Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 87202(a)
- 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: 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 bedroom #4's emergency exit was blocked by a bed and the hallway fire door was propped open and unable to automatically close which pose an immediate safety risk to persons in care.
Official plan of correction
POC Due Date: 02/12/2026 Plan of Correction Administrator moved the bed to clear the emergency exit in bedroom #4 and agreed to keep the facility hallway fire door closed until a magnetic latch is installed. Administrator agreed to submit proof of magnetic latch installation before proping door open. POC cleared during visit.
Background checksType A
- Official classification
- Type A
- Official code
- 87355(e)
- Regulation authority
- CCR
What the official deficiency says
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: 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 two adult tenants in the attached ADU had access to the clients and were not finger print cleared or associated to the facility which poses an immediate safety risk to persons in care.
Official plan of correction
POC Due Date: 02/12/2026 Plan of Correction Administrator obtained livescan fingerpprinting for the identified individuals at the time of the visit. Administrator agreed to send LPA the individual's clearance and association once obtained. POC Cleared during visit.
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(c)
- Regulation authority
- CCR
What the official deficiency says
(c) All window screens shall be clean and maintained in good repair. 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 one window screen frame was observed to be in disrepair which posed a potential personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/12/2026 Plan of Correction Administrator performed repairs to the identified window screen at the time of the visit. POC cleared.