Medication handling and storage
Cited in 3 reports, with 3 deficiencies in total.
SERENE CARE WINCHESTER
4984 WINCHESTER DR, Oakley CA 94561
6 bedsLatest official report Feb 5, 2026Licensed
Additional info
- Telephone
- (925) 625-0543
- Licensee
- LILYROSE LLC
- Administrator
- RANCES, RONAN
- Contact
- RANCES, RONAN
- License first date
- Feb 7, 2019
- License effective date
- Feb 7, 2019
- District office
- OAKLAND ASC · (510) 286-4201
- Regional office
- 15
- Clients served
- 935 - ELDERLY
Summary
The available records show 6 Type A and 8 Type B deficiencies for this facility.
- Most recent inspection
- Feb 5, 2026
- Most recent deficiency
- Feb 5, 2026
No later report is available, so the records do not show what happened afterward.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
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.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 391 Contra Costa County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 4 reports for this facility: 4 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 6 Type A and 8 Type B deficiencies.
2 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 4
- Recorded deficiencies
- 14
- Type A deficiencies
- 6
- Type B deficiencies
- 8
- Substantiated complaints
- 0
- Repeated topics
- 2
Fewer than the typical 5
1 in the last 12 months
Well above the typical 3
5 in the last 12 months
Well above the typical 1
1 in the last 12 months
Well above the typical 2
4 in the last 12 months
Most this size also have none
0 in the last 12 months
Last 36 months
Repeated topics
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.
Staffing, personnel, and training
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
Fire safety and emergency preparednessType A
- Official classification
- Type A
- 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 and record review, the licensee did not comply with the section cited above in having a bedridden resident residing at facility and a chair blocking the exit in bedroom #3 which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 02/06/2026 Plan of Correction Licensee agreed to submit documentation for an updated fire clearance for R1 or relocate R1, and move the chair from blocking the exit in bedroom #3. Licensee will submit documentation and photos to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(d)(6)
- Regulation authority
- CCR
What the official deficiency says
(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. 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 items in back yard which poses a potential safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/12/2026 Plan of Correction Licensee agreed to have all items removed and submit photo to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
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 observation, interview, and record review, the licensee did not comply with the section cited above in having staff first aid certified which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 02/12/2026 Plan of Correction Licensee agreed to obtain first aid certification for all staff and submit certificates to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(c)(3)
- Regulation authority
- CCR
What the official deficiency says
(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (3) A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken, and the resident's response. 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 documenting dosage taken which poses a potential health and personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/12/2026 Plan of Correction Licensee agreed to update MAR for R1 and R2 and submit a copy to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87633(b)
- Regulation authority
- CCR
What the official deficiency says
(b) A current and complete hospice care plan shall be maintained in the facility for each hospice resident and include the following: 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 a hospice care plan for R3 and R4 which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 02/12/2026 Plan of Correction Licensee agreed to obtain a hospice care plan for R3 and R4, and submit a copy to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Inspection
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468(c)(2)(A)
- Regulation authority
- CCR
What the official deficiency says
(c) Licensees shall prominently post personal rights, nondiscrimination notice, and complaint information in areas accessible to residents, representatives, and the public. (2) Information on the appropriate reporting agency in case of a complaint or emergency, including procedures for filing confidential complaints, shall be posted as follows: (A) Licensees may use the Residential Care Facility for the Elderly (RCFE) Complaint Poster (PUB 475) or may develop their own poster as provided in this section. A poster developed by the licensee shall contain the same content as the PUB 475. The poster that is posted shall be 20” x 26” in size and be posted in the main entryway of the facility. PUB 475 may be accessed, downloaded, and printed from the www.ccld.ca.gov website. 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 not having he Residential Care Facility for the Elderly (RCFE) Complaint Poster posted which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/19/2025 Plan of Correction Adinistrator agreed to purchase and post the PUB 475 poster and send CCLD a photo email by POC date.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87457(c)
- Regulation authority
- CCR
What the official deficiency says
(c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of their individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations. 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 a Pre-Admission Appraisal for residents which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/19/2025 Plan of Correction Administrator agreed to place a preadmission Appraisal in each of the residents' file and send a self certifying email of completion to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Hazardous items and storageType A
- Official classification
- Type A
- Official code
- 87309(a)
- Regulation authority
- CCR
What the official deficiency says
87309 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 in having Clorox bleach, Tide laundry detergent pods, Ensueo fabric softner,comet, Simple Green all purpose cleaner and Finish dishwasher powerball tabs which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/13/2025 Plan of Correction Administrator agreed to purchase a cabinet and place all disinfectants, cleaning solutions and posionous substance in ti with a lock . Administrator will send CCLD a photo email by POC date.
Plan of correction recorded
Correction not verified in available records
Medication handling and storageType A
- 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: 92) 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 centrally stored medications in an unlocked kitchen cabinet which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 02/13/2025 Plan of Correction Administrator immediately locked kitchen cabinter with medicatons. Deficiency cleared during visit. Civil penalty of $250 is being assessed for repeat violation.
Official record says corrected or clearedRecorded in report dated Feb 12, 2025
Plan of correction recorded
Staffing, personnel, and trainingType B
- 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 Personnel Records available to licensing to inspect, audit, and copy upon demand during normal business hours. which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/19/2025 Plan of Correction Administrator agreed to bring personnel records to facility and send a self certifying email to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Inspection
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(2)
- Regulation authority
- CCR
What the official deficiency says
87465(h)(2) 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 in not having medication locked which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 02/22/2024 Plan of Correction Administrator agreed to locked centrally stored medication and conduct in service with staff about pre pouring and having medication locked. DEFICIENCY CLEARED DURING VISIT
Official record says corrected or clearedRecorded in report dated Feb 21, 2024
Plan of correction recorded
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(a)
- Regulation authority
- CCR
What the official deficiency says
87412 Personnel Records (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 not having staff personnel records complete with health screening, personnel record (LIC501) which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 02/28/2024 Plan of Correction Administrator agreed to complete staff personnel files and submit an sample and check list to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Inspection
Hazardous items and storageType A
- Official classification
- Type A
- Official code
- 87309(a)(1)
- 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. (1) Storage areas for poisons, and firearms and other dangerous weapons shall be locked. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above where staff failed to lock knives and scissors which can be accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/24/2023 Plan of Correction Corrected during the visit.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 80075(k)(1)
- Regulation authority
- CCR
What the official deficiency says
The following requirements shall apply to medications which are centrally stored: (1) Medication 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 which the staff failed to locked the medication cabinet and can be accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/24/2023 Plan of Correction Cleared and corrected.
Plan of correction recorded
Correction not verified in available records
Source and limits
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.
Read the data methodology