LAUREL CANYON RESIDENTIAL CARE

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) ...cleaning solutions, ...tools, sharp objects, and other similar items... are in locked storage... This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above as automotive chemicals and cleaning solutions were left outside of secured storage which posed an immediate safety risk to clients in care.

Official plan of correction

Administrator secured the items at the time of the visit. POC cleared.

Deadline recorded: Jun 15, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

(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 ... This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above as a medicated cream was left outside of locked storage which posed an immediate health risk to clients in care.

Official plan of correction

Administrator secured the item at the time of the visit. POC cleared.

Deadline recorded: Jun 15, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.149

Regulation authority

HSC

What the official deficiency says

§1569.149 Fire clearance approval... ...the facility shall secure and maintain a fire clearance approval from the local fire enforcing agency... This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above as the facility's fire extinguishers were last purchased more than 12 months ago which posed an immediate safety risk to clients in care.

Official plan of correction

The Administrator purchased a new fire extinguisher on 05/31/2026. POC cleared.

Deadline recorded: Jun 15, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87458(a)

Regulation authority

CCR

What the official deficiency says

87458 Medical Assessment (a) Prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment, signed by a licensed medical professional acting within the scope of their practice... This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above as one resident physician report was signed as completed by a placement agent and not a medical professional which posed a potential health risk to clients in care.

Official plan of correction

Administrator agreed to submit a statement of understanding confirming that they will review future medical assessments for accuracy before accepting documents. Administrator agreed to submit the signed statement to CCLD no later than POC due date.

Deadline recorded: Jun 29, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as a bottle of bleach was left in an unsecured drawer in the resident bathroom which posed an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 06/15/2026 Plan of Correction Administrator secured the bleach at the time of the visit. POC cleared.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

(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 the centrally stored medication. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as a daily pill organizer which contained medications was left outside of locked storage which posed an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 06/15/2026 Plan of Correction Administrator secured the organizer at the time of the visit. POC cleared.

Official classification

Type B

Official code

87470(c)(1)(D)

Regulation authority

CCR

What the official deficiency says

(c) An Infection Control Plan shall be developed by the licensee and shall be included in the Plan of Operation required by Section 87208. (1) The Infection Control Plan shall include all of the following: (D) The licensee shall review the use of infection control procedures in the facility at least annually, if local government public health determines an epidemic outbreak has occurred, or if the review is requested by the local licensing agency. 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 as the facility's infection control plan was not updated or reviewed annually which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 06/29/2026 Plan of Correction Administrator agreed to review the facility's infection control plan and to send a copy of the reviewed/updated infection control plan to CCLD no later than POC due date.

Official classification

Type B

Official code

1569.625(b)(1)

Regulation authority

HSC

What the official deficiency says

(1) The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. A staff member shall complete 20 hours, including six hours specific to dementia care, as required by subdivision (a) of Section 1569.626 and four hours specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696, before working independently with residents. The remaining 20 hours shall include six hours specific to dementia care and shall be completed within the first four weeks of employment. The training coursework may utilize various methods of instruction, including, but not limited to, lectures, instructional videos, and interactive online courses. The additional 16 hours shall be hands-on training. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above as one employee file was observed to be missing the additional 20 hours of training to be completed within the first 4 weeks of employment which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/29/2026 Plan of Correction Administrator agreed to conduct 20 hours of additional training with the identified employee and to send proof of the completed training to CCLD no later than POC due date.

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 as two staff files did not contain valid CPR/first aid cards which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 06/29/2026 Plan of Correction Administrator agreed to provide proof of valid CPR/first aid training completed by a trainer qualified through an appropriate agency for the identified employees to CCLD no later than POC due date.

Official classification

Type B

Official code

87465(b)

Regulation authority

CCR

What the official deficiency says

(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. 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 as five resident files were observed to be missing PRN authorization forms and three residents were observed to have PRN medications prescribed to them which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 06/29/2026 Plan of Correction Administrator agreed to obtain completed PRN authorizations for all residents and to submit proof of the completed authorizations to CCLD no later than POC due date.

Official classification

Type B

Official code

87458(c)(1)(A)

Regulation authority

CCR

What the official deficiency says

(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following: (A) Communicable tuberculosis. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above as one resident was missing proof of a negative TB test which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 06/29/2026 Plan of Correction Administrator agreed to obtain proof of a negative TB test for the identified individual and to submit proof of the negative TB test to CCLD no later than POC due date.

Official classification

Type B

Official code

87508(b)

Regulation authority

CCR

What the official deficiency says

(b) Registers of residents shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Registers may be removed if necessary for copying. Removal of registers shall be subject to the following requirements: 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 as the facility did not have an updated resident roster available for inspection which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/29/2026 Plan of Correction Administrator agreed to complete a resident roster and to send CCLD the completed roster no later than POC due date.

Official classification

Type B

Official code

1569.695(a)

Regulation authority

HSC

What the official deficiency says

(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: 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 as the facility's emergency disaster plan contained inaccurate and out of date information which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 06/29/2026 Plan of Correction Administrator agreed to update the facility's emergency disaster plan and to send a copy of the updated plan to CCLD no later than POC due date.

Official classification

Type B

Official code

1569.695(c)

Regulation authority

HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above as the facility did not have proof of the last completed emergency disaster drill which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 06/29/2026 Plan of Correction Administrator agreed to complete an emergency disaster drill and to send proof of the completed drill to CCLD no later than POC due date.

Official classification

Type B

Official code

1569.695(d)

Regulation authority

HSC

What the official deficiency says

(d) A facility shall review the plan annually and make updates as necessary, including changes in floor plans and the population served. The licensee or administrator shall sign and date documentation to indicate that the plan has been reviewed and updated as necessary. 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 as the facility's emergency disaster plan was not updated/reviewed annually which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 06/29/2026 Plan of Correction Administrator agreed to review/update the facility's emergency disaster plan and to send proof of the updated plan to CCLD no later than POC due date.

Official classification

Type B

Official code

87608(a)(5)(B)

Regulation authority

CCR

What the official deficiency says

(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. 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 as one resident's bed contained full bed rails and the resident was not a hospice client which poses a potential personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/29/2026 Plan of Correction Administrator agreed to remove the full bed rails from the resident's bed and to send proof of the removal to CCLD no later than POC due date.

Official classification

Type A

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

87464 Basic Services (f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above as the facility did not provide appropriate timely care for R1's medical emergency which resulted in R1 being admitted to the hospital in critical condition which posed an immediate health concern to clients in care.

Official plan of correction

The Administrator agreed to conduct an in service training with all staff including the Administrator and Assistant Administrator about the importance of noticing the signs/symptoms of illness and seeking appropriate medical attention in a timely manner. The Administrator agreed to submit proof of the completed training to CCLD no later than POC due date.

Deadline recorded: May 29, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87466

Regulation authority

CCR

What the official deficiency says

87466 Observation of the Resident The licensee shall ensure that residents are regularly observed for changes....and that appropriate assistance is provided when such observation reveals unmet needs...This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above as the facility did not seek timely medical attention for R1 which resulted in R1 being admitted to the hospital in critical condition which posed an immediate health concern to clients in care.

Official plan of correction

The Administrator agreed to conduct an in service training with all staff including the Administrator and Assistant Administrator about the importance of noticing the signs/symptoms of illness and seeking appropriate medical attention in a timely manner. The Administrator agreed to submit proof of the completed training to CCLD no later than POC due date.

Deadline recorded: May 29, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87405(d)(1)

Regulation authority

CCR

What the official deficiency says

87405 Administrator - Qualifications... (d) The administrator shall have the qualifications specified... (1) Knowledge of the requirements for providing care and supervision appropriate to the residents. This requirement is not met as evidenced by: Based on interviews and record review the licensee did not comply with the section cited above as the Administrator administered M1 to R1 when M1 was not prescribed to R1 and R1 had a documented allergy to M1 which posed an immediate health concern to clients in care.

Official plan of correction

Administrator agreed to conduct four hours of medication administration training with all staff members that administer medications to residents including the Administrator and Assistant Administrator. Administrator agreed to submit proof of the completed training to CCLD no later than POC due date.

Deadline recorded: May 29, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency... (1) A written report shall be submitted to the licensing agency and to the person responsible...within seven days... This requirement is not met as evidenced by: Based on record review the licensee did not comply with the section cited above as the facility did not have proof that R1's responsible party or the department were notified of R1's 12/01/2025 hospitalization within the required timeframe which posed a potential safety risk to clients in care.

Official plan of correction

Administrator agreed to submit a statement of understanding confirming that they are aware of the reporting requirements timeframe and that they will adhere to the required timeframe when submitting future incident reports to CCLD no later than POC due date.

Deadline recorded: Jun 11, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87208(a)(7)

Regulation authority

CCR

What the official deficiency says

87208 Plan of Operation (a)…shall be submitted to the licensing agency for approval…shall contain...: (7) Sketches, showing dimensions, of the following: This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above as the licensee did not submit an updated facility sketch to the department after the conversion of the facility's garage to an ADU which poses a potential safety risk to persons in care.

Official plan of correction

Administrator agreed to submit an updated facility sketch to CCLD no later than POC due date.

Deadline recorded: Feb 17, 2026. A deadline is not proof that correction was completed.