Medical and dental care
Cited in 10 reports, with 10 deficiencies in total.
Jun 15, 2026Jun 3, 2026May 20, 2026May 13, 2026Mar 4, 2026Dec 12, 2025Nov 19, 2025Feb 27, 2025Jan 10, 2025Sep 26, 2024
GLEN PARK AT LONG BEACH
1046 E 4th St, Long Beach CA 908021634
208 bedsLatest official report Aug 26, 2026Licensed
Additional info
- Telephone
- (562) 432-7468
- Licensee
- GLEN PARK AT LONG BEACH INC
- Administrator
- ACE HUYNH
- Contact
- ACE HUYNH
- License first date
- Jul 7, 2015
- License effective date
- Jul 7, 2015
- District office
- EL SEGUNDO ASC · (424) 544-1075
- Regional office
- 11
- Clients served
- 935 - ELDERLY
Summary
The available records show 14 Type A and 51 Type B deficiencies for this facility.
- Most recent inspection
- Aug 26, 2026
- Most recent deficiency
- Aug 13, 2026
1 later report, on Aug 26, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.
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 212 Los Angeles County facilities licensed for 50 or more beds.
In the available public five-year record, CCLD published 133 reports for this facility: 27 inspections, 105 complaint investigations, and 1 licensing or administrative record.
Those records contain 14 Type A and 51 Type B deficiencies.
1 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 27
- Recorded deficiencies
- 65
- Type A deficiencies
- 14
- Type B deficiencies
- 51
- Substantiated complaints
- 29
- Repeated topics
- 10
More than the typical 7
12 in the last 12 months
Well above the typical 8
35 in the last 12 months
Well above the typical 3
6 in the last 12 months
Well above the typical 5
29 in the last 12 months
Well above the typical 3
15 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.
Resident rights
Cited in 9 reports, with 9 deficiencies in total.
Jul 7, 2026Jun 9, 2026May 29, 2026Feb 23, 2026Jan 22, 2026Jan 6, 2025Nov 7, 2024Oct 25, 2024Jan 27, 2024
Medication handling and storage
Cited in 7 reports, with 7 deficiencies in total.
Jul 8, 2026Jul 7, 2026Jun 3, 2026Jan 15, 2026Dec 19, 2025Aug 21, 2025Jul 24, 2025
Staffing, personnel, and training
Cited in 6 reports, with 6 deficiencies in total.
Aug 13, 2026Jul 15, 2026May 13, 2026Dec 17, 2025Jul 24, 2025Jan 6, 2025
Incident reporting
Cited in 5 reports, with 5 deficiencies in total.
Admission, assessment, and eviction
Cited in 4 reports, with 5 deficiencies in total.
Facility condition and maintenance
Cited in 4 reports, with 4 deficiencies in total.
Basic services and supervision
Cited in 3 reports, with 3 deficiencies in total.
Food service
Cited in 3 reports, with 3 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 · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations3 substantiated · 0 unsubstantiated · 0 unfounded · 3 cited · investigated over 2 visits
Not classified in the sourceType B
- Official classification
- Type B
- Official code
- 87505(a)
- Regulation authority
- CCR
What the official deficiency says
87506 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. Based on observations, interviews, and record review Staff failed to ensure medications were documented as administered or refused for R1, R13, R14, R16-R21, This poses an immediate health and safety risk to residents in care.
Official plan of correction
Administrator will develop a plan to ensure that medication administration records are checked frequently to avoid discrepancies. Administrator will submit plan to LPA by POC due date.
Deadline recorded: Jul 30, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 30, 2026
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Jul 16, 2026 · Control 11-AS-20260421155314
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)(D)
- 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...(D) 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. This requirement was not met based on record review, interviews, and observations, there was no incident reports submitted to CCL for the incidents of R1 on 4/13/2026 or of R1's Emergency Room visit on 04/17/2026, which poses a heath and safety risk.
Official plan of correction
Staff retraining regrading reporting incidents to CCL and Responsible party was conducted in June 2026. The Administrator will email the staff training log to LPA at Wendy.Gibbs@dss.ca.gov by POC due date.
Deadline recorded: Jul 29, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 29, 2026
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(d)(5)
- Regulation authority
- CCR
What the official deficiency says
87411 Personnel Requirements – General (d) All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance: (5) Knowledge necessary in order to recognize early signs of illness and the need for professional help. This requirement was not met based on an incident of R1 who was observed with feces in their mouth on 04/13/2026 and was not evaluated by a medical professional on 04/17/2026 due to abdominal pain.
Official plan of correction
Administrator will retrain staff on documenting communication with the Primary Care Physician and Responsible Party of resdients regarding incident that occur. Administrator will email the staff training log to LPA at Wendy.Gibbs@dss.ca.gov by POC due date.
Deadline recorded: Jul 29, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 29, 2026
Correction not verified in available records
Complaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- HSC
What the official deficiency says
87303 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 was not met based on interviews and observations, LPA observed on 04/30/2026, in room 245 the handle on the closet door was broken and the shower head spayed outside the shower, which poses a health and safety risk
Official plan of correction
During a visit on 06/02/2026, LPA observed the handle and shower head were replaced. Administrator
Deadline recorded: Jul 29, 2026. A deadline is not proof that correction was completed.
Corrective action observedRecorded in report dated Jul 15, 2026
Correction deadline recordedDeadline Jul 29, 2026
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(h)(6)(A-F)
- Regulation authority
- CCR
What the official deficiency says
(h)The following requirements shall apply to medications which are centrally stored: (6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained...(A-F) records for centrally stored medications...based on records review the Department identified that for July 2026 there were 16 medication documentation errors that affected 4 residents, indicating medications were not documented as required which poses a potential health and safety, and personal rights risk to persons in care.
Official plan of correction
Executive Director will retrain all medication staff on MAR documentation requirements in order to get into compliance with title 22 regulation. A weekly MAR review will be implemented to ensure all entries are completed correctly with signatures and correct dates tht match. LPA to receive proof by POC due that the med room staff was retrained. Training materials, staff sign in sheet, and a documented from Executive Director self certifying the review and understandment of the regulation being cited. Lizeth.villegas@dss.ca.gov
Deadline recorded: Jul 21, 2026. A deadline is not proof that correction was completed.
Corrective action reported
Plan of correction recorded
Correction deadline recordedDeadline Jul 21, 2026
Complaint
Allegations1 substantiated · 6 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(8)
- Regulation authority
- CCR
What the official deficiency says
Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (8) To have their representatives regularly informed by the licensee of activities related to care or services including ongoing evaluations... This requirement was not met as incident reports dated 07/08/2025, 10/11/2025, 11/23/2025, and 01/21/2026 showed “No” contact made with R1’s authorized representative, with no documentation of communication. This poses a potential health and safety risk.
Official plan of correction
The Administrator shall retrain staff on required notification procedures for authorized representatives by ensuring responsible parties are notified of all incidents and requests, with documentation completed accordingly. The facility shall submit proof of training to the Department via email at Zina.Brown@dss.ca.gov by the POC due date.
Deadline recorded: Jul 21, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 21, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited · investigated over 2 visits
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(2)
- Regulation authority
- CCR
What the official deficiency says
87468.1 Personal Rights of Residents in All Facilities(a)...in all residential care facilities for the elderly...all of the following personal rights:(2)To be accorded safe...accommodations...This requirement is not met as evidenced by: Based on interviews and records reviewed, the licensee failed to ensure R1’s personal rights were protected. R1 experienced repeated sleep disruption due to R2’s loud television. This poses a potential health, safety, and personal rights risk to residents in care.
Official plan of correction
Licensee agreed to find a better room for R1 in order to help R1's personal rights by due date and email LPA: jose.anguiano@dss.ca.gov
Deadline recorded: Jun 10, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 10, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 4 unsubstantiated · 0 unfounded · 3 cited · investigated over 2 visits
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: The licensee shall assist residents with self-administered medication as needed Based on observation and record review, the Department identified eight (8) residents and nine (9) medications remaining in bubble packs despite being initialed as administered, posing a potential health, safety, and personal rights risk to persons in care.
Official plan of correction
The Administrator will complete an immediate medication audit & ensure all medications are administered & documented correctly. Also Administrator will provide proof of scheduled in-service training from a contracted pharmacy on proper administration of medication & proper MAR documentation... for all staff who handle meds. Proof of the completed medication audit in detail and scheduled date and time for the in-service training with contracted pharmacy on proper medication administration by the POC due date to LPA Brown at Zina.Brown@dss.ca.gov.
Deadline recorded: Jun 4, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 4, 2026
Correction not verified in available records
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(h)(6)
- Regulation authority
- CCR
What the official deficiency says
(h) The following requirements shall apply to medications which are centrally stored: (6) The licensee shall be responsible for assuring a record of centrally stored prescription medications for each resident is maintained ...(A-F) records for centrally stored medication... Based on record review, the Department identified 42 undocumented medication administrations affecting eight (8) residents, indicating medications were not documented as required, which poses a potential health, safety, and personal rights risk to persons in care.
Official plan of correction
The Administrator will retrain all medication staff on MAR documentation requirements under 87465(h)(6)(A–F). A weekly MAR review will be implemented to ensure all entries are complete, accurate & must be signed & dated daily. The administrator will submit proof of completed retraining for... MAR documentation requirements & weekly MAR review entries are conducted & must be reviewed by being signed & dated for confirmation of review being completed by the POC due date and email proof to LPA Brown at Zina.Brown@dss.ca.gov
Deadline recorded: Jun 24, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 24, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1(a)(2)
- Regulation authority
- CCR
What the official deficiency says
Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidence by: Based on observations, interviews, and record review, the licensee did not comply with the section cited above, in not ensuring that R1's room was free of excessive items, vermin, and vermin droppings. This poses a potential health, safety and personal rights risk to residents in care.
Official plan of correction
The Executive Director has agreed to create a plan with R1 to maintain R1’s room free of clutter, human waste, and vermin. A plan to maintain R1’s room and bathroom free of clutter, human waste, and vermin will be emailed to Socorro.Leandro@dss.ca.gov. Progress of R1's room will be submitted to the Department on a weekly basis up until 07/03/2026. Pictures of R1's room/bathroom along with an Unusual Incident/Injury Report (UIR) will be faxed to the Departments at 424-544-1016.
Deadline recorded: May 30, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 30, 2026
Correction not verified in available records
Complaint
Allegations1 substantiated · 3 unsubstantiated · 1 unfounded · 2 cited · investigated over 3 visits
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical & Dental Care (a) A plan for incidental medical care shall be developed by each facility. The plan shall encourage routine medical care & assist in obtaining care, by compliance with..: (4) the licensee shall assist residents with self-administered medication as needed This requirement was not met as evidenced by interviews, observations, and record review showing medications for R1, R5, and R9 were not administered as prescribed. However, LPA observed medications not given but signed out, posing a health and safety risk to residents.
Official plan of correction
The Administrator will have a licensed Pharmacist provide additional medication training for all the medtech and the LVN will conduct daily audits for Medication Administration for the next 30 days. 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: Jun 3, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 3, 2026
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Jun 3, 2026 · Control 11-AS-20260403094947
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: The licensee shall assist residents with self-administered medication as needed Based on observation and record review: The Department observed medications remaining inside bubble packs despite being initialed as administered and or not being initialed on the MAR which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
The Administrator will arrange an in‑service medication‑management training with the facility’s contracted pharmacy for all medication‑assisting staff. Training will include proper MAR documentation and ensuring medications are initialed at the time of administration. The Administrator will submit proof of completed pharmacy in-service training to the Department by the due date.
Deadline recorded: May 6, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 6, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Jul 1, 2026 · Control 11-AS-20260325144642
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded · investigated over 4 visits
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Apr 23, 2026 · Control 11-AS-20251017130143
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Jun 9, 2026 · Control 11-AS-20260311163742
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(d)(2)
- 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: (2) The premises shall be maintained in a state of good repair and shall provide a safe and healthful environment. This requirement is not met as evidenced by: Based on interviews, observations, and records review, the licensee failed to ensure a safe and healthful environment for R1, as the resident was subjected to ongoing roommate conflict, including noise disturbances and disruption of sleep, despite having a medical condition requiring dialysis and rest. Staff were aware of the issue for several months and completed incident reports; however, the facility failed to implement timely and effective corrective action to resolve the situation. This violation poses a potential health, safety, or personal rights risk to persons in care.
Official plan of correction
PLAN OF CORRECTION (POC): Licensee agrees to submit a Plan of Correction to LPA Jose Anguiano by due date and emailed to: Jose.Anguiano@dss.ca.gov
Deadline recorded: Apr 1, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 1, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility.The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement is not met as evidenced by Based on observation, records, and interviews, the facility failed to ensure that routine, time-sensitive medications for Resident R1 were administered at the prescribed times. This violation poses/posed a potential health and safety risk to persons in care.
Official plan of correction
Administrator agreed to send LPA a plan of correction on due date. jose.anguiano@dss.ca.gov
Deadline recorded: Mar 11, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 11, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(2)
- Regulation authority
- CCR
What the official deficiency says
Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2)To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met by: Based on interviews & records review, the facility did not have any written refusals of showers for R1 on file nor could staff provide an exact date of the last time R1 received a shower and or bed bath.
Official plan of correction
The Administrator will conduct training on personal rights and the necessary reporting requirements for CDSS CCL. Additionally, the Administrator will implement an internal data sheet to track resident refusals of ADLs. The administrator submit proof of training and internal data sheet for resident refusals of ADLs by the plan of correction due date and email proof to LPA Brown at Zina.Brown@dss.ca.gov
Deadline recorded: Mar 2, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 2, 2026
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Apr 23, 2026 · Control 11-AS-20251017130143
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited · investigated over 2 visits
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87224(d)
- Regulation authority
- CCR
What the official deficiency says
87224 Eviction Procedures (d) The licensee shall set forth in the notice to quit the reasons relied upon for the eviction with specific facts to permit determination of the date, place, witnesses, and circumstances concerning those reasons. This requirement is not met as evidenced by: Based on interviews and records review the licensee did not comply with the section cited above in the 30-day notice issued by the licensee on 05/07/2025 did not state specific facts on why R1 was not an appropriate fit for the facility, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
The Interim Executive Director, Catherine Dacara has agreed to re-read CCR 87224 Eviction Procedures (d), create a plan to stay in compliance with CCR’s Eviction Procedures, and to retrain staff on eviction procedures and email proof of corrections. Email to: Socorro.Leandro@dss.ca.gov Zina.Brown@dss.ca.gov Janae.Hammond@dss.ca.gov
Deadline recorded: Feb 20, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 20, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1(a)(3)
- Regulation authority
- CCR
What the official deficiency says
Personal Rights of Residents: (3) To be free from punishment, humiliation, intimidation, abuse, or actions of a punitive nature, such as withholding money or interfering with daily living functions. This requirement was not met as evidenced by: Based on interview & records review, facility Staff 1 (S1) sexually abused Resident 1 (R1) by kissing R1 on the neck & touching their own groin area in front of R1. This violation poses an immediate health, safety, and personal rights risk to persons in care.
Official plan of correction
Licensee/Administrator shall ensure a training for all staff on Title 22, Section 87468.1 “Personal Rights” is conducted & send the sign in sheets and training materials to the CCLD by the Plan of Correction (POC) due to the attention of: Zina.Brown@dss.ca.gov
Deadline recorded: Jan 23, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 23, 2026
Correction not verified in available records
Complaint
Allegations1 substantiated · 3 unsubstantiated · 0 unfounded · 1 cited
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(h)(2)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (2) 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 centrally stored medications. This requirement was not met as evidence during record review, observation, and interviews, during medication audit staff were unable to locate 3 of R4’s PRN medications, 4 of R6’s medications, and 1 of R9’s medications.
Official plan of correction
The Licensee agrees to retrain staff on properly storing centrally stored medications and ensuring they are secured and will work with TSP to implement new procedures they feel is needed. Training Logs will be emailed to LPA by POC.
Deadline recorded: Jan 25, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 25, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 1 unsubstantiated · 0 unfounded · 3 cited · investigated over 3 visits
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87628(a)
- Regulation authority
- CCR
What the official deficiency says
Diabetes (a) The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing with blood or urine specimens, and is able to administer his/her own medication including medication administered orally or through injection, or has it administered by an appropriately skilled professional. This requirement is not met as evidenced by: Based on interviews and records reviewed, the licensee did not comply with the section cited above by not ensuring a skilled professional was administering insulin through injections to residents in care which poses/posed a potential health and safety risk to persons in care.
Official plan of correction
The Executive Director has agreed to ensure that a skilled professional will administer insulin through injections to residents who are unable to perform their own injections. The Executive Director will create a plan to ensure that a skilled professional will be in the facility during the times that residents require their insulin injections. The plan will be emailed to Socorro.Leandro@dss.ca.gov
Deadline recorded: Dec 26, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 26, 2025
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on May 20, 2026 · Control 11-AS-20251104162513
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(c)
- Regulation authority
- CCR
What the official deficiency says
Personnel Requirements - General: 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 and interviews, the facility failed to ensure all caregivers complete the required 2025 training per Title 22 regulations.
Official plan of correction
The facility will ensure all caregivers will complete all annual training needed to be in compliance with Title 22 regulations. The facility will submit 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: Jan 19, 2026. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Jan 19, 2026
Deficiency Dismissed Type B 01/19/2026 Section Cited CCR 87411(c)
Plan of correction recorded
Correction deadline recordedDeadline Jan 19, 2026
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Dec 19, 2025 · Control 11-AS-20250722112818
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a-j)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. (2) The licensee shall provide assistance in meeting necessary medical and dental needs. This includes transportation which may be limited to the nearest available medical or dental facility which will meet the resident's need. In providing transportation the licensee shall do so directly or make arrangements for this service. (3) When residents require prosthetic devices, vision and hearing aids, the staff shall be familiar with the use of these devices, and shall assist such persons with their utilization as needed. (4) The licensee shall assist residents with self-administered medications as needed. (5) Facility staff, except those authorized by law, shall not administer injections, but staff designated by the licensee may assist persons with self-administration as needed. Assistance with self-administered medications shall be limited to the following: (A) Medications usually prescribed for self-administration which have been authorized by the person's physician. (B) Medications during an illness determined by a physician to be temporary and minor. (C) Assistance required because of tremor, failing eyesight and similar conditions. (D) Assistance with self-administration does not include forcing a resident to take medication, hiding or camouflaging medications in other substances without the resident's knowledge and consent, or otherwise infringing upon a resident's right to refuse to take a medication. (6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. (7) There shall be adequate privacy for first aid treatment of minor injuries and for examination by a physician if required. (8) If a facility has no medical unit on the grounds, a complete first aid kit shall be maintained and be readily available in a specific location in the facility. The kit shall be a general type approved by the American Red Cross, or shall contain at least the following: (A) A current edition of a first aid manual approved by the American Red Cross, the American Medical Association or a state or federal health agency. (B) Sterile first aid dressings. (C) Bandages or roller bandages. (D) Scissors. (E) Tweezers. (F) Thermometers. (9) The licensee shall ensure that infection control practices are maintained in the facility as specified in Section 87470, Infection Control Requirements. (b) If the resident's physician has stated in writing that the resident is able to determine and communicate his/her need for a prescription or nonprescription PRN medication, facility staff shall be permitted to assist the resident with self-administration of his/her PRN medication. (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 in Section 87465(e), instructions regarding a time or circumstance (if any) when it should be discontinued, and an indication when the physician should be contacted for a medication reevaluation. (2) Once ordered by the physician the medication is given according to the physician's directions. (3) A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken, and the resident's response. (d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to 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) Facility staff shall contact the resident's physician prior to each dose, describe the resident's symptoms, and receive direction to assist the resident in self-administration of that dose of medication. (2) The date and time of each contact with the physician, and the physician's directions, shall be documented and maintained in the resident's facility record. (3) The date and time the PRN medication was taken, the dosage taken, and the resident's response shall be documented and maintained in the resident's facility record. (e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file, and a label on the medication. Both the physician's order and the label shall contain at least all of the following information. (1) The specific symptoms which indicate the need for the use of the medication. (2) The exact dosage. (3) The minimum number of hours between doses. (4) The maximum number of doses allowed in each 24-hour period. (f) Emergency care requirements shall include the following: (1) The name, address, and telephone number of each resident's physician and dentist shall be readily available to that resident, the licensee, and facility staff. (2) The name, address and telephone number of each emergency agency to be called in the event of an emergency, including but not limited to the fire department, crisis center or paramedical unit or medical resource, shall be posted in a location visible to both staff and residents. (3) The name and telephone number of an ambulance service shall be readily available. (g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis except as specified in Sections 87469(c)(2), (c)(3), or (c)(4). (h) The following requirements shall apply to medications which are centrally stored: (1) Medications shall be centrally stored under the following circumstances: (A) The preservation of medicines requires refrigeration, if the resident has no private refrigerator. (B) Any medication is determined by the physician to be hazardous if kept in the personal possession of the person for whom it was prescribed. (C) Because of potential dangers related to the medication itself, or due to physical arrangements in the facility and the condition or the habits of other persons in the facility, the medications are determined by either a physician, the administrator, or Department to be a safety hazard to others. (2) 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. (3) Each container shall carry all of the information specified in (6)(A) through (E) below plus expiration date and number of refills. (4) All centrally stored medications shall be labeled and maintained in compliance with state and federal laws. No persons other than the dispensing pharmacist shall alter a prescription label. (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. (6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes: (A) The name of the resident for whom prescribed. (B) The name of the prescribing physician. (C) The drug name, strength and quantity. (D) The date filled. (E) The prescription number and the name of the issuing pharmacy (F) Instructions, if any, regarding control and custody of the medication. (i) Prescription medications which are not taken with the resident upon termination of services, not returned to the issuing pharmacy, nor retained in the facility as ordered by the resident’s physician and documented in the resident’s record nor disposed of according to the hospice’s established procedures or which are otherwise to be disposed of shall be destroyed in the facility by the facility administrator and one other adult who is not a resident. Both shall sign a record, to be retained for at least three years, which lists the following: (1) Name of the resident. (2) The prescription number and the name of the pharmacy. (3) The drug name, strength and quantity destroyed. (4) The date of destruction. (j) In all facilities licensed for sixteen (16) persons or more, one or more employees shall be designated as having primary responsibility for assuring that each resident receives needed first aid and needed emergency medical services and for assisting residents as needed with self-administration of medications. The names of the staff employees so responsible and the designated procedures shall be documented and made known to all residents and staff. This requirement is not met as evidenced by: Based on interviews, observation, and records reviewed, the licensee did not comply with the section cited above, the facility did not ensure that residents received their required medical care, in not having a skilled professionals provide injections and blood sugar checks for residents in care, thus, residents missed said medical care and medication, furthermore, insulin medication/medication that had to be kept refrigerated was in refrigerator that was too hot; moreover, needles were improperly discarded, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
The Executive Director has agreed to read California Code of Regulations (CCR) Incidental Medical and Dental Care and create a plan to follow said regulations. The Executive Director has agreed to create a plan to ensure that a skilled professional will provide medical care and medication as required by their residents. The Executive Director will include in their plan training to their MedTechs: on hand over hand, disposing of needles, infection control, what happens if they get pricked by a needle, daily documentation of medication room refrigerators, MAR documentation, and what to do when residents miss their medication and blood sugar check. Email proof of correction to Socorro.Leandro@dss.ca.gov
Deadline recorded: Jan 3, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 3, 2026
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Dec 19, 2025 · Control 11-AS-20250722112818
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(8)(9)(28)
- Regulation authority
- CCR
What the official deficiency says
General Food Service Requirements (b) The following food service requirements shall apply: (8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. (9) Procedures which protect the safety, acceptability and nutritive values of food shall be observed in food storage, preparation and service. (28) All food shall be protected against contamination. Contaminated food shall be discarded immediately upon discovery. This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above in not having all food of good quality, not having all food in storage, and not protecting food from contamination, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
The Executive Director has agreed to read California Code of Regulations (CCR) General Food Service Requirements and create a plan to follow said regulations. The Executive Director has agreed to include in the plan: daily observation of food and discard food if it is not of good quality,... properly store food, and protect all food from contamination. The Executive Director has agreed to retrain kitchen staff. Email proof of correction to Socorro.Leandro@dss.ca.gov
Deadline recorded: Dec 23, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 23, 2025
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on May 20, 2026 · Control 11-AS-20251104162513
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical & Dental Care (a) A plan for incidental medical care shall be developed by each facility. The plan shall encourage routine medical care & assist in obtaining care, by compliance with..: (4) the licensee shall assist residents with self-administered medication as needed This requirement was not met as evidenced by interviews, observations, and record review showing medications for R1, R5, and R9 were not administered as prescribed. However, LPA observed medications not given but signed out, posing a health and safety risk to residents.
Official plan of correction
The Administrator will have a licensed Pharmacist provide additional medication training for all the medtech and the LVN will conduct daily audits for Medication Administration for the next 30 days. 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: Dec 17, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 17, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Apr 23, 2026 · Control 11-AS-20251017130143
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Feb 5, 2026 · Control 11-AS-20250919141527
Admission, assessment, and evictionType A
- Official classification
- Type A
- Official code
- 87224(a-f)
- Regulation authority
- CCR
What the official deficiency says
87224 Eviction Procedures (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.(1) Nonpayment of the rate for basic services within ten days of the due date ...(3) Failure of the resident to comply with general policies of the facility. Said general policies must be in writing, must be for the purpose of making it possible for residents to live together and must be made part of the admission agreement. (4) If, after admission, it is determined that the resident has a need not previously identified and a reappraisal has been conducted pursuant to Section 87463, and the licensee and the person who performs the reappraisal believe that the facility is not appropriate for the resident...(f) A written report of any eviction shall be sent to the licensing agency within five (5) days. This requirement is not met as evidenced by: Based on interviews and records review the licensee did not comply with the section cited above in not describing how R1 did not follow the general policies of the facility nor explain how R1 is not an appropriate fit for the facility. Furthermore, the facility did not provide a written report to the department within 5 days of providing an eviction to R1.
Official plan of correction
The Assistant Administrator has agreed to edit R1's Thirty Day Notice to Quit to be in compliance with CCR Eviction Procedures and re-submit it to the department. Once the department reviews the Thirty Day Notice to Quit and indicates that it is within compliance of CCR Eviction Procedures, the facility will be able to provide R1 with the updated Thirty Day Notice to Quit. The facility will also, notify the department in writing within 5 days of serving R1 of an eviction. Email LPA Leandro, LPA Brown, and LPM Hammond.
Deadline recorded: Oct 9, 2025. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Oct 9, 2025
Deficiency Dismissed Type A 10/09/2025 Section Cited CCR 87224(a-f)
Plan of correction recorded
Correction deadline recordedDeadline Oct 9, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(h)(6)(A-F)
- Regulation authority
- HSC
What the official deficiency says
Incidental Medical and Dental Care. The following...shall apply to medications...stored: The licensee shall be responsible for assuring that a record of...medications for each resident is maintained...medication. This requirement was not met as evidence by: Based on observation and record review, the licensee did not comply with the section cited above,On 07/25/2025, 3 out of 3 resident medications were missing and unaccounted for this poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
The licensee agreed to create a plan to have all staff giving medications recount all the residents’ routine & PRN medications by the end of their shift. All staff assisting residents with medication to be re-trained by a licensed professional pharmacist. Proof of correction to be submitted to the department via email Jose.anguiano@dss.ca.gov by POC due date.
Deadline recorded: Aug 21, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 21, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 2 cited · investigated over 2 visits
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87464(d)
- Regulation authority
- CCR
What the official deficiency says
Basic Services. . .However, if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs as identified in the pre-admission appraisal . . . Based on conducted interviews and records review the licensee failed provide the dietary needs as specified in Replacement Appraisal and Appraisal/Needs & Service Plan for Resident (R1).This poses a potential Health, Safety, or Personal Rights risk to persons in care.
Official plan of correction
The licensee will honor the dietary needs of all the residents as specified in Pre-Admission, Replacement Appraisal and Appraisal Needs & Service Plan. The licensee will ensure the dietary need for all residents are posted in the kitchen and on all the tables of the dining room. 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: Aug 13, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 13, 2025
Correction not verified in available records
Complaint
Allegations1 substantiated · 5 unsubstantiated · 0 unfounded · 1 cited
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87464(f)(4)
- Regulation authority
- CCR
What the official deficiency says
87464(f)(4) Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance with taking prescribed medications, as specified in Section 87608, Postural Supports. This requirement was not met as evidenced by: Based on records reviewed and interviews, On 07/23/25, MAR's for R1, R3, and R4 for March-May 2025 revealed discrepancies, and various medications were missed on various dates for R1, R3, and R4, for the months of March, April, and May 2025which poses/posed a potential health, safety, or personal rights risk to persons in care.
Official plan of correction
Licensee will provide training for all med techs to attend regarding policies and procedures for medications. Proof of training will be sent to LPA before POC due date.
Deadline recorded: Aug 6, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 6, 2025
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Aug 6, 2025 · Control 11-AS-20250506162009
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87464(d)
- Regulation authority
- CCR
What the official deficiency says
Basic Services. . .However, if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs as identified in the pre-admission appraisal . . . Based on conducted interviews and records review the licensee failed provide the dietary needs as specified in Replacement Appraisal and Appraisal/Needs & Service Plan for Resident (R1). This poses a potential Health, Safety, or Personal Rights risk to persons in care.
Official plan of correction
The licensee will honor the dietary needs of all the residents as specified in Pre-Admission, Replacement Appraisal and Appraisal Needs & Service Plan. The licensee will ensure the dietary need for all residents are posted in the kitchen and on all the tables of the dining room. 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: Jul 17, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 17, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87224(a)(4)
- Regulation authority
- CCR
What the official deficiency says
The licensee may evict a resident for one or more of the reasons... (30) days written notice to the resident is required except...If, after admission, it is determined that the resident has a need not previously identified and a reappraisal has been conducted pursuant... and the licensee and the person who performs the reappraisal believe that the facility is not appropriate for the resident. Based on interviews and record review the licensee did not comply with the section cited above as there was no indication that there was significant change in R1, R1 did not have a need that was not previously identified. which poses a health and safety risk to residents in care.
Official plan of correction
The licensee and executive director will review title 22 eviction regulations and submit a statement acknowleding the review and acknowledge the understanding of title 22 regulations. Licensee and executive director to submit a written plan detailing how facility will get into complaince of title 22 regulations. Plan to be submitted to LPA by POC due date.
Deadline recorded: May 26, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 26, 2025
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on May 29, 2025 · Control 11-AS-20250203140724
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 8 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 4 unsubstantiated · 0 unfounded · 1 cited
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(6)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care Each facility shall develop a planned routine of medical and dental care and assisting in obtaining such care.When requested by the physician or Department, the facility shall maintain a record of centrally stored medication dosages. Based on observation, interview, and record review, the licensee did not comply with the cited section. During medication reviews, LPA observed MAR documentation showing resident didnt receive their medication which posing a potential health, safety, or personal rights risk.
Official plan of correction
The Executive Director will conduct in-service training and implement a plan to check medications regularly to prevent discrepancies. Proof will be submitted via email at zina.brown@dss.ca.gov by the POC due date.
Deadline recorded: Feb 28, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 28, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 6 unsubstantiated · 0 unfounded · investigated over 3 visits
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 5 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care. (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on interviews and records review, records revealed that there were three medications with dates with no entries made by Med Techs for R-1 and there were three prescribed medications that were not dispensed and still in the bubble pack. This action poses as an immediate health and safety risk to persons in care.
Official plan of correction
Licensee will submit plan informing the department medication training has been performed with all staff. A written proof of correction must included along with date, time and participants names. Correction must be submitted by due date: 3/6/25 to LPA's email: felisa.shirley@dss.ca.gov or fax attn: to LPA Felisa Shirley to 424-544-1016
Deadline recorded: Mar 6, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 6, 2025
Correction not verified in available records
Complaint
Allegations2 substantiated · 4 unsubstantiated · 0 unfounded · 2 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1(a)(3)
- Regulation authority
- CCR
What the official deficiency says
87468.1 (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement was not met as evidence: Based on interviews, records review, Executive Director Gloriella Jara stated that an employee had physically assaulted R4, which posed an immediate health, safety, and personal rights risk to R4.
Official plan of correction
Licensee will ensure staff review and sign the facility General Personnel Policies, residents Personal Rights, and Violations or infractions of Company Policy, and email a copy to LPA by POC.
Deadline recorded: Jan 7, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 7, 2025
Correction not verified in available records
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87411(f)
- Regulation authority
- CCR
What the official deficiency says
(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. This requirement was not met as evidence: Based on interviews, records review, Executive Director Gloriella Jara stated that an employee had admitted to being under the influence while at work, which posed an immediate health, safety, and personal rights risk to residents in care.
Official plan of correction
Licensee will ensure staff review and sign the facility General Personnel Policies, residents Personal Rights, and Violations or infractions of Company Policy, and email a copy to LPA by POC.
Deadline recorded: Jan 7, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 7, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 8 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Jan 30, 2025 · Control 11-AS-20241003141025
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 3 unsubstantiated · 0 unfounded · 1 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
Maintenance and Operation 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. There was a water leak on the right side of the resident's bed caused by the air conditioning unit, which dripped water onto the bed, soaking the linens and mattress. The violation poses a potential health and safety risk to residents in care.
Official plan of correction
The deficiency was corrected prior to the complaint visit.
Deadline recorded: Nov 7, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 7, 2024
Correction not verified in available records
Complaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87468.1 (a) (2) Personal Rights of Residents in All Facilities. To be accorded dignity in their personal relationships with staff, residents, and other persons. Staff engaged in an intimate relationship with a resident. This violation poses an immediate health and safety risk to residents in care.
Official plan of correction
The Licensee is required to submit a written plan addressing residents' personal rights, ensuring residents are provided with dignity in their personal relationships with staff, residents, and other persons. The plan must be submitted by the POC deadline of, Monday, November 18, 2024.
Deadline recorded: Nov 15, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 15, 2024
Correction not verified in available records
Complaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(7)
- Regulation authority
- CCR
What the official deficiency says
87555 General Food Service Requirements (b) The following food service requirements shall apply: (7) Modified diets prescribed by a resident's physician as a medical necessity shall be provided. This requirement was not met as evidenced by: based on interview, observation, and record review the licensee failed to ensure R1 received accomodations for a modified dieat prescribed by residents physician as a medical necessity.
Official plan of correction
Administrator will review Physicians report and orders and create a binder for the orders to be placed in and update the boards in the kitchen. Administrator will send LPA pictures of the new binder and boards updated in the kitchen, by the POC date via email at Wendy.Gibbs@dss.ca.gov.
Deadline recorded: Nov 20, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 20, 2024
Correction not verified in available records
Complaint
Allegations1 substantiated · 4 unsubstantiated · 0 unfounded · 1 cited · investigated over 2 visits
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... residents... shall have all of the following personal rights: (4)To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidence by: Based on interviews and record review the licensee did not ensure R1's individual needs were met and delivered by staff during transfer which posed an immediate health, safety, and personal rights risk to R1.
Official plan of correction
The Administrator will email a plan of correction to regina.cloyd@dss.ca.gov by the POC due date.
Deadline recorded: Oct 29, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 29, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Jan 30, 2025 · Control 11-AS-20241003141025
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Oct 25, 2024 · Control 11-AS-20240702154711
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 4 unsubstantiated · 0 unfounded · 3 cited · investigated over 2 visits
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(5)
- Regulation authority
- CCR
What the official deficiency says
87555 General Food Service Requirements (b)The following food service requirements shall apply: (5) Meals shall consist of an appropriate variety of foods and shall be planned... requirement was not met as evidenced by: Based on interviews and record reviews the licensee did not ensure that a diabetic meal plan is provided to 7 out of 8 residents who had diabetes, who poses a potential health, safety, and personal rights risk to residents in care.
Official plan of correction
The administrator agreed to create a plan to ensure that a diabetic meal plan is provided to residents. Proof of corrections will be submitted to LPA via email at jose.calederon@dss.ca.gov.
Deadline recorded: Aug 19, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 19, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Feb 7, 2024 · Control 11-AS-20240124103401
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(2)
- Regulation authority
- CCR
What the official deficiency says
87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Based on interview, observation, video, and record review the licensee failed to secure R1’s room after viewing R2 entering R1’s room 3 times and taking R1’s personal property which posed a potential health and safety to residents in care.
Official plan of correction
Administrator is to change lock for R1’s room and confirm R2 does not have any copies of R1’s door key or keys. Administrator to give notice to R2 regarding taking R1 property. Proof of correction (POC) must be sent to: jose.calderon@dss.ca.gov by due date: 02/09/24
Deadline recorded: Feb 9, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 9, 2024
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Feb 6, 2025 · Control 11-AS-20231113122915
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 5 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 9 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 8 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Aug 1, 2024 · Control 11-AS-20230802112635
Not classified in the sourceType B
- Official classification
- Type B
- Official code
- 80087(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87303Maintenance 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: Based on interview, observation, and record review the licensee failed to ensure that the facility is free of, cockroaches as reported to LPA on 8/10/23, per 1 of 3 staff and 8 of 8 clients interviewed. Roaches were located in the rooms and hallways, which posed a Potential health and safety to residents in care.
Official plan of correction
Administrator will provide specific notes from pest control as to where and what type of pest they sprayed for and what plan do they have for future chemical spraying to LPA by 8/25/23.
Deadline recorded: Aug 25, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 25, 2023
Correction not verified in available records
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(7)
- Regulation authority
- CCR
What the official deficiency says
87555 General Food Service Requirements (7) Modified diets prescribed by a resident's physician as a medical necessity shall be provided. (7) Modified diets prescribed by a resident's physician as a medical necessity shall be provided. This requirement is not met as evidenced by: Based on interview, observation, and record review the licensee failed to ensure that the facility has a diabetic meal plan for residents in care as reported to LPA on 8/10/23. Per 3 of 3 staff and 7 of 8 residents facility did not provide a diabetic menu meal plan option which poses a Potential l health and safety to residents in care.
Official plan of correction
Licensee needs to provide 2 meal plans for residents in care. Need to provide a general meal plan and a diabetic meal plan by the POC date to LPA Calderon
Deadline recorded: Aug 25, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 25, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded
Not classified in the sourceType A
- Official classification
- Type A
- Official code
- 1569.49(c)(1)
- Regulation authority
- HSC
What the official deficiency says
Any violation that the department determines resulted in the injury or illness of a resident. This requirement not met as evidenced by: On 09/28/2021 R1 had a fall and sustanined left femoral neck fracture. This poses an immediate health and safety risk to residents.
Official plan of correction
Submit written plan on how facility plans to ensure residents are provided with the services required, needs and serivces plan will be completed and updated as needed. (immediate civil penalty issued on today 4/25/2022.)
Deadline recorded: Apr 26, 2022. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Apr 26, 2022
Deficiency Dismissed Type A 04/26/2022 Section Cited HSC 1569.49(c)(1)
Plan of correction recorded
Correction deadline recordedDeadline Apr 26, 2022
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(a)
- Regulation authority
- CCR
What the official deficiency says
Reappraisals The pre-admission appraisal shall be updated, in writing... This requirement not met as evidenced by: LPA reviewed R1s file and found facility failed to reappraise resident after inital fall.
Official plan of correction
Facility will ensure that resident is reappriased to ensure facility can meet residents needs and provides adequate care and supervision.
Deadline recorded: Apr 29, 2022. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Apr 29, 2022
Deficiency Dismissed Type B 04/29/2022 Section Cited CCR 87463(a)
Plan of correction recorded
Correction deadline recordedDeadline Apr 29, 2022
Correction not verified in available records
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(c)(5)
- Regulation authority
- CCR
What the official deficiency says
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 not met as evidenced by: Durin record review LPA observed inital Physician report dated 4/9/19, second report was dated 10/27/2020 which doesnt comply with required annual medical assessment.
Official plan of correction
Facility will ensure all dementia residents have updated mediacal assessement annually. Submit self certification indicating this requirment will be met.
Deadline recorded: Apr 29, 2022. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Apr 29, 2022
Deficiency Dismissed Type B 04/29/2022 Section Cited CCR 87705(c)(5)
Plan of correction recorded
Correction deadline recordedDeadline Apr 29, 2022
Correction not verified in available records
Complaint
No deficiencies recorded in this report
Complaint
Allegations1 substantiated · 3 unsubstantiated · 0 unfounded · 1 cited · investigated over 2 visits
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(b)(2)
- Regulation authority
- CCR
What the official deficiency says
Care of Persons with Dementia. Safety measures to address behaviors such as wandering..This requirement not met as evidenced by: During interviews and observations R2 eloped from the facility. This poses a potential health and safety risk to resident in care.
Official plan of correction
The licensee will submit a plan of correction outlying steps to take to ensure that Dementia residents do not elope from the facility in the future.
Deadline recorded: Oct 13, 2021. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 13, 2021
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Oct 6, 2021 · Control 11-AS-20210827103021
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportSource 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