Staffing, personnel, and training
Cited in 3 reports, with 3 deficiencies in total.
EDELWEISS GUEST HOME
955 POOL STREET, Lakeport CA 95453
15 bedsLatest official report Feb 3, 2026Licensed
Additional info
- Telephone
- (707) 263-4340
- Licensee
- MAHLMAN, ERMELINDA R.
- Administrator
- MAHLMAN, LINDA
- Contact
- MAHLMAN, LINDA
- License first date
- Mar 27, 1985
- License effective date
- Mar 27, 1993
- District office
- SANTA ROSA RO · (707) 588-5026
- Regional office
- 21
- Clients served
- 935 - ELDERLY
Summary
The available records show 1 Type A and 11 Type B deficiencies for this facility.
- Most recent inspection
- Feb 3, 2026
- Most recent deficiency
- Feb 3, 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 1 Lake County facilities licensed for 7 to 15 beds, except where too few exist to state one — those come from facilities with 7 or more 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 1 Type A and 11 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 5
- Recorded deficiencies
- 12
- Type A deficiencies
- 1
- Type B deficiencies
- 11
- Substantiated complaints
- 0
- Repeated topics
- 1
More than the typical 3
1 in the last 12 months
Well above the typical 1
3 in the last 12 months
Most this size have none
0 in the last 12 months
Well above the typical 1
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.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
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 2 out of 4 staff files reviewed which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/06/2026 Plan of Correction LIcensee to submit proof of all four required training hours specific to postural supports, restricted health conditions, and hospice care completed for S2 and S4 to CCLD by POC due date of 03/06/2026.
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 out of 4 staff files reviewed which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/06/2026 Plan of Correction Licensee to submit proof of all required annual medication training hours completed for S2 and S4 to CCLD by POC due date of 03/06/2026.
Plan of correction recorded
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. 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 1 out of 4 observed residnets witnessed in care which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/06/2026 Plan of Correction LIcensee to submit copies of the required residnet documents for R4 to CCLD by POC due date of 03/06/2026.
Plan of correction recorded
Correction not verified in available records
Inspection
Hazardous items and storageType B
- Official classification
- Type B
- Official code
- 87309(a)
- 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. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observation, the licensee did not comply with the section cited above while observing no staff in kitchen with knife drawer in kitchen unlocked along with cleaning suplies under kithen sink unlocked, which poses/posed a potential health, safety or personal rights risk to persons in care. LIcensee locked both cabinets immedicately
Official plan of correction
POC Due Date: 04/11/2025 Plan of Correction Licensee to submit an In-Service Training will be done reviewing Regulation Care of Persons with Dementia 87705(f)(1). Training to be submitted by POC due date of 04/11/2025.
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 LPA/Administrator observation, interview, andrecord review, the licensee did not comply with the section cited above in 3 out of 4 staff did not complete the required initial 20 hours training which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/11/2025 Plan of Correction Licensee agrees to ensure 3 out of 7 staff, S2, S3 & S4, complete the initial training requirements by POC date 04/11/2025. Licensee to submit proof of completion to CCL.
Plan of correction recorded
Correction not verified in available records
Inspection
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(c)(5)(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: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care needs. (A) When any medical assessment, appraisal, or observation indicates that the resident's dementia care needs have changed, corresponding changes shall be made in the care and supervision provided to that resident. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observation of record review, the licensee did not comply with the section cited above in 1 out of 2 residents with a dementia diagnosis did not have an annual Medical Assessment (LIC602) last was 2020. which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/26/2024 Plan of Correction LIcensee to assist in getting resident (R1) a doctors appointment to update Medical assessment and submit updated LIC 602 to CCL by 1/26/2024 to clear citation. On same submission submit plan on how to prevent reocurance of violation of regulation.
Plan of correction recorded
Correction not verified in available records
Dementia careType B
- Official classification
- Type B
- 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 LPA's observation, the licensee did not comply with the section cited above while observing no staff in kitchen with knife drawer in kitchen unlocked along with cleaning suplies under kithen sink unlocked, which poses/posed a potential health, safety or personal rights risk to persons in care. LIcensee locked both cabinets immedicately
Official plan of correction
POC Due Date: 01/19/2024 Plan of Correction Licensee to submit an In-Service Training will be done reviewing Regulation Care of Persons with Dementia 87705(f)(1). Training to be submitted by POC due date of 1/19/2024.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(c)(1)
- Regulation authority
- CCR
What the official deficiency says
87411(c )(1) Personnel Requirements – General All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69. Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observation and record review, three out of three care staff LPA reviewed records lacked required first aid certification, the licensee did not comply with the section cited above in 3 out of 3 staff which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/19/2024 Plan of Correction Licensee/Administrator to ensure all staff have required first aid certification training. Submit proof of staff's first aid certification by POC due date of 1/19/2024
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.696(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 interviews conducted, the licensee did not comply with the section cited above per regulation, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/22/2022 Plan of Correction Licensee to submit written plan, outlining how facility will conduct required drills per regulation. Licensee will also conduct a drill and submit written evidence of completed drill to CCL by POC date of 03/22/2022
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
1569.618(c)(3) Employee Scheduling - 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 interview the licensee failed to have at least one staff member who has CPR and 1st Aid training on duty at all times. Facility has 5 out of 5 caregivers that work at the facility without a valid CPR certificate which poses an immediate health, safety risk to residents in care.
Official plan of correction
POC Due Date: 03/22/2022 Plan of Correction Licensee to ensure that at least one staff on duty has CPR training at all times. Licensee to submit LIC 9098 self certification that staff have been CPR trained per regulation and that facility will maintain a staff on duty who has CPR training at all times by POC due date 03/22/2022.
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
(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 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 failed to have hot water temperature between 105 & 120 F in 2 of 4 resident's bathrooms which poses an immediate Health, Safety risk for esidents in care. LPA toured the facility with Licensee Ermelinda Mahlman on 3/1/2022 at 12:45 PM & observed that hot water temperature ranged between 124.7.degrees F and 125.2 degrees F.
Official plan of correction
POC Due Date: 03/02/2022 Plan of Correction Licensee to ensure water temperature is maintained within regulation - 105 TO 120 F. Licensee to submit a LIC 9098 seff certification that hot water temperature is within regulation by POC date of 3/2/2022 & begin monitoring for the next 7 days. Licensee to submit a 7 day log taken from the resident's bathrooms to CCL by 3/8/2022.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(c)(1)
- Regulation authority
- CCR
What the official deficiency says
87411(c)(1) PERSONNEL REQUIREMENTS GENERAL; Staff shall receive first aid training from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Deficient Practice Statement This requirement is not met as evidenced by: Based on interview with Licensee, the facility did not ensure that all staff have current 1st aid. LPA learned that 5 of 5 staff do not not have proof of current first aid certification which poses a potential health & safety risk to residents in care.
Official plan of correction
POC Due Date: 03/22/2022 Plan of Correction Licensee to ensure that all staff have current first aid certification at all times. Licensee to submit proof of First Aid Certification for staff S1 to CCL by POC date of 3/22/2022.
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