Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 87202(a)(1)
- Regulation authority
- CCR
What the official deficiency says
(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: (1) Nonambulatory persons. 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 having six non-ambulatory residents at the moment, and fire clearance is for two non-ambulatory residents only, which poses an immediate health, safety, or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/04/2025 Plan of Correction Licensee will adhere to Title 22 at all times. As plan of correction, the licensee will submitt to the department the following documents by POC due date: STD 850, LIC 200 and a $25 dollars check.
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87305(a)(b)
- Regulation authority
- CCR
What the official deficiency says
87305 Alterations to Existing Building or New Facilities (a) Prior to construction or alterations, all facilities shall obtain a building permit. (b) The licensing agency may require the facility to acquire a local building inspection where the agency determines that a suspected hazard to health and safety exists. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview), the licensee did not comply with the section cited above in not consulting with the city and department regarding the alteration/construction being done at the living room which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/05/2025 Plan of Correction Licensee will adhere to Title 22 at all times. As a plan of correction, the licensee will consult with the city to determine whether a permit is required for the alteration. In addition, the licensee will create a plan to ensure residents' health and safety during construction. A copy of this will be sent to LPA Iniguez via email by the POC due date.