Resident rights
Cited in 3 reports, with 4 deficiencies in total.
SPRINGVILLE
12755 TORCH ST, Baldwin Park CA 91706
43 bedsLatest official report Jun 16, 2026Licensed
Additional info
- Telephone
- (626) 337-7288
- Licensee
- SISTINE MANOR INC
- Administrator
- FAN, LINDA L
- Contact
- FAN, LINDA L
- License first date
- Jun 27, 2019
- License effective date
- Jun 27, 2019
- District office
- MONTEREY PARK ASC · (323) 980-4934
- Regional office
- 28
- Clients served
- 935 - ELDERLY
Summary
The available records show 13 Type A and 17 Type B deficiencies for this facility.
- Most recent inspection
- Jun 16, 2026
- Most recent deficiency
- Jun 16, 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 31 Los Angeles County facilities licensed for 16 to 49 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 18 reports for this facility: 7 inspections, 10 complaint investigations, and 1 licensing or administrative record.
Those records contain 13 Type A and 17 Type B deficiencies.
5 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 7
- Recorded deficiencies
- 30
- Type A deficiencies
- 13
- Type B deficiencies
- 17
- Substantiated complaints
- 4
- Repeated topics
- 4
About the same as most this size
2 in the last 12 months
Well above the typical 7
3 in the last 12 months
Well above the typical 2
1 in the last 12 months
Well above the typical 4
2 in the last 12 months
More than the typical 2
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.
Health conditions and treatments
Cited in 3 reports, with 3 deficiencies in total.
Medication handling and storage
Cited in 2 reports, with 3 deficiencies in total.
Food service
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.
Complaint
Allegations0 substantiated · 5 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87224(a)
- Regulation authority
- CCR
What the official deficiency says
87224 Eviction Procedures (a) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required The requirement was not met as evidenced by LPA's interviews, the administrator admitted the facility was lack of staffing and they did not have any isolation room during that period of time and R1 was still having COVID symptoms which posed a potential risk to residents in care.
Official plan of correction
Administrator will ensure to follow the Title 22 regulation about Eviction and Administrator will send the plan to LPA by POC due date and state how the facility would ensure the they follow the regulation in the future.
Deadline recorded: Feb 15, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 15, 2024
Correction not verified in available records
Complaint
Allegations4 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(6)
- Regulation authority
- CCR
What the official deficiency says
87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(6)...to not be locked into any room, building, or on facility premises by day or night. This requirement was not met as evidenced by: Based on observation and interview, the administrator admitted to tying a stanchion red rope accross resident room doors to enforce isolation requirements put forth by the facility, which poses a potential Health, Safety, or Personal Rights risk to persons in care.
Official plan of correction
Administrator to submit a written plan on how they will ensure to not violate resident's personal rights under any circumstances. Written plan to be emailed to LPA by the POC due date.
Deadline recorded: Jan 16, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 16, 2024
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(11)
- Regulation authority
- CCR
What the official deficiency says
87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights (11)To have their visitors... permitted to visit privately... This requirement was not met as evidenced by: Based on observation and interview, the administrator failed to allow residents their private visits at any given time by requiring them to schedule visits and visits to not be in their rooms if preferred, which poses a potential Health, Safety, or Personal Rights risk to persons in care.
Official plan of correction
Administrator will conduct in-service training for all facility staff regarding all resident personal rights. Training material and Sign-In sheet for participants will be emailed to LPA by POC due date.
Deadline recorded: Jan 16, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 16, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Allegations3 substantiated · 1 unsubstantiated · 0 unfounded · 4 cited · investigated over 2 visits
Administrator qualificationsType B
- Official classification
- Type B
- Official code
- 87405(d)(1)
- Regulation authority
- CCR
What the official deficiency says
87405 Administrator - Qualifications and Duties (d)The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply. (1) Knowledge of the requirements for providing care and supervision appropriate to the residents. The requirement was not met as evidenced by Department review of medical records was completed which revealed systemic failures at the facility in preventing pressure injuries which posed a potential risk to residents in risk
Official plan of correction
Administrator is to reassess all residents in placement and ensure a reappraisal is developed based on residents personal needs and maintained in the residents file for review by the licensing agency. Administrator to submit
Deadline recorded: Nov 19, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 19, 2023
Correction not verified in available records
Complaint
Allegations2 substantiated · 1 unsubstantiated · 0 unfounded · 2 cited · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Oct 16, 2023 · Control 28-AS-20230503164443
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
87411 Personnel Requirements – General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs...assistance and care as... This requirement is not met as evidence by: Based on document review and interviews conducted licensee did not ensure staff provided a two person assist for R1 which poses an immedicate risk to the health, safety, or personal rights to the persons in care.
Official plan of correction
Administrator will schedule and conduct an in-service training with all staff regarding proper transfer, and incident reporting and will submit schedule of training by POC due date 10/13/23 and copies of training log sign-in with duration of training and topic by 10/19/23. *An immediate Civil Penalty of $500.00 is being assess during this visit*
Deadline recorded: Oct 13, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 13, 2023
Correction not verified in available records
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1(a)(2)
- Regulation authority
- CCR
What the official deficiency says
87468.1 Personal Rights of Residents in All Facilities: (a) Residents in all residential care facilities shall...:(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidence by: Based on document review, and interviews licensee did not ensure to seek medical care in a timely manner for R1 which poses an immediate risk to the health, safety, or personal rights to the persons in care.
Official plan of correction
Administrator will schedule and conduct an in-service training with all staff regarding section 87468.1. and will submit schedule of training by POC due date 10/13/23 and copies of training log sign-in with duration of training and topic by 10/19/23.
Deadline recorded: Oct 13, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 13, 2023
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Oct 19, 2023 · Control 28-AS-20210405152422
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87615(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87615 Prohibited Health Conditions (a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: (1) Stage 3 and 4 pressure injuries. The requirement was not met as evidenced by record review, R1 had a total of 4 pressure injuries and determined to be stage 3 and R1 was still retained in the facility which posed an immediate risk to residents in care.
Official plan of correction
The administrator will ensure person who required health services shall not be admitted or retained in a residential care facility. The administrator will submit a plan of correction to ensure facility is meeting the Title 22 regulation by POC due date.
Deadline recorded: Sep 29, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 29, 2023
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87468.2 Additional Personal Rights of Residents in Privately Operated Facilities(a)(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4)(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. The requirement was not met as evidenced by record review, when R1 was admitted to facility and facility staff was aware of R1 had a red mark on buttock area and facility did not update and develop a plan of care which posed a potential risk to residents in care.
Official plan of correction
Administrator to submit written Plan of Correction to ensure the facility is meeting Title 22 Regulation. Licensee to submit a faxed or mailed copy of POC by due date.
Deadline recorded: Oct 5, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 5, 2023
Correction not verified in available records
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87466
- Regulation authority
- CCR
What the official deficiency says
87466 Observation of the Resident The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. The requirement was not met as evidenced by LPA's interviews and R1's family reported they never got any updated from facility about the resident's change of condition until the day the family took R1 out from facility.
Official plan of correction
Administrator to submit written Plan of Correction to ensure the facility is meeting Title 22 Regulation. Licensee to submit a faxed or mailed copy of POC by due date.
Deadline recorded: Oct 5, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 5, 2023
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Oct 26, 2023 · Control 28-AS-20230627145047
No deficiencies recorded in this reportSource 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