Background checks
Cited in 5 reports, with 5 deficiencies in total.
SIMPLE TOUCH BOARD AND CARE INC
22317 MOBILE ST, Canoga Park CA 91303
6 bedsLatest official report Aug 12, 2026Licensed
Additional info
- Telephone
- (747) 444-8506
- Licensee
- SIMPLE TOUCH BOARD AND CARE, INC
- Administrator
- SARKISYAN, KARINE
- Contact
- SARKISYAN, KARINE
- License first date
- Jan 3, 2024
- License effective date
- Jan 3, 2024
- District office
- WOODLAND HILLS S.RO · (818) 596-4334
- Regional office
- 31
- Clients served
- 983 - RCFE / DEMENTIA, 985 - RCFE / HOSPICE
Summary
The available records show 21 Type A and 18 Type B deficiencies for this facility.
- Most recent inspection
- May 19, 2026
- Most recent deficiency
- Aug 12, 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 1,564 Los Angeles County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 18 reports for this facility: 9 inspections, 7 complaint investigations, and 2 licensing or administrative records.
Those records contain 21 Type A and 18 Type B deficiencies.
2 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 9
- Recorded deficiencies
- 39
- Type A deficiencies
- 21
- Type B deficiencies
- 18
- Substantiated complaints
- 6
- Repeated topics
- 10
More than the typical 4
3 in the last 12 months
Well above the typical 1
12 in the last 12 months
Most this size have none
6 in the last 12 months
Most this size have none
6 in the last 12 months
Most this size have none
3 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.
Incident reporting
Cited in 4 reports, with 4 deficiencies in total.
Resident rights
Cited in 4 reports, with 4 deficiencies in total.
Administrator qualifications
Cited in 3 reports, with 3 deficiencies in total.
Medication handling and storage
Cited in 3 reports, with 3 deficiencies in total.
Records and plan of operation
Cited in 3 reports, with 3 deficiencies in total.
Facility condition and maintenance
Cited in 2 reports, with 5 deficiencies in total.
Food service
Cited in 2 reports, with 3 deficiencies in total.
Staffing, personnel, and training
Cited in 2 reports, with 3 deficiencies in total.
Licensing and administration
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
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 1569.652(c)
- Regulation authority
- HSC
What the official deficiency says
Termination of admission agreement upon death of resident; removal of resident’s... A refund of any fees paid in advance covering the time after the resident’s personal property has been removed... within 15 days after the personal property is removed. This requirement is not met as evidenced by: Based on record review & interview, licensee did not issue a refund after R1 passed away and had no personal belonging to be removed. This posed a potential personal rights risk to residents in care.
Official plan of correction
Administrator will have to pay the prorated amount to R1's responsible party for the remaining days after R1 passed away (R1 had no belongings) R1's rate for basic services was $3000/ month at the time of passing. During today's visit prorated amount was Zelled to R1's representative POC is cleared during the visit.
Deadline recorded: Aug 19, 2026. A deadline is not proof that correction was completed.
Official record says corrected or clearedRecorded in report dated Aug 12, 2026
Plan of correction recorded
Correction deadline recordedDeadline Aug 19, 2026
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.2(4)
- Regulation authority
- CCR
What the official deficiency says
Additional Personal Rights for Residents in Privately Operated Facilities: (4) To care, supervision, and services... and are delivered by staff that are sufficient in numbers qualifications, and competency to meet their needs. This requirement is not met as evidenced by: Based on LPAs record review and observation, licensee did not comply with the section cited above by failing to properly conduct R1's pre-assessment and to assure that the staff is trained to provide proper care and supervision to meet R1's needs. This poses an immediate health, safety risk to persons in care.
Official plan of correction
Administrator agreed to schedule vendorized training for all staff and submit to CCL the vendor information and scheduled date of training. Training certifications to be submitted to CCL upon completion
Deadline recorded: May 20, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 20, 2026
Correction not verified in available records
Administrator qualificationsType A
- Official classification
- Type A
- Official code
- 87405(d)(1-5)
- Regulation authority
- CCR
What the official deficiency says
Administrator Qualifications: d) The administrator shall have the qualifications... all requirements for an administrator shall apply. 1)Knowledge of the requirements for providing care and supervision appropriate to the residents... This requirement is not met as evidenced by: Based on interviews and record reviews the licensee did not comply with the section cited above by failing to provide appropriate care and supervision to R1, submit incident reports in a timely manar, provide appropriate trainilng to staff, have the staff associated/fingerprinted prior to employement, etc., which poses an immediate health, safety risk to persons in care.
Official plan of correction
Administrator agreed to schedule vendorized training for all staff and submit to CCL the vendor information and scheduled date of training. Training certifications to be submitted to CCL upon completion
Deadline recorded: May 20, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 20, 2026
Correction not verified in available records
Inspection
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)
- Regulation authority
- CCR
What the official deficiency says
Requirements (a) Each licensee shall furnish to the licensing agency such reports... (1) A written report shall be submitted to the licensing agency and to the person... ... any of the events specified in (A), (B) & (D)... This requirement is not met as evidenced by: Based on interviews and record reviews, conducted by LPA, the licensee did not comply with the section cited above by failing to notify CCLD regarding regarding incidents with R1 on 5/8/26 & 5/9/26, which posed potential health and safety risk to persons in care.
Official plan of correction
Licensee shall ensure a written report is submitted to the licensing agency and to the person responsible for the resident within seven (7) days of the occurrence of any of the events. R1's incident report shall be submitted to LPA by POC date.
Deadline recorded: May 26, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 26, 2026
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(b)(15)
- Regulation authority
- CCR
What the official deficiency says
Resident Records: (b) Each resident's record shall contain at least the following information: (15) The admission agreement and pre-admission appraisal... This requirement is not met as evidenced by: Based on LPAs inspection and observation, the licensee did not comply with the section cited above. R1 was admitted on 04/28/26 and all of R1's records were incomplete and missing signatures/dates, which posed potential health and safety risk to persons in care.
Official plan of correction
Licensee agreed to review and complete all facility residents' files. Licensee/administrator will submit a written statement notifying the department what steps will be taken to clear this deficiency and to ensure such deficiency will not reoccur.
Deadline recorded: May 26, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 26, 2026
Correction not verified in available records
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 1569.185(a)(1)
- Regulation authority
- HSC
What the official deficiency says
Fees for license... (a)(1) An application fee adjusted by facility and capacity shall be charged... After initial licensure, a fee shall be charged by the department annually on each anniversary. This requirement was not met as evidenced by: Based on record review, the licensee did not comply with the section cited above by not paying the annual licensing fees for the total amount due of $1,484.00, which poses a potential Health, Safety, or Personal Rights risk to persons in care.
Official plan of correction
The licensee has agreed to pay the annual licensing fees in total amount of $1484.00 by POC due date.
Deadline recorded: May 26, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 26, 2026
Correction not verified in available records
Background checksType A
- Official classification
- Type A
- Official code
- 87355(e)(2)
- Regulation authority
- CCR
What the official deficiency says
Criminal Record Clearance: (e) All individuals subject to a criminal record review... shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified... This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above. S1's first day of work was on 05/07/26 and as of 05/19/26, S1 is not associated to the facility, which poses an immediate health, safety risk to persons in care.
Official plan of correction
During today's visit Administrator provided a letter of clearance for S1 (dated on 04/30/26). Administrator agreed to associate S1 get through the guardian and provide an updated LIC500 to reflect the new staff.
Deadline recorded: May 20, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 20, 2026
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.2(a)(6)
- Regulation authority
- CCR
What the official deficiency says
Additional Personal Rights of Residents in Privately Operated Facilities: (a) In addition to the rights... resident shall have all of the following personal rights: (6) To make choices concerning their daily lives in the facility. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by placing a lock on both side gates. This poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
Administrator shall remove the lock that require key on entrance/exit side doors and submit picture proof. In-service training will be conducted with all staff and copy of the training will be submitted to LPA by POC date
Deadline recorded: Sep 28, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 28, 2025
Correction not verified in available records
Background checksType A
- Official classification
- Type A
- Official code
- 87355(e)(2)
- Regulation authority
- CCR
What the official deficiency says
Criminal Record Clearance: (e) All individuals subject to a criminal record review... shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified... This requirement is not met as evidenced by: Based on (LIS) record review, the licensee did not comply with the section cited above. S1's first day of work was on 09/09/25 and as of 09/26/25, S1 is not associated to the facility which poses an immediate health, safety risk to persons in care.
Official plan of correction
Administrator has agreed to have S1 get fingerprinted. Administrator will provide an updated LIC500 to reflect new staff.
Deadline recorded: Sep 26, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 26, 2025
Correction not verified in available records
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)
- Regulation authority
- CCR
What the official deficiency says
Requirements: (a) Each licensee shall furnish to the licensing agency such reports... (1) A written report shall be submitted to the licensing agency and to the person... ... any of the events specified in (A), (B) & (D)... This requirement is not met as evidenced by: Based on interviews and record reviews conducted by LPA, the licensee did not comply with the section cited above by failing to notify CCLD regarding two residents being left unattended by S1 on 09/10/25, which poses a potential health and safety risk to persons in care.
Official plan of correction
Licensee shall ensure a written report is submitted to the licensing agency and to the person responsible for the resident within seven (7) days of the occurrence of any of the events. Incident report shall be submitted to LPA by POC date.
Deadline recorded: Oct 3, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 3, 2025
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
Maintenance and Operation: (a) The facility shall be clean, safe, sanitary and in good repair at all times. This requirement is not met as evidenced by: Based on LPAs observation, on 09/26/25 visit, the licensee did not comply with the section cited above. LPA observed front doorknob is broken, which poses a potential health and safety risk to persons in care.
Official plan of correction
Administrator will replace the broken doorknob/lock and submit proof of picture to LPA by POC date.
Deadline recorded: Oct 3, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 3, 2025
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.2(a)(4)
- Regulation authority
- CCR
What the official deficiency says
(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities... (4) To care, supervision, and services that meet their individual needs and are delivered by staff... ... to meet thier needs. This requirement is not met as evidenced by: Based on interviews conducted, licensee did not comply with the section cited above by leaving two (2) residents unattended in the facility from 3:30pm to 6:30pm, which posed an immediate health and safety risk to persons in care
Official plan of correction
Administrator agreed to schedule vendorized training for all staff by 09/28/25 and submit to CCL the vendor information and scheduled date of training. Training certifications to be submitted to CCL upon completion *** Civil Penalties Assessed on LIC421M***
Deadline recorded: Sep 28, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 28, 2025
Correction not verified in available records
Inspection
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)
- Regulation authority
- CCR
What the official deficiency says
Requirements (a) Each licensee shall furnish to the licensing agency such reports... (1) A written report shall be submitted to the licensing agency and to the person... ... any of the events specified in (A), (B) & (D)... This requirement is not met as evidenced by: Based on interviews and record reviews, conducted by LPA, the licensee did not comply with the section cited above by failing to notify CCLD regarding the 911 call for R1 on 06/01/25, which poses a potential health and safety risk to persons in care.
Official plan of correction
Licensee shall ensure a written report is submitted to the licensing agency and to the person responsible for the resident within seven (7) days of the occurrence of any of the events. R1's incident report shall be submitted to LPA by POC date.
Deadline recorded: Jul 5, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 5, 2025
Correction not verified in available records
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 87755(b)
- Regulation authority
- CCR
What the official deficiency says
Inspection Authority of the Licensing Agency: (b) The licensee shall ensure that provisions are made for private interviews with any resident or any staff member; and for the examination of all records relating to the operation of the facility. This requirement is not met as evidenced by: Based on interviews and record reviews, conducted by LPA, the licensee did not comply with the section cited above by failing to provide resident/staff records upon request, which poses a potential health and safety risk to persons in care.
Official plan of correction
Administrator agreed to submit LIC308, LIC500 and an adendum to their peronnel policies that specify that the Designee will be available any time, while the Administrator is not available, and have full access to the records. Proof will be submitted to LPA by POC date
Deadline recorded: Jul 10, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 10, 2025
Correction not verified in available records
Background checksType A
- Official classification
- Type A
- Official code
- 87355(e)(2)
- Regulation authority
- CCR
What the official deficiency says
Criminal Record Clearance: (e) All individuals subject to a criminal record review... shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified... This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above. S1's first day of work was on 06/23/25 and as of 07/03/25 S1 is not associated to the facility, which poses an immediate health, safety risk to persons in care.
Official plan of correction
Administrator has agreed to have S1 get fingerprinted. Administrator will provide an updated LIC500 to reflect the new staff.
Deadline recorded: Jul 4, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 4, 2025
Correction not verified in available records
Administrator qualificationsType B
- Official classification
- Type B
- Official code
- 87405(a)
- Regulation authority
- CCR
What the official deficiency says
Administrator - Qualifications and Duties: (a) All facilities... When the administrator is not in the facility, there shall be coverage by a designated substitute... responsible and accountable for management and administration of the facility as specified... This requirement is not met as evidenced by: Based on interviews and record reviews, conducted by LPA, the licensee did not comply with the section cited above by failing to have a Designee who's responsible, acountable for management and administration of the facility. This poses a potential health and safety risk to persons in care.
Official plan of correction
Administrator agreed to submit LIC308, LIC500 and an adendum to their peronnel policies that specify that the Designee will be available any time, while the Administrator is not available, and will have full access to the records. Proof will be submitted to LPA by POC date
Deadline recorded: Jul 10, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 10, 2025
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(d)(3)
- Regulation authority
- CCR
What the official deficiency says
Personnel Requirements - General: (d) All personnel shall... have related experience in the job assigned to them. (3) Skill and knowledge required to provide necessary resident care... including the ability to communicate with residents. This requirement is not met as evidenced by: Based on observations and interviews, during 12/11/24 visit, the licensee did not comply with the section cited above to ensure that S1, is able to communicate with residents in English. This poses/posed a potential Health, Safety, or Personal Rights risk to persons in care.
Official plan of correction
LPA was informed that as of 12/11/24, S1 is no longer working at this facility. POC cleared during today's visit
Deadline recorded: Dec 26, 2024. A deadline is not proof that correction was completed.
Official record says corrected or clearedOn or before Dec 19, 2024
Correction deadline recordedDeadline Dec 26, 2024
Inspection
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.2(a)(6)
- Regulation authority
- CCR
What the official deficiency says
Additional Personal Rights of Residents in Privately Operated Facilities: (a) In addition to the rights... resident shall have all of the following personal rights: (6) To make choices concerning their daily lives in the facility. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by placing a lock on a main entry door to preventing R1 from leaving/wondering out. This poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
Administrator shall remove the lock that require key on entrance/exit door and submit picture proo. In-service training will be conducted with all staff and copy of the training will be submitted to LPA by POC date
Deadline recorded: Dec 13, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 13, 2024
Correction not verified in available records
Background checksType A
- Official classification
- Type A
- Official code
- 87355(e)(2)
- Regulation authority
- CCR
What the official deficiency says
Criminal Record Clearance: (e) All individuals subject to a criminal record review... shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified... This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above. S1's first day of work was on 12/06/24 and as of 12/11/24 S1 is not associated to the facility which poses an immediate health, safety risk to persons in care.
Official plan of correction
Administrator has agreed to have S1 get fingerprinted. Administrator will provide an updated LIC500 to reflect new staff.
Deadline recorded: Dec 13, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 13, 2024
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(b)(15)
- Regulation authority
- CCR
What the official deficiency says
Resident Records: (b) Each resident's record shall contain at least the following information: (15) The admission agreement and pre-admission appraisal... This requirement is not met as evidenced by: Based on LPAs inspection and observation, the licensee did not comply with the section cited above. R1 was admitted on 11/22/24 and records were incomplete and or missing documents, which poses/posed a potential health and safety risk to persons in care.
Official plan of correction
Licensee agreed to review and complete all facility residents' files. Licensee/administrator will submit a written statement notifying the department what steps will be taken to clear this deficiency and to ensure such deficiency will not reoccur.
Deadline recorded: Dec 18, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 18, 2024
Correction not verified in available records
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(c)(2)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care: c) If the resident's physician has stated in writing... 2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Based on record reviews and interviews, licensee did not comply with the section above to ensure R1 took prescribed medication from 11/22/24-12/11/24. This poses an immediate health and safety risk to residents in care.
Official plan of correction
Administrator agreed to schedule vendorized training for all staff by 12/13/2024 and submit to CCL the vendor information and scheduled date of training. Training certifications to be submitted to CCL upon completion
Deadline recorded: Dec 13, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 13, 2024
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(a)
- Regulation authority
- CCR
What the official deficiency says
General Food Service Requirements. (a) The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents... All food shall be.. prepared and served in a safe and healthful manner... This requirement is not met as evidenced by: Based on LPAs' inspection and observation, licensee did not comply with the section cited above by preparing a small portion of grilled cheese and orange juice for breakfast, this poses a potential health, safety risk to persons in care.
Official plan of correction
Licensee/Administrator shall develop a plan to ensure facility will maintain sufficient food supply at all times. Submit plan and additional food supply purchased by POC date
Deadline recorded: Dec 13, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 13, 2024
Correction not verified in available records
Inspection
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(6)(F)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care (h)(6) … (6) The licensee shall be responsible for assuring that a record of centrally stored prescriptions.., which includes (F) Instructions, if any, regarding control and custody of the medication. This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above to ensure that CSMDR were properly documented for accountability. R1’s medication was not documented properly. This poses an immediate health and safety risk to residents in care.
Official plan of correction
Administrator agreed to schedule vendorized training for all staff and submit to CCL the vendor information and scheduled date of training. Training certifications to be submitted to CCL upon completion
Deadline recorded: Aug 4, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 4, 2024
Correction not verified in available records
Complaint
Allegations2 substantiated · 3 unsubstantiated · 0 unfounded · 2 cited · investigated over 2 visits
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Inspection
Administrator qualificationsType A
- Official classification
- Type A
- Official code
- 87405(d)(1)
- Regulation authority
- CCR
What the official deficiency says
(d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (5). 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... (2) Knowledge of and ability to conform ... (3) Ability to maintain or supervise the maintenance of financial and other records. (5) Good character and a continuing reputation of personal integrity.This requirement is not met as evidenced by LPM/ LPA which poses a potential health.
Official plan of correction
Administrator needs to re-train to be the administrator of the facility.
Deadline recorded: Jun 19, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 19, 2024
Correction not verified in available records
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement is not met as evidenced by LPM/ LPA observation that there was no staffing to for residents which poses a potential health safety or personal rights risk to persons in care.
Official plan of correction
Having the right number of staff is essential in order to provide care and supervision to residents. Need to hire another staff.
Deadline recorded: Jun 19, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 19, 2024
Correction not verified in available records
Hazardous items and storageType A
- Official classification
- Type A
- Official code
- 87309(1)
- Regulation authority
- CCR
What the official deficiency says
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. (1) Storage areas for poisons, and firearms and other dangerous weapons shall be locked. This requirement is not met as evidenced by LPM/ LPA observation that there was poison, cleaning solutions and disinfectant that are kept unlock for residents which poses a potential health safety or personal rights risk to persons in care.
Official plan of correction
Poison, cleaning solutions and disinfectant located under the kitchen, laundry room, and bathroom needs to be lock and inaccessible to residents.
Deadline recorded: Jun 6, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 6, 2024
Correction not verified in available records
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(2)
- Regulation authority
- CCR
What the official deficiency says
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. This requirement is not met as evidenced by LPM/ LPA observation that there was medication in kitchen cabinet from staff and medication was observed in room #2 that was not stored which poses a potential health safety or personal rights risk to persons in care.
Official plan of correction
All prescription medication needs to be stored and lock away. No medication of resident and staff should be accessible.
Deadline recorded: Jun 6, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 6, 2024
Correction not verified in available records
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87618(b)(3)(b)
- Regulation authority
- CCR
What the official deficiency says
Oxygen Administration - Gas and Liquid Ensuring that the use of oxygen equipment meets the following requirements: " No Smoking-Oxygen in Use " signs shall be posted in the facility and appropriate areas. This requirement is not met as evidenced by no signage as posted in room #2, which poses a potential health safety or personal rights risk to persons in care.
Official plan of correction
Oxygen sign needs to be place in appropriate area of the facility.
Deadline recorded: Jun 6, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 6, 2024
Correction not verified in available records
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by observation in the hallway that facility temperature is not working. Sofa was blocking the oven in the kitchen, which poses a potential health safety or personal rights risk to persons in care.
Official plan of correction
Change battery for facility termostat to operate temperate since its summer and would be very warm for residents. Sofa needs to be remove from the kitchen, this is a fire hazard.
Deadline recorded: Jun 6, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 6, 2024
Correction not verified in available records
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87470(a)(1)(b)(4)
- Regulation authority
- CCR
What the official deficiency says
Infection Control Requirements: (a) A licensee shall ensure that infection control practices are maintained as follows: After contact with blood, body fluids or other potentially infectious material, or contaminated surfaces. This requirement is not met as evidenced by LPA/LPM observation there are 2 urine bottles beside a resident in roo #4. Stained mattress in room #1 needs to be dispose, these poses a potential health safety or personal rights risk to persons in care.
Official plan of correction
Urine bottle needs to be discarded immediatelt and not kept beside resident in room #4. Mattress that is located in room #1 needs to be dispose.
Deadline recorded: Jun 6, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 6, 2024
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(c)
- Regulation authority
- CCR
What the official deficiency says
Maintenance and Operation: All window screens shall be clean and maintained in good repair. This requirement is not met as evidenced by observation of room#3 screen is off rack and bent, these poses a potential health safety or personal rights risk to persons in care.
Official plan of correction
Screen window in room #3 needs to be reapired.
Deadline recorded: Jun 19, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 19, 2024
Correction not verified in available records
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(3)
- Regulation authority
- CCR
What the official deficiency says
Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident.
Official plan of correction
Incident report needs to be submitted for resident fall to Regional Office (RO).
Deadline recorded: Jun 12, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 12, 2024
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303
- Regulation authority
- CCR
What the official deficiency says
Maintenance and Operation: Solid waste shall be stored and disposed of as follows: All containers, except movable bins, used for storage of solid wastes shall have tight-fitting covers on the containers; shall be in good repair; shall have external handles; and shall be leakproof and rodent-proof. This requirement is not met as evidenced by kitchen and bathroom #2 in bedrioom #4 has only trash bags hanging on a drawer handle for trash, these poses a potential health safety or personal rights risk to persons in care.
Official plan of correction
Proper disposable trash bin that has a tight fitting cover is needed within the facility.
Deadline recorded: Jun 19, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 19, 2024
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307
- Regulation authority
- CCR
What the official deficiency says
Clean linen, including blankets, bedspreads, top bed sheets, bottom bed sheets, pillow cases, mattress pads, bath towels, hand towels and wash cloths...The use of common wash cloths and towels shall be prohibited This requirement is not met as evidenced by and bathroom #1 has no paper towel, these poses a potential health safety or personal rights risk to persons in care.
Official plan of correction
Have paper towel to wipe residents hands ready in all of the bathrooms.
Deadline recorded: Jun 19, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 19, 2024
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
Resident Records: (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 residents has no records which poses a potential health safety or personal rights risk to persons in care.
Official plan of correction
No records are available for LPA to review.
Deadline recorded: Jun 19, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 19, 2024
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412
- Regulation authority
- CCR
What the official deficiency says
Personel records: The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. This requirement is not met as evidenced by and staff has no records these poses a potential health safety or personal rights risk to persons in care.
Official plan of correction
Staff records needs to be ready for LPA to review.
Deadline recorded: Jun 19, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 19, 2024
Correction not verified in available records
Background checksType A
- Official classification
- Type A
- Official code
- 87355(b)
- Regulation authority
- CCR
What the official deficiency says
Prior to the Department issuing a license, the applicant, administrator and any adults other than a client, residing in the facility shall have a criminal record clearance or exemption. This requirement is not met as evidenced by two (2) staff was not associated with the facility which poses a potential health safety or personal rights risk to persons in care.
Official plan of correction
Association of staff to the facility is a must with Guardian in order to work within the facility.
Deadline recorded: Jun 6, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 6, 2024
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Aug 2, 2024 · Control 31-AS-20240531162143
Food serviceType A
- Official classification
- Type A
- Official code
- 87555(28)
- Regulation authority
- CCR
What the official deficiency says
All food shall be protected against contamination. Contaminated food shall be discarded immediately upon discovery. This requirement is not met as evidenced by LPM/ LPA observe checmicals to be stored under the kitchen sink with food, which poses a potential health safety or personal rights risk to persons in care. This requirement is not met as evidenced by LPM/ LPA observed harmful chemicals/poison to be stored together with food under the sink.
Official plan of correction
Harmful chemical/ poison that is located under the kitchen sink needs to be removed. Food and chemicals needs to be stores seprately. Food (sack of patatoes) under the sink needs to be discarded.
Deadline recorded: Jun 6, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 6, 2024
Correction not verified in available records
Food serviceType A
- Official classification
- Type A
- Official code
- 87555(24)
- Regulation authority
- CCR
What the official deficiency says
Pesticides and other toxic substances shall not be stored in food storerooms, kitchen areas, or where kitchen equipment or utensils are stored.This requirement is not met as evidenced by LPM/ LPA observe checmicals to be stored under the kitchen sink with food, which poses a potential health safety or personal rights risk to persons in care.
Official plan of correction
Harmful chemical/ poison that is located under the kitchen sink needs to be removed and tuck away in a lock area.
Deadline recorded: Jun 5, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 5, 2024
Correction not verified in available records
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
1 complaint has no published investigation report
The official record holds these complaints, but no investigation report was published for them. Their outcome is shown as the source recorded it.
- Aug 9, 2024 · Control 31-AS-20240606085307
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded · 1 cited
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