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 having unlocked cleaning chemicals and sharps in the kitchen which poses an immediate safety risk to persons in care.
Official plan of correction
POC Due Date: 07/21/2026 Plan of Correction By POC facility agrees to secure all dangerous items and notify 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 and interview, the licensee did not comply with the section cited above in 2 out of 3 individuals at the facility not being associated which poses an immediate personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/27/2026 Plan of Correction By POC facility agrees to associated S2 and S3 and notify CCLD (Civil Penalties Assesed)
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 having medication cabinent unlocked which poses an immediate safety risk to persons in care.
Official plan of correction
POC Due Date: 07/21/2026 Plan of Correction By POC facility agrees to lock away all medications and notify CCLD
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: 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 S2 and S3 not having any records or trainings for review which poses a potential personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/03/2026 Plan of Correction By POC facility agrees to update the personnel records and ensure all staff are up to date on training and notify CCLD
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(h)(5)
- Regulation authority
- CCR
What the official deficiency says
(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. 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 having R2 medications prepoured into weekly medication containers which poses a potential personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/27/2026 Plan of Correction By POC facility agrees to provide a training on proper medication managment and dispenssing to all staff and provide copies of the training materials to CCLD
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(b)
- Regulation authority
- CCR
What the official deficiency says
(b) Each resident's record shall contain at least the following information: 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 R1-R3 not having complete records (missing appraisals, signed personal rights, and or consent for emergency medical treatment) which poses a potential personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/27/2026 Plan of Correction By POC facility agrees to review residents records, up date them as necessary and notify CCLD.