Fire safety and emergency preparedness
Cited in 2 reports, with 2 deficiencies in total.
COBBLE STONE RESIDENTIAL HOME CARE LLC
9320 COBBLE MOUNTAIN ROAD, Bakersfield CA 93313
6 bedsLatest official report Apr 9, 2026Licensed
Additional info
- Telephone
- (661) 397-0885
- Licensee
- COBBLE STONE RESIDENTIAL HOME CARE LLC
- Administrator
- CLARK, CATHERINE
- Contact
- CLARK, CATHERINE
- License first date
- Apr 5, 2018
- License effective date
- Apr 5, 2018
- District office
- FRESNO RO · (559) 243-8080
- Regional office
- 24
- Clients served
- 935 - ELDERLY
Summary
The available records show 6 Type A and 14 Type B deficiencies for this facility.
- Most recent inspection
- Apr 9, 2026
- Most recent deficiency
- Apr 9, 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 125 Kern County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 5 reports for this facility: 5 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 6 Type A and 14 Type B deficiencies.
2 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 5
- Recorded deficiencies
- 20
- Type A deficiencies
- 6
- Type B deficiencies
- 14
- Substantiated complaints
- 0
- Repeated topics
- 3
About the same as most this size
1 in the last 12 months
Well above the typical 3
4 in the last 12 months
Well above the typical 1
0 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.
Hazardous items and storage
Cited in 2 reports, with 2 deficiencies in total.
Medication handling and storage
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
Hazardous items and storageType B
- Official classification
- Type B
- Official code
- 87309(a)(1)
- 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. (1) Disinfectants, cleaning solutions, and poisonous substances shall be stored in areas separate from food supplies as specified in Section 87555, General Food Service Requirements. 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 that LPA observed chemicals in bathroom #2 under sink unlocked and accessible. Chemical in laundry room cabinet observed unlocked and accessible. Chemicals in garage cupboard observed unlocked and accessible. This poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/24/2026 Plan of Correction Administrator stated they will lock all chemical or items as necessary. Training will be completed with all staff. In-service sign in sheet and training material will be provided to CCL by POC date as proof of correction.
Plan of correction recorded
Correction not verified in available records
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 records reviewed, the licensee did not comply with the section cited above in that 2 of 2 personnel records reviewed did not have the required documents. S1 was missing health screening, job application, employee rights. S2 was missing documentation of fingerprint clearance, health screening, TB testing and employee rights.This poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/24/2026 Plan of Correction Administrator stated they will get copies of the required documents and provide to CCL by POC date as proof of correction.
Plan of correction recorded
Correction not verified in available records
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 records reviewed, the licensee did not comply with the section cited above in that 2 of 2 resident records did not have the required documentation. 2 of 2 medical assessments reviewed were over 1 year old. 2 of 2 files reviewed did not have a pre-admission appraisal. 2 of 2 files reviewed did not have a reappraisal completed within the last year. 2 of 2 files reviewed did not have a functional capabilties. 2 of 2 files reviewed did not have safeguarding for property/valuables.This poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/24/2026 Plan of Correction Administrator stated they will update the files with the required documenation and provide a copy to CCL by POC date as proof of correction.
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 records reviewed, the licensee did not comply with the section cited above in that 1 location shelter is not outside the immediate area. Facility sketch does not have an assembly point identified. Facility is not completing quarterly drills. Last fire disaster drill was last completed on 08/27/24. This poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/24/2026 Plan of Correction Administrator stated they will provide all staff training and quarterly drill. In-service sign in sheet and training material along with drills will be provided to CCL by POC date as proof of correction. Disaster plan to be updated and provided with annual documents.
Plan of correction recorded
Correction not verified in available records
Inspection
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(c)(2)
- Regulation authority
- CCR
What the official deficiency says
87465 (c)(2) Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met as evidenced by: Deficient Practice Statement Based on records review and observation, staff did not administer R1’s medication Memantine Hcl 10mg, Quetiapine 25 mg, Donepezil Hcl 10mg, and Midodrine 5mg as directed by physician, which poses an immediate health and safety risk for the person in care.
Official plan of correction
POC Due Date: 04/04/2025 Plan of Correction R1’s medication is to be reviewed and ensure staff administered medications as directed by physician. Administrator agree to write statement of steps facility will take to ensure regulations is met. Statement will be submitted to Fresno CCL by POC due date 04/04/25.
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(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 when knives, chemicals, cleaning solutions were unlock accessible to residents in care this poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/04/2025 Plan of Correction Administrator immediately locked knives, chemicals under bathroom sinks, and locked chemical cabinets. POC cleared during visit.
Official record says corrected or clearedRecorded in report dated Apr 3, 2025
Plan of correction recorded
Food serviceType A
- Official classification
- Type A
- Official code
- 87555(b)(8)
- Regulation authority
- CCR
What the official deficiency says
87555(b)(8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state, and local authorities. Good in damaged containers shall not be accepted, used, or retained. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, expired food was observed in the refrigerator which poses/posed an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/04/2025 Plan of Correction Administrator immediately disposed expired food. POC cleared during visit.
Official record says corrected or clearedRecorded in report dated Apr 3, 2025
Plan of correction recorded
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(d)(3)
- Regulation authority
- CCR
What the official deficiency says
87465(d)(3) The date and time …medication was taken, the dosage taken, and the resident’s response shall be documented and maintained in the resident’s facility record. This requirement was not met as evidenced by: Deficient Practice Statement Based on observations, records reviewed, and interviews conducted, S1 administered all the residents’ medication in the morning of 04/03/25 and did not sign in the residents’ MARs, which poses/ posed a potential health and safety risk for the person in care.
Official plan of correction
POC Due Date: 04/09/2025 Plan of Correction S1 shall be retrained in in-service training on proper administering medication and documentation. Licensee will submit documentation of training topics and staff attendance to CCL by POC due date 04/09/25.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(e)(5)
- Regulation authority
- CCR
What the official deficiency says
87303(e)(5) Non-skid mats or strips shall be used in all bathtubs and showers. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above no non-skid mat was observed in master bathroom, which poses/posed a potential health, safety or personal rights risk to person in care.
Official plan of correction
POC Due Date: 04/09/2025 Plan of Correction Proof of non-skid mat in master bathroom shall be submitted to the Fresno CCL by POC due date 04/09/25.
Plan of correction recorded
Correction not verified in available records
Inspection
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(h)(4)
- Regulation authority
- CCR
What the official deficiency says
(h) The following requirements shall apply to medications which are centrally stored: (4) All centrally stored medications shall be labeled and maintained in compliance with state and federal laws. No persons other than the dispensing pharmacist shall alter a prescription label. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above Licensee crossed out the instructions from the pharmacist on the prescription which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/26/2024 Plan of Correction Plan of Correction Licensee agrees to submit a written statement as to the understanding of this regulation by POC due date 04/26/24.
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) (interview) (record review)], the licensee did not comply with the section cited above Licensee did not have a Hospice Care Plan for R1 which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/03/2024 Plan of Correction Licensee agrees to submit a copy of R1's Hospice Care Plan by POC due date 5/3/24.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87633(b)(6)
- 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: (6) Identification of the training needed, which staff members need this training, and who will provide the training relating to the licensee's responsibilities for implementation of the hospice care plan. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above Licensee did not have staff training for R1's Hospice Care with morphine and oygen which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/03/2024 Plan of Correction Licensee agrees to submit proof of training for staff for R1's care by 5/3/24.
Plan of correction recorded
Correction not verified in available records
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) (interview), the licensee did not comply with the section cited above in Licensee turned a computer room into a caregiver bedroom which does not show on the facility sketch which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/26/2024 Plan of Correction Licensee agrees to submit LIC 200, facility sketch and LIC9054 by POC due date 04/26/24.
Plan of correction recorded
Correction not verified in available records
Inspection
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in 1 out of 1 residents R1 did not receiveprescribed medication on 5/8/23, 05/09/23, 5/10/23 and 05/11/23 which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/12/2023 Plan of Correction Licensee agrees to conduct a staff training regarding medication administration and logging of medications and will submit medication training agenda and staff roster by POC due date 06/8/23.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87633(a)(4)
- Regulation authority
- CCR
What the official deficiency says
(a) The licensee shall be permitted to accept or retain residents who have been diagnosed as terminally ill by his or her physician and surgeon and who may or may not have restrictive and/or prohibited health conditions, to reside in the facility and receive hospice services from a hospice agency in the facility, when all of the following conditions are met: (4) A written hospice care plan which specifies the care, services, and necessary medical intervention related to the terminal illness as necessary to supplement the care and supervision provided by the facility is developed for each terminally ill resident or prospective resident by that resident's hospice agency and agreed to by the licensee and the resident, or prospective resident, or the resident's or prospective resident's Health Care Surrogate Decision Maker, if any, prior to the initiation of hospice services in the facility for that resident, and all hospice care plans are fully implemented by the licensee and by the hospice(s). This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in 1 out of 2 Residents did not have a hospice care plan at the facility, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/12/2023 Plan of Correction Licensee agrees to submit a hospice care plan for R1 and R2 outling the facility staff responsibilities in caring for R1 and R2 by POC due date 5/12/23.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.696(a)
- Regulation authority
- HSC
What the official deficiency says
(a) All residential care facilities for the elderly shall provide training to direct care staff on postural supports, restricted conditions or health services, and hospice care as a component of the training requirements specified in Section 1569.625. The training shall include all of the following: This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in staff not having triaining in postural supports, restricted conditions or health services, and hospice care, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/08/2023 Plan of Correction Licensee agrees to submit proof of staff training to meet this regulation by POC due date 6/8/23.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- 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 interview and record review, the licensee did not comply with the section cited above in by not having proof of training for staff which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/08/2023 Plan of Correction Licensee agrees to submit proof initial staff training specified in this regulation for all staff by POC due date 6/8/23.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87456(a)(2)
- Regulation authority
- CCR
What the official deficiency says
(a) Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall, as specified in this article 8: (2) Perform a pre-admission appraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in pre admissions appraisals for resdients in care, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/08/2023 Plan of Correction Licensee agrees to submit a written statement on the understanding of this regulation and how it will be met in the future by POC due date 06/8/23.
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 his/her 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 interview and record review, the licensee did not comply with the section cited above in not having an appraisal for residents in care, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/08/2023 Plan of Correction Licensee agrees to complete and submit to licensing appraisals for all residents in care by POC due date 06/08/23
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87633(b)(6)
- 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: (6) Identification of the training needed, which staff members need this training, and who will provide the training relating to the licensee's responsibilities for implementation of the hospice care plan. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in not having listed training needed or trainings provided to staff for R1 and R2 or how the hospice plan will be implemented, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/15/2023 Plan of Correction Licensee agrees to obtain written documentation on the trainings needed for staff to care for R1 and R2, which include the use of a hoyer lift needed for R1 and the use of oxygen for R1 and R2 and will include the responsibilities of the Licensee for implementation by POC due date of 5/15/23.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
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