Incident reporting
Cited in 3 reports, with 3 deficiencies in total.
KINAH MAE HOME LLC
1420 W. 186TH ST., Gardena CA 90248
6 bedsLatest official report May 19, 2026Licensed
Additional info
- Telephone
- (310) 720-7080
- Licensee
- KINAH MAE HOME LLC
- Administrator
- WHITFORD, WALKIRIA
- Contact
- WHITFORD, WALKIRIA
- License first date
- Aug 25, 2022
- License effective date
- Aug 25, 2022
- District office
- EL SEGUNDO ASC · (424) 544-1075
- Regional office
- 11
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 9 Type B deficiencies for this facility.
- Most recent inspection
- Mar 19, 2026
- Most recent deficiency
- May 19, 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 12 reports for this facility: 5 inspections, 6 complaint investigations, and 1 licensing or administrative record.
Those records contain 0 Type A and 9 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 5
- Recorded deficiencies
- 9
- Type A deficiencies
- 0
- Type B deficiencies
- 9
- Substantiated complaints
- 2
- Repeated topics
- 3
More than the typical 4
3 in the last 12 months
Well above the typical 1
9 in the last 12 months
Most this size also have none
0 in the last 12 months
Most this size have none
9 in the last 12 months
Most this size have none
2 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.
Facility condition and maintenance
Cited in 2 reports, with 2 deficiencies in total.
Health conditions and treatments
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 · 7 unsubstantiated · 0 unfounded · investigated over 3 visits
No deficiencies recorded in this reportComplaint
Allegations3 substantiated · 1 unsubstantiated · 0 unfounded · 6 cited · investigated over 2 visits
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 80075(a)
- Regulation authority
- CCR
What the official deficiency says
80075 Health Related Services (a) The licensee shall ensure that each client receives necessary first aid and other needed medical or dental services, including arrangement for and/or provision of transportation to the nearest available services. This requirement is not as evidenced by: Based on interviews and a review of Skin/Body Check form, staff did not seek timely medical care for R1. This poses a potential personal rights violation to persons in care.
Official plan of correction
The Administrator shall review regulation and train all staff on getting timely medical services for residents in care. Please provide copy of In-Service Training signed by all staff and submit to CCLD by POC due date of 4/6/26, Attn: LPA Felisa Shirley at felisa.shirley @dss.ca.gov or fax to 424-544-1016.
Deadline recorded: Apr 6, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 6, 2026
Correction not verified in available records
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(11)
- Regulation authority
- CCR
What the official deficiency says
87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (11) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement is not as evidenced by: Based on interviews and a review of a notice of an incident letter, staff did report incident to responsible party nor Community Care Licensing, (CCLD). This poses a potential personal rights violation to persons in care.
Official plan of correction
The Administrator shall review regulation and train all staff on proper reporting of incident involving residents. Please provide copy of In-Service Training signed by all staff and submit to CCLD by POC due date of 4/6/26, Attn: LPA Felisa Shirley at felisa.shirley @dss.ca.gov or fax to 424-544-1016.
Deadline recorded: Apr 6, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 6, 2026
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(d)(4)
- Regulation authority
- CCR
What the official deficiency says
87307 Personal Accommodations and Services (d) The following space and safety provisions shall apply to all facilities: (4) Stairways, inclines, ramps and open porches and areas of potential hazard to residents with poor balance or eyesight shall be made inaccessible to residents unless equipped with sturdy hand railings and unless well-lighted. This requirement is not as evidenced by: Based on interviews and a review of a notice of an incident letter, facility staff failed to provide a safe environment for residents in care. This poses a potential personal rights violation to persons in care.
Official plan of correction
The Administrator shall review regulation and train all staff on creating reasonably safe conditions and environments for residents in care. Please provide copy of In-Service Training signed by all staff and submit to CCLD by POC due date of 4/6/26, Attn: LPA Felisa Shirley at felisa.shirley @dss.ca.gov or fax to 424-544-1016.
Deadline recorded: Apr 6, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 6, 2026
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on May 19, 2026 · Control 11-AS-20260306103138
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 80075(a)
- Regulation authority
- CCR
What the official deficiency says
80075 Health Related Services (a) The licensee shall ensure that each client receives necessary first aid and other needed medical or dental services, including arrangement for and/or provision of transportation to the nearest available services. This requirement is not as evidenced by: Based on interviews and a review of Skin/Body Check form, staff did not seek timely medical care for R1. This poses a potential personal rights violation to persons in care.
Official plan of correction
The Administrator shall review regulation and train all staff on getting timely medical services for residents in care. Please provide copy of In-Service Training signed by all staff and submit to CCLD by POC due date of 4/6/26, Attn: LPA Felisa Shirley at felisa.shirley @dss.ca.gov or fax to 424-544-1016.
Deadline recorded: Apr 6, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 6, 2026
Correction not verified in available records
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(11)
- Regulation authority
- CCR
What the official deficiency says
87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement is not as evidenced by: Based on interviews and a review of a notice of an incident letter, staff did report incident to responsible party nor Community Care Licensing, (CCLD). This poses a potential personal rights violation to persons in care.
Official plan of correction
The Administrator shall review regulation and train all staff on proper reporting of incident involving residents. Please provide copy of In-Service Training signed by all staff and submit to CCLD by POC due date of 4/6/26, Attn: LPA Felisa Shirley at felisa.shirley @dss.ca.gov or fax to 424-544-1016.
Deadline recorded: Apr 6, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 6, 2026
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(d)(4)
- Regulation authority
- CCR
What the official deficiency says
87307 Personal Accommodations and Services (d) The following space and safety provisions shall apply to all facilities: (4) Stairways, inclines, ramps and open porches and areas of potential hazard to residents with poor balance or eyesight shall be made inaccessible to residents unless equipped with sturdy hand railings and unless well-lighted. This requirement is not as evidenced by: Based on interviews and a review of a notice of an incident letter, facility staff failed to provide a safe environment for residents in care. This poses a potential personal rights violation to persons in care.
Official plan of correction
The Administrator shall review regulation and train all staff on creating reasonably safe conditions and environments for residents in care. Please provide copy of In-Service Training signed by all staff and submit to CCLD by POC due date of 4/6/26, Attn: LPA Felisa Shirley at felisa.shirley @dss.ca.gov or fax to 424-544-1016.
Deadline recorded: Apr 6, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 6, 2026
Correction not verified in available records
Complaint
Allegations1 substantiated · 3 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
(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 except as otherwise specified in paragraph (5). . This requirement was not met by: Based on interview, observation & records review the licensee issued an eviction notice to Resident's 1 (R1) responsible parties which is not in complliance with Title 22 regulations. This violation poses a potential health and safety or personal rights risk to residents in care.
Official plan of correction
The licensee will issue a formal dismissal of the eviction notice to R1’s responsible parties and the Department of Social Services, Community Care Licensing Division (CCLD). Proof of correction will be submitted to the CCLD/El Segundo ASC Office via fax at 424-544-1016 (Attn: Zina Brown) or via email at zina.brown@dss.ca.gov by the POC due date.
Deadline recorded: Mar 20, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 20, 2026
Correction not verified in available records
Inspection
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(c)
- Regulation authority
- CCR
What the official deficiency says
Personnel Requirements – General: (c) 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. Based on observation, interviews and record review, the facility failed to ensure all caregiver completed the required training per Title 22 regulations,
Official plan of correction
The licensee will ensure all staff include the Administrator & caregivers complete the required annual training. Training must be provided by an outside authorized vendor with sign in sheets for all trainings which will include the instructor name and information by POC due date. The facility will submit the proof of correction to the CCLD/El Segundo ASC Office via fax at 424-544-1016 Attn: Zina Brown or via email at zina.brown@dss.ca.gov by the POC due date.
Deadline recorded: Apr 2, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 2, 2026
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
Reporting Requirements(a)(1)Each licensee shall submit serious incident reports to. . . the Department may require, including the following: (1) A written report shall be submitted . . .within 7 days of the occurrence of any of the events . This requirement was not met as evidenced by: Based observation, LPA observed that the facility did not submit LIC 624 in regards to R1’s fall, numbness in right leg from hitting right leg and vomited after eating to the department within 7 day of incidents occurring.
Official plan of correction
The facility shall submit serious incident reports for the incident that occur on 01/29/2026, 02/11/2026 and 02/14/2026 with R1. The report must be fax to 424-544-1016 to department by POC due date.
Deadline recorded: Mar 23, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 23, 2026
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on May 19, 2026 · Control 11-AS-20260220083424
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on May 19, 2026 · Control 11-AS-20260220083424
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
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