Admission, assessment, and eviction
Cited in 2 reports, with 2 deficiencies in total.
1348 S BARRANCA, Glendora CA 91740
6 bedsLatest official report Nov 13, 2025Licensed
The available records show 4 Type A and 14 Type B deficiencies for this facility.
No later report is available, so the records do not show what happened afterward.
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.
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 5 reports for this facility: 5 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 4 Type A and 14 Type B deficiencies.
1 deficiencies have explicit official correction or clearance evidence in the loaded records.
More than the typical 4
1 in the last 12 months
Well above the typical 1
1 in the last 12 months
Most this size have none
0 in the last 12 months
Most this size have none
1 in the last 12 months
Most this size also have none
0 in the last 12 months
Last 36 months
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.
Cited in 2 reports, with 2 deficiencies in total.
All preserved reports from the most recent to the oldest, sortable by report type.
(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following: (A) Communicable tuberculosis. 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 in1 out of 6 resident facility files, R2's medical assessment, did not contain TB clearance which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/20/2025 Plan of Correction Licensee agrees to submit proof of TB clearance, via email, for R2 by POC due date.
(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health. Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in (2) of (3) staff, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/22/2023 Plan of Correction Licensee will submit health screening records for S1 and S2, to LPA via email, by POC due date.
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: 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) of (3) staff files not available for Licensing to review, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/22/2023 Plan of Correction Licensee will ensure that a complete file for Administrator is available at the facility at all times. A copy of the Adminstrator file will be emailed to LPA by POC due date.
(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 (1) of (3) staff had no proof of required annual training on file, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/22/2023 Plan of Correction Licensee will submit proof of required annual training for S3 to LPA via email by the POC due date.
(c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of his/her individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations. 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 (5) of (6) residents do not have a Needs and Services Plan on file, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/22/2023 Plan of Correction Licensee will complete a Needs and Services plan for R1-R4 and R6 and submit to LPA via email by the POC due date.
(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (1) There is written direction from a physician, on a prescription blank, specifying the name of the resident, the name of the medication, all of the information specified in Section 87465(e), instructions regarding a time or circumstance (if any) when it should be discontinued, and an indication of when the physician should be contacted for a medication reevaluation. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in (2) of (6) residents with medications being administered without a written prescription for it, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/22/2023 Plan of Correction Licensee will obtain written orders for medications for R2 and R4 and email them to LPA by POC due date.
(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in (3) of (6) residents medications have not been refilled and are not being given as prescribed, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/22/2023 Plan of Correction Licensee will obtain medication needed for R2, R5, and R6 and will submit refill orders to LPA via email by POC due date.
(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 interview and record review, the licensee did not comply with the section cited above in the last fire drill conducted on 05/21/23 and is past the quarterly requirement, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/22/2023 Plan of Correction Licensee will conduct a new fire drill and submit proof to LPA via email by POC due date.
(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident's record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in R4 with no written orders for bed rails, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/22/2023 Plan of Correction Licensee will obtain a written physician's order indicating the need for bedrails for R4. Will submit to LPA via email by POC due date.
(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. 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 (3) of (4) residents with dementia do not have an updated medical assessment or appraisal, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/22/2023 Plan of Correction Licensee will obtain an updated medical assessment and appraisal for R1, R4, and R5. A copy will be submitted to LPA via email by POC due date.
(j) The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident. This requirement is not met as evidenced by: Deficient Practice Statement Based onobservation, the licensee did not comply with the section cited above in the auditory device in room#4 was inoperable, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/22/2023 Plan of Correction Licensee will install a new auditory device in room#4. A copy of the purchase receipt and picture of installed device will be submitted to LPA via email by POC due date.
(l) The following initial and continuing requirements shall be met for the licensee to lock exterior doors or perimeter fence gates: (2) The licensee shall ensure that the fire clearance includes approval of locked exterior doors or locked perimeter fence gates. 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 the perimeter fence gates locked under key without proper fire clearance, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 11/28/2023 Plan of Correction Licensee unlocked the perimeter gates immediately. This deficiency has been cleared.
(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 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in the water temperature measuring at 126*F, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 11/28/2023 Plan of Correction Licensee will adjust the water and complete a water log for the following 5 days. Will submit to LPA via email by POC due date.
(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 of 4 resident's medications is not being administered as prescribed, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 11/21/2022 Plan of Correction Licensee will ensure to adminster medication as prescribed and contact resident's physician and responsible party to consult on possible change in administration of medication. Licensee will provide in writing to LPA via email, the physician's order for the change in medication administration, if any, or writen order to continue medications as prescribed.
(f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in cleaning supplies found under the bathroom sink in resident room# 1 and visitor/staff bathroom, accessible to residents, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 11/21/2022 Plan of Correction Staff removed and locked items immediately accordingly.
(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 observation, interview, record review, the licensee did not comply with the section cited above in 2 staff files which did not have proof of the required annual training, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/09/2022 Plan of Correction Licensee will ensure staff complete the required annual training and provide proof of completed training for all staff to LPA via email by the POC due date.
(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident's record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in 3 of 4 residents did not have a written physician's order for full bed rails, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/09/2022 Plan of Correction Licensee will obtain a written order from 3 of 4 resident's physician's, approving full bed rails. Proof of written order to be emailed to LPA by the POC due date.
(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. This requirement is not met as evidenced by: Deficient Practice Statement Based on records reviewed, the licensee did not comply with the section cited above in 2 out of 6 resident files which poses a potential health, safety or personal rights risk to persons in care. Resident #1 (R1) and Resident #2 (R2) are diagnosed with dementia and have physician's reports on file that are over a year old.
POC Due Date: 12/30/2021 Plan of Correction Facility will obtain current physician's reports for both residents. Physician's reports will be submitted by 12/30/21 for review.
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.
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