Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(e)(2)
- Regulation authority
- CCR
What the official deficiency says
(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in one out of three bathroom sinks delivered water above Title 22 regualtions (Bathroom #3- 131 F) which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/22/2026 Plan of Correction Durning visit Licensee adjusted the water heater and Bathroom sink #3 delivered water measured at 113 F. Licensee will keep a three day water log for the dates of 01/22/26 , 01/23/26 and 01/24/2 where the temperture is recorded. This log will be sent to LPA via Office Fax
Admission, assessment, and evictionType B
- 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 in 4 out of 4 Residents ( R1-R4) had reappraisals that were more than 12 months old. This poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/13/2026 Plan of Correction By POC due date,Licensee will provide updated Appraisals for Residents 1, 2, 3 and 4 to LPA via Office Fax.
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(h)
- Regulation authority
- CCR
What the official deficiency says
(h) The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment. 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 in 4 out of 4 Residents ( R1, R2, R3 and R4)did not have a Physician's Report done once every 12 months which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/13/2026 Plan of Correction By POC due date Licensee will obtain a Physician's Report for Residents 1,2,3 and 4 and send it LPA via Office Fax.
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87608(a)(5)(A)
- Regulation authority
- CCR
What the official deficiency says
(A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed. 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 in that Resident 1 was observed in a bed with full bed rails and a doctor's authorization for the rails was not in Resident's file which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/28/2026 Plan of Correction By POC due date Licensee will send a copy of doctor's note authorizing half length of bed bedrails for Resident 1 or a picture of Resident's 1 bed without the rails to LPA via Office Fax