ECOLUX ASSISTED LIVING

Official classification

Type B

Official code

87307(d)(2)

Regulation authority

CCR

What the official deficiency says

(2) The premises shall be maintained in a state of good repair and shall provide a safe and healthful environment. 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 laundry room doorknob in disrepair which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/25/2026 Plan of Correction By POC date. Licensee agrees to repair or replace disrepair doorknob and send photo email to CCL.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in not having an signed updated reappraisal for three (3) out of the six (6) residents which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/25/2026 Plan of Correction By POC date. Licensee will obtain signatures on reappraisals and send photo email to CCL.

Official classification

Type B

Official code

87468.1(a)(3)

Regulation authority

CCR

What the official deficiency says

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: (3) To be free from..... This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by having a lock on the refrigerator, which poses as a personal rights risk to persons in care.

Official plan of correction

By POC date.Licensee will implement a plan and send to plan via email to CCL

Deadline recorded: Jul 11, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(6)

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights of (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (6) To leave or depart the facility .......This requirement is not met as evidenced by: Based on interview and observation, the licensee did not comply with the section cited above by having a duo doorknobs, which poses as a personal rights risk to persons in care.

Official plan of correction

By POC date.Licensee will implement a plan and send to plan via email to CCL

Deadline recorded: Jul 11, 2026. 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 is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by having a complete bed with pillows, sheets, blankets, a foldaway bed, clothing hanging on a rack , bags and a Victoria super soft blanket in a clear carrying bag located in the garage under a big black tent which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator agreed to submit a LIC200 or send proof of no longer being used by sending CCLD a photo of cleared garage by POC date.

Deadline recorded: Jul 15, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87305(b)

Regulation authority

CCR

What the official deficiency says

(b) The licensing agency may require the facility to acquire a local building inspection where the agency determines that a suspected hazard to health and safety exists. This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above in notifying CCLD of proposed alterations which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator agreed to submit an updated facility sktech, photo of alterations, and a formal letter explaing the purpose of alterations by POC date

Deadline recorded: Jul 15, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(d)(3)

Regulation authority

CCR

What the official deficiency says

(d) All individuals subject to criminal record review shall be fingerprinted and sign a Criminal Record Statement (LIC 508 [Rev. 1/03]) under penalty of perjury. (3) The licensee shall submit these fingerprints to the California Department of Justice, along with a second set of fingerprints for the purpose of searching the records of the Federal Bureau of Investigation, or comply with Section 87355(c), prior to the individual's employment, residence, or initial presence in the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above by having two (2) individuals in the facility who were not fingerprinted which poses an immediate health and safety risk to persons in care. LPA asked that they leave the facility and not return until they are fingerprinted and associated. .

Official plan of correction

POC Due Date: 07/09/2025 Plan of Correction Administrator agreed to submit a plan to obtain fingerprint clearance for individuals in the facility and send to CCLD by POC date. Civil penalty of $200.00 is being assessed today.

Official classification

Type A

Official code

87618(b)(3)(B)

Regulation authority

CCR

What the official deficiency says

87618 Oxygen Administration - Gas and Liquid (b) In addition to Section 87611(b), the licensee shall be responsible for the following: (3) Ensuring that the use of oxygen equipment meets the following requirements: (B) " No Smoking-Oxygen in Use " signs shall be posted in the appropriate areas. 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 “No Smoking-Oxygen in Use” signs posted which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/09/2025 Plan of Correction Administrator agreed to post signs in appropriate areas and send CCLD photos by POC date.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (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 by having medications on table near computer, medications in an unlocked cabinet located in the kitchen and including but not limited to unlocked prescribed medication Nystop POW 100,000mg which was observed by LPA in the resident’s room on stand near bed, which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/09/2025 Plan of Correction Caregiver immediately removed medications and placed in a locked cabinet. Deficiency cleared during visit.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

87309(a) Storage Space and Access (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 by having an unlocked kitchen cabinet which contained Simple Green all-purpose cleaner, Cascade platinum plus dishwasher pods, Fabuloso, Insect and Pest Control spray, Hydrogen Peroxide Topical Solution and Lysol Power Cleaner Concentrated multi-surface cleaner Which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/09/2025 Plan of Correction Caregiver immediately locked the cabinet with solutions. Deficiency cleared during visit.

Official classification

Type B

Official code

85087(a)(3)

Regulation authority

CCR

What the official deficiency says

85087 Buildings and Grounds (a) In addition to Section 80087, bedrooms must meet, at a minimum, the following requirements: (3) No room commonly used for other purposes shall be used as a bedroom for any person. 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 a complete bed with pillows, sheets, blankets, a foldaway bed, clothing hanging on a rack , bags and a Victoria super soft blanket in a clear carrying bag located in the garage under a big black tent which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/15/2025 Plan of Correction *This is an amended report from visit on 07/08/2025* The correct deficiency was cited on Case Management dated 07/15/2025.

Official classification

Type B

Official code

87412(f)

Regulation authority

CCR

What the official deficiency says

87412 Personnel Records (f) All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review , the licensee did not comply with the section cited above in not having all personnel records available to licensing to inspect which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/15/2025 Plan of Correction Administrator agreed to have all personnel records complete and available to licensing to inspect during normal business hours and will send a self-certifying email to CCLD by POC date

Official classification

Type B

Official code

80086(a)

Regulation authority

CCR

What the official deficiency says

80086 Alterations to Existing Building or New Facilities (a) Prior to construction or alterations, all licensees shall notify the licensing agency of the proposed change. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in notifying CCLD of proposed alterations which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/15/2025 Plan of Correction *This is an amended report from visit on 07/08/2025* The correct deficiency was cited on Case Management dated 07/15/2025.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. 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 one (1) can of WD-40 multi use product under an unlocked cabinet in kitchen which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 12/04/2024 Plan of Correction Caregiver immediately removed WD-40 multi use product and placed it in a locked cabinet during visit. Deficiency cleared.

Official classification

Type A

Official code

87355(a)(2)

Regulation authority

CCR

What the official deficiency says

87355 Criminal Record Clearance 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: (2) 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 observation and record review, the licensee did not comply with the section cited above in having S3 associated to the facility, per guardian S3 is in process status which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/04/2024 Plan of Correction Administrator agreed to submit and LIC9182 and a copy of S3's identification to associate or associated S3's to facility via guardian by POC date.

Official classification

Type B

Official code

87555(b)(8)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. 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 twenty five (25) expired food products located in the kitchen pantry which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/04/2024 Plan of Correction Caregiver immediately disposed of expired food during visit. Deficiency cleared.