WISDOM WILLOW SENIOR LIVING

Official classification

Type B

Official code

87468.1(a)(8)

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities (a) ...shall have...personal rights: (8) To have their representatives regularly informed by the licensee... This requirement is not met as evidenced by: Based on interviews the Licensee did not comply with the section cited above as R1's responsible party was not notified of their hospitalization which poses a potential personal rights risk to clients in care.

Official plan of correction

Administrator agreed to submit a signed statement of understanding confirming that they will notify resident's responsible parties of any emergencies/hospitalizations within a timely manner. Administrator agreed to submit the signed statement to CCLD no later than POC due date.

Deadline recorded: Aug 10, 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 cleaner and a bottle of pesticides were left unsecured in the back yard of the facility which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/01/2026 Plan of Correction Administrator secured the items at the time of the visit. Administrator agreed to train staff on the importance of locking chemicals in a secured storage and to submit a statement of understanding confirming that management will personally monitor the facility for improperly stored chemicals. Administrator agreed to submit proof of training and the signed statement to CCLD no later than POC due date.

Official classification

Type A

Official code

87309(c)

Regulation authority

CCR

What the official deficiency says

(c) Except as specified in subsection (d), the licensee shall implement reasonable interventions in order to ensure that nutritional supplements, vitamins, alcohol, cigarettes and other potentially toxic substances, such as certain plants, gardening supplies, and auto supplies, are stored so as not to pose a hazard to residents. 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 supplements and an unsecured package of Claritin were left unsecured in a kitchen drawer which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/01/2026 Plan of Correction Administrator secured the items at the time of the visit. Administrator agreed to train staff on the importance of locking supplements and medications in a secured storage. Administrator agreed to submit proof of training to CCLD no later than POC due date.

Official classification

Type B

Official code

87555(b)(8)

Regulation authority

CCR

What the official deficiency says

(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. 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 three cans of tomatoes and three juice bottles were expired and were stored with resident food supplies which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 07/14/2026 Plan of Correction Administrator agreed to conduct an audit of the facility's food supplies to ensure no additional expired items remain at the facility. Administrator agreed to submit proof of the completed audit 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 had proof of a TB test but no logged results of the test which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 07/14/2026 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

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. 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 2 residents were missing appraisals and one appraisal was last completed more than 12 months prior which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/14/2026 Plan of Correction Administrator agreed to complete appraisals for the three identified individuals and to submit the appraisals to CCLD no later that POC due date.

Official classification

Type B

Official code

87465(h)(6)

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: (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: 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 Centrally Stored Medication and Destruction Records were missing required information or contained incorrect information including dates started, quantity, dosage (Strength) which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 07/14/2026 Plan of Correction Administrator agreed to submit a statement of understanding confirming that they will appropriately log all future medications on their respective CSMDRs. Administrator agreed to submit the statement to CCLD no later than POC due date.

Official classification

Type B

Official code

1596.149

Regulation authority

HSC

What the official deficiency says

§1569.149 Fire clearance approval; condition for licensure; notice to prospective applicants A prospective applicant for licensure shall be notified at the time of the initial request for information regarding application for licensure that, prior to obtaining licensure, the facility shall secure and maintain a fire clearance approval from the local fire enforcing agency, as defined in Section 13244, or the State Fire Marshal, whichever has primary fire protection jurisdiction. The prospective applicant shall be notified of the provisions of Section 13235, relating to the fire safety clearance application. The prospective applicant for licensure shall be notified that the fire clearance shall be in accordance with state and local fire safety regulations. 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 the facility's fire extinguisher was not serviced at least annually which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 07/14/2026 Plan of Correction Administrator obtained a new fire extinguisher at the time of the visit. POC cleared.

Official classification

Type A

Official code

1569.149

Regulation authority

HSC

What the official deficiency says

§1569.149 Fire clearance... ... the facility shall secure and maintain a fire clearance... This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above as an emergency exit was blocked by a chair at the time and the facility had a front door that was locked via key/deadbolt from the inside of the facility which poses an immediate safety risk to persons in care.

Official plan of correction

Administrator swapped the double keyed deadbolt for a standard deadbolt at the time of the visit. Administrator removed the chair at the time of inspection. POC cleared.

Deadline recorded: Feb 26, 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

87309 Storage Space and Access (a)... the licensee shall ensure that disinfectants, cleaning solutions...and other similar items..are in locked storage and are not left unattended.. This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above as the outdoor storage closet was full of cleaning supplies was left unlocked and unattended with the key left in the lock which poses an immediate safety risk to persons in care.

Official plan of correction

Administrator agreed to train staff on the importance of locking chemicals up and placing the key for the storage in a secure location where residents do not have access. Administrator agreed to submit proof of training to CCLD no later than POC due date.

Deadline recorded: Feb 26, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87355(b)

Regulation authority

CCR

What the official deficiency says

87355 Criminal Record Clearance (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: Based on record review the licensee did not comply with the section cited above as S1 had finger print clearance but was not associated to the facility which poses a potential safety or personal rights risk to persons in care.

Official plan of correction

Administrator agreed to associate S1 to the facility and to send proof of association to CCLD no later than POC due date.

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

Official classification

Type B

Official code

87457(c)(1)

Regulation authority

CCR

What the official deficiency says

87457 Pre-Admission Appraisal (c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed... (1) The appraisal shall document, at a minimum: This requirement is not met as evidenced by: Based on record review the licensee did not comply with the section cited above as R1 did not have a pre-admission appraisal completed prior to their acceptance as a resident to the facility which poses a potential safety or personal rights risk to persons in care.

Official plan of correction

The Administrator agreed to submit a statement of understanding confirming that they are aware of, and will complete, all required pre-admission documentation prior to accepting residents into the facility. Administrator agreed to sign this statement along with the Owner of the facility and to submit this statement to CCLD no later than POC due date.

Deadline recorded: Mar 11, 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... This requirement is not met as evidenced by: Based on record review the licensee did not comply with the section cited above as R1 did not have a medical assessment completed prior to their acceptance as a resident to the facility which poses a potential safety or personal rights risk to persons in care.

Official plan of correction

The Administrator agreed to submit a statement of understanding confirming that they are aware of, and will complete, all required pre-admission documentation prior to accepting residents into the facility. Administrator agreed to sign this statement along with the Owner of the facility and to submit this statement to CCLD no later than POC due date.

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