J.R. RETIREMENT HOME FOR ELDERLY

44035 22ND STREET WEST, Lancaster CA 93536

Facility 197608294 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Oct 1, 2025Licensed

Additional info
Licensee
JEFFERSON L. REYES
Administrator
JEFFERSON L. REYES
Contact
JEFFERSON L. REYES
License first date
Sep 17, 2012
License effective date
Sep 17, 2012
District office
WOODLAND HILLS S.RO · (818) 596-4334
Regional office
31
Clients served
935 - ELDERLY

Summary

The available records show 1 Type A and 2 Type B deficiencies for this facility.

Most recent inspection
Oct 1, 2025
Most recent deficiency
Oct 1, 2025

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 3 reports for this facility: 3 inspections, 0 complaint investigations, and 0 licensing or administrative records.

Those records contain 1 Type A and 2 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
3

Fewer than the typical 4

1 in the last 12 months

Recorded deficiencies
3

More than the typical 1

2 in the last 12 months

Type A deficiencies
1

Most this size have none

0 in the last 12 months

Type B deficiencies
2

Most this size have none

2 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
0

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.

No topic repeats in the last 36 months

No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Inspection
Medication handling and storageType B
Official classification
Type B
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: Deficient Practice Statement Based on (observation) (interview) (record review)], the licensee did not comply with the section cited above in not assuring that R3's prescribed medications were given as prescribed, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/03/2025 Plan of Correction Administrator agreed to schedule vendorized training for all staff by 10/03/2025 and submit to CCL the vendor information and scheduled date of training. Training certifications to be submitted to CCL upon completion. Administrator also agreed to notify doctor and submit LIC 624 to CCL regarding the incident.

Plan of correction recorded
Correction not verified in available records
View official report
Incident reportingType B
Official classification
Type B
Official code
87211(a)(1)
Regulation authority
CCR

What the official deficiency says

Reporting 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: Deficient Practice Statement 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. R3's incident report for medication refusal shall be submitted to LPA by POC date. Administrator will notify R3’s Physician and family as well.

Official plan of correction

POC Due Date: 10/03/2025 Plan of Correction 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 R3's medication refusal from 04/08/2025 to current, which poses a potential health and safety risk to persons in care.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Health conditions and treatmentsType A
Official classification
Type A
Official code
87608(a)(3)
Regulation authority
CCR

What the official deficiency says

(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 two (2) out of five (5) residents with half bed-rails on their beds and not having a written doctor order on file for resdients which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/05/2024 Plan of Correction Licensee removed bed rails on todays visit and will not add them until a doctor order is on file.

Plan of correction recorded
Correction not verified in available records
View official 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