses a potential health and safety risk to persons in care.

Official plan of correction

Licensee agreed to hire an exterminator and submit invoice to CCLD by POC date.

Deadline recorded: Feb 10, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87307(d)(6)

Regulation authority

CCR

What the official deficiency says

(d) The following space and safety provisions shall apply to all facilities: (6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement was not met as evidence by: Based on observation the Licensee did not comply with the section cited above in having the back yard shed locked, a wheel chair, walker, commode, etc put away, which poses a potential health and safety risk to persons in care.

Official plan of correction

The Licensee agreed to remove items, lock shed, and submit photo to CCLD by POC date.

Deadline recorded: Feb 10, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87203

Regulation authority

CCR

What the official deficiency says

87203 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. This requirement was not met as evidence by: Based on observation the Licensee did not comply with the section cited above in having the fire extinguisher serviced to meet the regulations, which poses a potential health and safety risk to persons in care.

Official plan of correction

Licensee agreed to have fire extinguishers services and submit photo to CCLD by POC date.

Deadline recorded: Feb 10, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.695(c)

Regulation authority

CCR

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 interview and record review, the licensee did not comply with the section cited above by not conducting emergency disaster drills quarterly which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 03/01/2024 Plan of Correction Administrator agreed to conduct a disaster drill, document and email a copy of document to CCLD no later than the POC date.

Official classification

Type B

Official code

80019(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 1522 shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 80019(f) 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 by having staff/volunteer working and not associated to the facility which poses a potential health and safety or risk to persons in care.

Official plan of correction

POC Due Date: 03/01/2024 Plan of Correction Administrator agreed to transfer criminal record and associate staff to the facility by POC date.

Official classification

Type B

Official code

85076

Regulation authority

CCR

What the official deficiency says

The licensee shall meet the following food supply and storage requirements: Supplies of staple nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days shall be maintained on the premises. This requirement is 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 by not having enough food supply which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 03/01/2024 Plan of Correction Administrator agreed to purchase additional groceries and provide CCLD a copy of the receipt and photos of the food purchased by POC date.

Official classification

Type B

Official code

87506

Regulation authority

CCR

What the official deficiency says

(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 and to licensing agency staff. 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 by not having complete resident files which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 03/01/2024 Plan of Correction Administrator will complete appraisal needs and service plans for all residents and email mail a copy to CCLD by POC date