Staffing, personnel, and training
Cited in 3 reports, with 6 deficiencies in total.
PARADISE GARDENS CARE HOME
686 MINERT ROAD, Walnut Creek CA 94598
6 bedsLatest official report May 15, 2026Licensed
Additional info
- Telephone
- (925) 944-9147
- Licensee
- PARADISE GARDENS CARE HOME, LLC
- Administrator
- WILLIAMS, NENITA M
- Contact
- WILLIAMS, NENITA M
- License first date
- May 26, 2004
- License effective date
- May 26, 2004
- District office
- OAKLAND ASC · (510) 286-4201
- Regional office
- 15
- Clients served
- 935 - ELDERLY
Summary
The available records show 8 Type A and 25 Type B deficiencies for this facility.
- Most recent inspection
- May 15, 2026
- Most recent deficiency
- May 15, 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 8 reports for this facility: 7 inspections, 1 complaint investigation, and 0 licensing or administrative records.
Those records contain 8 Type A and 25 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 7
- Recorded deficiencies
- 33
- Type A deficiencies
- 8
- Type B deficiencies
- 25
- Substantiated complaints
- 0
- Repeated topics
- 3
More than the typical 5
1 in the last 12 months
Well above the typical 3
4 in the last 12 months
Well above the typical 1
1 in the last 12 months
Well above the typical 2
3 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.
Fire safety and emergency preparedness
Cited in 2 reports, with 5 deficiencies in total.
Facility condition and maintenance
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
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(e)(2)
- Regulation authority
- CCR
What the official deficiency says
(2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. The hot water was 136.2 degrees Fahrenheit, which poses an immediate safety risk to persons in care.
Official plan of correction
POC Due Date: 05/16/2026 Plan of Correction On or before the due date, the Licensee shall reduce the hot water temperature to the safe range and send proof to LPA Sampair.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(a)(11)
- 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: (11) A health screening as specified in Section 87411, Personnel Requirements - General. 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 1 out of 5 staff records reviewed, which poses a potential safety risk to persons in care.
Official plan of correction
POC Due Date: 05/22/2026 Plan of Correction On or before the due date, the Licensee shall have the staff member without an LIC603 go to a medical professional to have their health checked and the form filled out and send proof to LPA Sampair.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(c)
- Regulation authority
- CCR
What the official deficiency says
(c) Licensees shall maintain in the personnel records verification of required staff training and orientation. 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 for the Administrator the second year in a row who had no proof of completing the CPR/First Aid training, which poses a potential safety risk to persons in care.
Official plan of correction
POC Due Date: 05/22/2026 Plan of Correction On or before the due date, the Licensee shall send proof to LPA Sampair that the Administrator has completed their CPR/First Aid training within the past 2 years.
Plan of correction recorded
Correction not verified in available records
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(21)
- Regulation authority
- CCR
What the official deficiency says
(21) Freezers of adequate size shall be maintained at a temperature of 0 degree F (-17.7 degree C), and refrigerators of adequate size shall maintain a maximum temperature of 40 degree F. (4 degree C). They shall be kept clean and food stored to enable adequate air circulation to maintain the above temperatures. 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 the regrigerator that was only 57.5 degrees Fahrenheit, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/22/2026 Plan of Correction On or before the due date, the Licensee shall send proof to LPA Sampair that the refrigerator/freezer has been serviced or replaced and that both the refrigerator and the freezer are able to maintain temperatures in the safe range.
Plan of correction recorded
Correction not verified in available records
Inspection
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(e)(2)
- Regulation authority
- CCR
What the official deficiency says
(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). 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 hot water temperature in shared bathroom measured at 127 degrees Fahrenheit at 10:05 AM, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/13/2025 Plan of Correction On or before due date, Licensee shall reduce temperature to 105 to 120 degrees Fahrenheit and send proof of reduction to LPA Sampair.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87608(a)(5)(B)
- Regulation authority
- CCR
What the official deficiency says
(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. 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 1 of 4 residents' rooms, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/13/2025 Plan of Correction Cleared during inspection.
Plan of correction recorded
Correction not verified in available records
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 1569.618(a)
- Regulation authority
- HSC
What the official deficiency says
(a) The administrator designated by the licensee pursuant to paragraph (11) of subdivision (a) of Section 1569.15 shall be present at the facility during normal working hours. A facility manager designated by the licensee with notice to the department, shall be responsible for the operation of the facility when the administrator is temporarily absent from the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview, the licensee did not comply with the section cited above in 1 out of 1 administrator, which poses a potential health, safety, and personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/19/2025 Plan of Correction On or before due date, Licensee shall adjust administrator's schedule and/or physical accommodations so that administrator will work at the two facilities at least 20 hours each week. Licensee shall send updated LIC 500 for both facilities to LPA Sampair as proof of the change.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(f)
- Regulation authority
- CCR
What the official deficiency says
(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 record review, the licensee did not comply with the section cited above for all of the employees, which poses a potential health, safety, and personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/19/2025 Plan of Correction On or before due date, Licensee shall move all employee records to a secure location at both facilities. Licensee shall communicate the updated location of employee records to LPA Sampair as proof of the change.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 1569.625(b)(2)
- Regulation authority
- HSC
What the official deficiency says
(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. 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 for all employees, which poses a potential health, safety, and personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/19/2025 Plan of Correction On or before due date, Licensee shall schedule for every employee the 20 or 40 hours of required training which will be completed by July 1, 2025 and send proof of the scheduled training to LPA Sampair.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(c)(6)
- Regulation authority
- CCR
What the official deficiency says
(6) The licensee shall maintain documentation pertaining to staff training in the personnel records, as specified in Section 87412(c)(2). For on-the-job training, documentation shall consist of a statement or notation, made by the trainer, of the content covered in the training. Each item of documentation shall include a notation that indicates which of the criteria of Section 87411(c)(3) is met by the trainer. 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 for all employees, which poses a potential health, safety, and personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/19/2025 Plan of Correction On or before due date, Licensee shall create a system for use at both facilities whereby documentation for all training, both formal and on-the-job, will be recorded and preserved. Proof of this system will be sent to LPA Sampair.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.69(b)
- Regulation authority
- HSC
What the official deficiency says
(b) Each employee who received training and passed the examination required in paragraph (5) of subdivision (a), and who continues to assist with the self-administration of medicines, shall also complete eight hours of in-service training on medication-related issues in each succeeding 12-month period. 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 2 of 2 employees administering medications, which poses a potential health risk to persons in care.
Official plan of correction
POC Due Date: 05/19/2025 Plan of Correction On or before due date, Licensee shall schedule for every employees assisting in the administration of medication, the required training to be completed by July 1, 2025 and send proof of the scheduled training to LPA Sampair.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(a)
- Regulation authority
- HSC
What the official deficiency says
(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: 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 a posted emergency and disaster plan, which poses a potential safety risk to persons in care.
Official plan of correction
POC Due Date: 05/19/2025 Plan of Correction On or before due date, Licensee shall post the emergency and disaster plan at the facility and send proof of the posted plan to LPA Sampair.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- 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 with no proof of conducting the quaterly drills, which poses a potential safety risk to persons in care.
Official plan of correction
POC Due Date: 05/19/2025 Plan of Correction On or before due date, Licensee shall send proof of conducting quarterly drills to LPA Sampair.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 1569.625(b)(2)
- Regulation authority
- HSC
What the official deficiency says
(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. 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 5 out of 5 staff members' training records, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/16/2024 Plan of Correction On or before the due date, the Licensee shall send to the LPA either: (1) proof that 20 hours of required training was completed within the past year that included 8 hours of dementia care and 4 for postural supports, restricted health conditions, and hospice care OR (2) 20 hours of training has been scheduled for the next 12 months for ALL staff members that includes 8 hours of dementia care and 4 for postural supports, restricted health conditions, and hospice care.
Plan of correction recorded
Correction not verified in available records
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(c)(3)(A)
- Regulation authority
- CCR
What the official deficiency says
(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (3) In addition to the on-the-job training requirements in Section 87411(d), staff who provide direct care to residents with dementia shall receive the following training as appropriate for the job assigned and as evidenced by safe and effective job performance: (A) Dementia care including, but not limited to, knowledge about hydration, skin care, communication, therapeutic activities, behavioral challenges, the environment, and assisting with activities of daily living; 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 5 out of 5 staff members' training records, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/16/2024 Plan of Correction On or before the due date, the Licensee shall send to the LPA proof that ALL staff who provide direct care to residents with dementia have received the training as appropriate for the job assigned or, if not completed, that staff have completed that training.
Plan of correction recorded
Correction not verified in available records
Inspection
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87208(a)(7)(A)
- Regulation authority
- CCR
What the official deficiency says
87208 Plan of Operation (a) Each facility shall ... maintain ... current ... (7) Sketches ... (A) ... including a floor plan that describes the capacities of the buildings for the uses intended and a designation of the rooms to be used for nonambulatory residents and for bedridden residents.... 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 1 out of 1 facility sketches, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/28/2024 Plan of Correction On or before the due date, the Licensee shall submit an updated facility floor plan and yard sketch (LIC999) to CCL and inform the LPA of its submission.
Plan of correction recorded
Correction not verified in available records
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(8)
- Regulation authority
- CCR
What the official deficiency says
(8) If a facility has no medical unit on the grounds, a complete first aid kit shall be maintained and be readily available in a specific location in the facility. The kit shall be a general type approved by the American Red Cross, or shall contain at least the following: 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 1 out of 1 first aid kits, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/28/2024 Plan of Correction On or before due date, Licensee shall ensure that a complete first aid kit is at the facility and inform the LPA that has been completed.
Corrective action observedRecorded in report dated May 14, 2024
Plan of correction recorded
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(a)
- Regulation authority
- HSC
What the official deficiency says
(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: 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 1 out of 1 Emergency/Disaster plans, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/28/2024 Plan of Correction On or before due date, Licensee shall create an Emergency/Disaster Plan and complete an up-to-date LIC610E (2019 version) and send a copy of it to the LPA.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(e)(2)
- Regulation authority
- HSC
What the official deficiency says
(e) A facility shall have all of the following information readily available to facility staff during an emergency: (2) An appraisal of resident needs and services plan for each resident. 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 3 out of 5 of the residents reviewed, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/28/2024 Plan of Correction On or before due date, Licensee shall ensure that an up-to-date LIC625 has been completed for every resident and inform the LPA that has been completed.
Plan of correction recorded
Correction not verified in available records
Inspection
Medication handling and storageType A
- Official classification
- Type A
- 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 using pre-filled containers to store medications for all residents, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/06/2023 Plan of Correction On or before due date, Licensee shall inform LPA that all medications have been removed from non-original containers and that only a small transfer cup shall be used to dispense medications to residents in the future.
Plan of correction recorded
Correction not verified in available records
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(e)
- Regulation authority
- CCR
What the official deficiency says
(e) Swimming pools and other bodies of water shall be fenced and in compliance with state and local building codes. 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 leaving the gate into the pond unlocked, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/06/2023 Plan of Correction Licensee locked gate during visit, clearing deficiency.
Corrective action observedRecorded in report dated May 5, 2023
Plan of correction recorded
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(f)(1)
- Regulation authority
- CCR
What the official deficiency says
(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). 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 leaving the knife drawer unlocked, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/06/2023 Plan of Correction Licensee locked knife drawer during visit, clearing the deficiency.
Corrective action observedRecorded in report dated May 5, 2023
Plan of correction recorded
Facility condition and maintenanceType B
- 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 at 1 of the 2 gates stuck closed, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/12/2023 Plan of Correction On or before due date, Licensee shall inform LPA that the gate stuck closed has been repaired so it will open freely.
Plan of correction recorded
Correction not verified in available records
Hazardous items and storageType B
- Official classification
- Type B
- 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 the backyard where poisons , paint, plant food, and other dangerous items have been left out in backyard and accessible to residents, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/12/2023 Plan of Correction On or before due date, Licensee shall inform LPA that all of the above items dangerous to residents have been removed from the backyard accessible to residents.
Plan of correction recorded
Correction not verified in available records
Hazardous items and storageType B
- Official classification
- Type B
- 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 storage areas for poisons in the backyard were left unlocked, propped open, or missing any door at all, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/12/2023 Plan of Correction On or before due date, Licensee shall inform LPA that all poisons have been stored in locked cabinets or removed completely from the backyard.
Plan of correction recorded
Correction not verified in available records
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(f)(2)
- Regulation authority
- CCR
What the official deficiency says
(f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. 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 toxic substances were left out and accessible to residents with dementia, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/12/2023 Plan of Correction On or before due date, Licensee shall inform LPA that all toxic sbstances have been stored in locked cabinets or removed completely from the backyard.
Plan of correction recorded
Correction not verified in available records
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(h)
- Regulation authority
- CCR
What the official deficiency says
(h) Outdoor facility space used for resident recreation and leisure shall be completely enclosed by a fence with self-closing latches and gates, or walls, to protect the safety of residents. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above at 2 of the 2 gates that are not self-closing, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/12/2023 Plan of Correction On or before due date, Licensee shall inform LPA that 2 of the 2 gates have had a self-closing mechanism installed and are therefore self-closing.
Plan of correction recorded
Correction not verified in available records
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(j)
- Regulation authority
- CCR
What the official deficiency says
(j) The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above on the exit and entrance doors of the facility, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/12/2023 Plan of Correction On or before due date, Licensee shall inform LPA that working auditory devices have been installed on all entrance and exit doors of the facility.
Plan of correction recorded
Correction not verified in available records
Inspection
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(f)(1)
- Regulation authority
- CCR
What the official deficiency says
(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). 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 the kitchen where the knives are stored were in an unlocked drawer which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/29/2022 Plan of Correction Licensee shall move knives to a location inaccessible to residents and send proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(e)(2)
- Regulation authority
- CCR
What the official deficiency says
Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above because the hot water temperature was measured at 140 degrees Farenheit, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/28/2022 Plan of Correction The Licensee shall reduce the maximum hot water temperature to the safe level of 105 to 120 degree Farenheit by the POC due date.
Plan of correction recorded
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(2)
- Regulation authority
- CCR
What the official deficiency says
(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. 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 with their Infection Control Practices, because no signs were posted at facility entrance or inside of the facility with updates or reminders about Covid-19 protections, in accordance with personal rights requirements. This practice has a health and safety impact that includes, but is not limited to buildings and grounds, personnel requirements and personal rights.
Official plan of correction
POC Due Date: 06/03/2022 Plan of Correction Licensee shall post Covid-19 signage at entrance to facility as well as locations within facility as reminders of masking, physical distancing, and coughing behavior and send proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- 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 and staff interview, the licensee does not have proof that they are complying with the section cited above, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/03/2022 Plan of Correction Administrator has agreed to send proof of the quarterly fire/disaster drills to CCL by POC due date.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- 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: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above because niether the Smoke and Carbon Monoxide alarms and detectors were operational which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/03/2022 Plan of Correction Licensee shall install working Smoke and Carbon Monoxide alarms and detectors and inform the LPA by the POC due date.
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.
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