ALONDRA GUEST MANOR INC

Official classification

Type A

Official code

87203

Regulation authority

CCR

What the official deficiency says

FIRE SAFETY All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshall for the protection of life and property against fire and panic. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above because resident room #1's smoke detector is not properly installed because it is hanging by wires, which poses an immediate health, safety or personal rights risk to persons in care. * Pictures were taken.

Official plan of correction

POC Due Date: 08/04/2026 Plan of Correction Licensee shall ensure that all smoke detectors are propertly installled/operable, and regularly tested. Administrator agreed to submit picturesby tomorrow showing room #1's smoke detector was replaced and/or repaired.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

(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: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in that behind the garage there is discarded furniture and medical equipment, and the driveway area has non-operable washer and dryer near the trash bins, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/24/2026 Plan of Correction Administrator agreed to remove all discarded furniture, medical equipment, and washer/dryer located outside of the garage.

Official classification

Type B

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in that S3's1st Aid/CPR certification expired 7/29/2026, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/24/2026 Plan of Correction Administrator agreed to submit a copy of S3's current 1st Aid/CPR card.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. 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 that all resident’s reappraisals are more than 12 months old, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/24/2026 Plan of Correction Administrator agreed to submit all residents' reappraisals/Appraisal Needs and Services Plans,

Official classification

Type B

Official code

87463(h)

Regulation authority

CCR

What the official deficiency says

(h) The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment. 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 that residents (R2 & R3's) Medical Assessments are more than twelve months, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/24/2026 Plan of Correction Administrator agreed to submit R2 & R3' s updated medical assessments.

Official classification

Type B

Official code

80026(b)

Regulation authority

CCR

What the official deficiency says

80026 Safeguards for Cash Resources, Personal Property, and Valuables of Residents (b) If such a client is accepted for or maintained in care, his/her cash resources, personal property, and valuables not handled by a person outside the facility who has been designated by the client or his/her authorized representative shall be handled by the licensee or facility staff, and shall be safeguarded in accordance with the requirements specified in (c) through (n) below. This standard was not met as evidence by: Interviews with 3 staff 2 out of the 3 staff confirmed that a previous staff would (knowingly) take food inteneded for one resident and divide it to share with other residents without their permission. Interviews with 2 residents also confirmed this to be true.

Official plan of correction

Administrator/Licensee to hold an in house training for all staff to be retrained in proper safeguading personal belongings of residents, which includes all belongings including food that is either purchaed with residents own funds or gifted to them. A copy of the training materials and training log with participants is to be provided to LPA via email by POC due date. tena.herrera@dss.ca.gov

Deadline recorded: Aug 20, 2024. A deadline is not proof that correction was completed.