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TEHACHAPI MANOR

20400 OAK KNOLL DR., Tehachapi CA 93561

Facility 157206846 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Feb 5, 2026Licensed

Additional info
Licensee
JADAB SERVICES, INC.
Administrator
RODRIGUEZ, LORENA
Contact
RODRIGUEZ, LORENA
License first date
Mar 1, 2015
License effective date
Mar 1, 2015
District office
FRESNO RO · (559) 243-8080
Regional office
24
Clients served
985 - RCFE / HOSPICE

Summary

The available records show 3 Type A and 3 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 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 3 Type A and 3 Type B deficiencies.

2 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
5

About the same as most this size

1 in the last 12 months

Recorded deficiencies
6

More than the typical 3

3 in the last 12 months

Type A deficiencies
3

More than the typical 1

1 in the last 12 months

Type B deficiencies
3

More than the typical 2

2 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
0

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.

No topic repeats in the last 36 months

No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

All report types
All report typesInspectionComplaintLicensing record
Inspection
Licensing and administrationType A
Official classification
Type A
Official code
1569.618(c)(3)
Regulation authority
HSC

What the official deficiency says

1569.618 (c)(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 records reviewed and interviews, 3 out of 3 staff do not have current CPR certification, this poses an immediately health and safety risk for the residents in care.

Official plan of correction

POC Due Date: 02/06/2026 Plan of Correction Licensee shall ensure that staff have current CPR certification. Proof of staff CPR certification is to be submitted to the Fresno CCL by 02/06/26.

Plan of correction recorded
Correction not verified in available records
View official report
Health conditions and treatmentsType B
Official classification
Type B
Official code
87633(b)
Regulation authority
CCR

What the official deficiency says

87633(b) A current and complete hospice care plan shall be maintained in the facility for each hospice 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 when LPA reviewed R1 whose currently receiving hospice care with no current hospice care plan on file, which poses a potential health or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/18/2026 Plan of Correction Licensee will obtain R1 current hospice care plan and submit it to Fresno CCL by POC due date 02/18/26.

Plan of correction recorded
Correction not verified in available records
View official report
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
87412(a)(11)
Regulation authority
CCR

What the official deficiency says

87412(a)(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 records reviewed and interviews conducted, S1 do not have a health screening (Lic 503) completed, this poses a potential health and safety risk for the residents in care.

Official plan of correction

POC Due Date: 02/25/2026 Plan of Correction Licensee stated S1 will complete Lic 503 by POC due date. S1’s Lic 503 will be submitted by POC due date 02/25/26.

Plan of correction recorded
Correction not verified in available records
View official report
View official source
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 Escitalopram 10mg as directed by physician, which poses an immediate health and safety risk for the person in care.

Official plan of correction

POC Due Date: 02/21/2025 Plan of Correction Licensee shall submit written plan of steps the facility will take to ensure facility meets the regulation to Fresno CCL office by POC due date 02/21/25. Licensee shall have all staff retrained on administering medications. Licensee will submit documentation of training topics with staff attendance rooster to the Fresno CCL office by 02/26/25.

Plan of correction recorded
Correction not verified in available records
View official report
Medication handling and storageType B
Official classification
Type B
Official code
87465(h)(6)
Regulation authority
CCR

What the official deficiency says

87465 (h)(6)The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year… This requirement was not met as evidenced by: Deficient Practice Statement Based on records review and interview conducted, Licensee confirm staff have been administering R1’s medication Donepezil Hcl 5mg 2/10/25. Licensee and LPA confirmed Donepezil Hcl 5mg is not recorded on the Centrally Stored Medication Record (Lic 622), which poses/posed a potential health and safety risk for the person in care.9

Official plan of correction

POC Due Date: 02/26/2025 Plan of Correction Staff immediately record R1’s medication Donepezil Hcl 5mg in Lic 622. POC cleared.

Official record says corrected or clearedOn or before Feb 20, 2025
Plan of correction recorded
View official report
View official source
Inspection
Dementia careType A
Official classification
Type A
Official code
87705(f)
Regulation authority
CCR

What the official deficiency says

87705 (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). (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 when LPA and Licensee observed at 10:48 AM, multiple tools on second drawer and one staff medication bottle on the top drawer unlock in the dining counter. At 10:57 AM, LPA and Licensee observed in television stand foot cream bottle and an electrical tool unlock and accessible to residents in care this poses an immediate health, safety or personal rights risk to the residents in care.

Official plan of correction

POC Due Date: 01/05/2024 Plan of Correction Licensee immediately removed the tools and medication into lock laundry room. POC cleared during inspection.

Official record says corrected or clearedRecorded in report dated Jan 4, 2024
Plan of correction recorded
View official report
View official source

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