STRAWBERRY HILL AT GILL PORT

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. The following requirement was not met as evidence by Based on observation the facility did not meet the requirement by having unsecured perscription medication on the living room couch which posed an immediate safety concern to residents in care.

Official plan of correction

Staff locked away the medications POC clear

Deadline recorded: Feb 27, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.625(b)(1)

Regulation authority

HSC

What the official deficiency says

(1) The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. A staff member shall complete 20 hours, including six hours specific to dementia care, as required by subdivision (a) of Section 1569.626 and four hours specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696, before working independently with residents. The remaining 20 hours shall include six hours specific to dementia care and shall be completed within the first four weeks of employment. The training coursework may utilize various methods of instruction, including, but not limited to, lectures, instructional videos, and interactive online courses. The additional 16 hours shall be hands-on 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 1 out of 1 new staff, which poses a potential health, safety and personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/28/2026 Plan of Correction On or before due date, Licensee shall send proof to LPA Sampair that the 40 hours of training for the new staff person has been completed.

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 4 out of 4 existing staff, which poses a potential health, safety, and personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/28/2026 Plan of Correction On or before due date, Licensee shall send proof to LPA Sampair that the 20 hours of training for the existing staff people has been completed.

Official classification

Type B

Official code

1569.69(a)(2)

Regulation authority

HSC

What the official deficiency says

(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (2) In facilities licensed to provide care for 15 or fewer persons, the employee shall complete 10 hours of initial training. This training shall consist of 6 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 4 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first two weeks of employment. 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 new staff, which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 01/28/2026 Plan of Correction On or before due date, Licensee shall send proof to LPA Sampair that the 10 hours of medication training for the new staff person has been completed.

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 4 out of 4 staff, which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 01/28/2026 Plan of Correction On or before due date, Licensee shall send proof to LPA Sampair that the 8 hours of training for the staff has been completed.

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 by not conducting any emergency drills for any shift during the previous 12 months, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 01/28/2026 Plan of Correction On or before due date, the Licensee will email proof to LPA Sampair that they have: (1) conducted their first quarterly emergency/disaster drill of 2026 and (2) created a schedule for quarterly emergency/disaster drills for the future.

Official classification

Type A

Official code

87355(e)(2)

Regulation authority

CCR

What the official deficiency says

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review . . . shall prior to working . . . in a licensed facility: (2) Obtain a California clearance or a criminal record exemption as required by the Department. This requirement is not met as evidenced by: Based on record review, licensee did not comply with the section cited above. Staff S1 was not fingerprint cleared, which poses an immediate health and safety risk to the persons in care.

Official plan of correction

On or before the due date, the Licensee has agreed to remove S1 from the facility until the CDSS Action Required Background Check ID: 7717780 per ID: 4600869903 has been completed to complete S1's fingerprint clearance process and to associate S1 with the facility. Civil penalty of $500 is being assessed.

Deadline recorded: Oct 1, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)(3)

Regulation authority

CCR

What the official deficiency says

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review . . . shall prior to working . . . in a licensed facility: (3) Request a transfer of a criminal record clearance . . . This requirement is not met as evidenced by: Based on record review, licensee did not comply with the section cited above. Staff S3's fingerprint clearance had not been transferred to this facility, which poses an immediate health and safety risk to the persons in care.

Official plan of correction

On or before the due date, the Licensee has agreed to not allow S3 to return to the facility until they have their background clearance transferred to this facility. Civil penalty of $500 is being assessed.

Deadline recorded: Oct 1, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87405(a)

Regulation authority

CCR

What the official deficiency says

87405 Administrator - Qualifications and Duties (a) All facilities shall have a qualified and currently certified administrator. This requirement is not met as evidenced by: Based on interviews, Licensee did not comply with the section cited above. From interviews of Staff S1 through S4, it was established that Administrator (ADM) Mary Asilum has not been fulfilling the duties of an administrator for at least 6 weeks.

Official plan of correction

On or before the due date, the Licensee shall hire a certified Administrator.

Deadline recorded: Oct 7, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)

Regulation authority

CCR

What the official deficiency says

(e) All individuals subject to a criminal record review... shall prior to working, residing or volunteering in a licensed facility: This requirement was not met as evidence by: Based on record review and interview the Licensee did not comply with the section cited above in having S3 associated to the facility which poses an immediate health and safety risk to persons in care.

Official plan of correction

Administrator agreed to associate or submit LIC9182 and a copy of S3's identification to CCLD by POC date.

Deadline recorded: Jul 16, 2025. A deadline is not proof that correction was completed.