Fire safety and emergency preparedness
Cited in 3 reports, with 8 deficiencies in total.
HUMBLE HAVEN RCFE II
37801 Rudall AVE, Palmdale CA 935505555
6 bedsLatest official report Jul 2, 2025Licensed
Additional info
- Telephone
- (707) 688-5606
- Licensee
- HUMBLE HAVEN RCFE LLC
- Administrator
- JENNIFER PANTIG
- Contact
- JENNIFER PANTIG
- License first date
- Aug 26, 2020
- License effective date
- Aug 26, 2020
- District office
- WOODLAND HILLS S.RO · (818) 596-4334
- Regional office
- 31
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 10 Type A and 29 Type B deficiencies for this facility.
- Most recent inspection
- Jul 2, 2025
- Most recent deficiency
- Jul 2, 2025
No later report is available, so the records do not show what happened afterward.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 1,564 Los Angeles County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 14 reports for this facility: 9 inspections, 4 complaint investigations, and 1 licensing or administrative record.
Those records contain 10 Type A and 29 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 9
- Recorded deficiencies
- 39
- Type A deficiencies
- 10
- Type B deficiencies
- 29
- Substantiated complaints
- 2
- Repeated topics
- 6
More than the typical 4
0 in the last 12 months
Well above the typical 1
0 in the last 12 months
Most this size have none
0 in the last 12 months
Most this size have none
0 in the last 12 months
Most this size have none
0 in the last 12 months
Last 36 months
No inspection in the last 12 months, so a zero above means no record rather than a clean visit.
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
Admission, assessment, and eviction
Cited in 3 reports, with 5 deficiencies in total.
Dementia care
Cited in 3 reports, with 3 deficiencies in total.
Staffing, personnel, and training
Cited in 2 reports, with 5 deficiencies in total.
Facility condition and maintenance
Cited in 2 reports, with 2 deficiencies in total.
Records and plan of operation
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Complaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Hazardous items and storageType A
- Official classification
- Type A
- Official code
- 87309(a)
- Regulation authority
- CCR
What the official deficiency says
87309 Storage Space & Access (a) Except as specified in subsection (b), the licensee shall ensure…knives, matches…are in locked storage & are not left unattended if outside the locked storage. This is evidenced by: The staff failed to securely lock the knives and medications in a secure location. This poses an immediate health and safety risk to residents in care.
Official plan of correction
The Licensee will conduct a staff in-service training regarding the physical enviornment regulations, The Licensee will send a report stating the regulations that were reviewed and the staff's signature when the training is completed. The documents will be sent to LPA Spaeth via email.
Deadline recorded: Apr 1, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 1, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 10 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87224(b)
- Regulation authority
- CCR
What the official deficiency says
87224(b) The licensee may, upon obtaining prior written approval from the licensing agency, evict the resident upon three (3) days written notice to quit. The licensing agency may grant approval for the eviction upon a finding of good csafety... mental and/or physical health or safety of others in the facility.ause. Good cause exists if the resident is engaging in behavior which is a threat to the mental and/or physical health or This requirement is not met as evidenced by: Based on interviews and record reviews. The facility failed to properly inform CCLD of the 30-Day Notice of Eviction for (R1) and failed to provide evidence of notice submitted. The notice is not valid unless CCLD approves. This violation posed a potential health risk to residents in care.
Official plan of correction
Licensee is to review Title 22 Regulaiton Section 87244, and resubmit a written statement to CCL to indicate it was reviewed and understood. POC must be sent to LPA Dabuet at ernand.dabuet@dss.ca.gov by 05/31/24.
Deadline recorded: May 31, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 31, 2024
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(2)
- Regulation authority
- CCR
What the official deficiency says
87468.1 Personal Rights of Residents in All Facilities (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by Based on interviews and record reviews, the licensee did not comply with the section. The faciltiy failed to accept (R1) upon discharge from hospital. This violation which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
Licensee will need to provide will adhere to Title 22 87468.1 and submit a written statement that to indicate it was reviewed and understood. Proof of correction must be sent to LPA by email at ernand.dabuet@dss.ca.gov by 05/31/24.
Deadline recorded: May 31, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 31, 2024
Correction not verified in available records
Source and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
Read the data methodology