The available records show 3 Type A and 2 Type B deficiencies for this facility.
Most recent inspection
Jan 15, 2026
Most recent deficiency
Jan 15, 2026
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 6 reports for this facility: 5 inspections, 1 complaint investigation, and 0 licensing or administrative records.
Those records contain 3 Type A and 2 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
Official inspections
5
More than the typical 4
1 in the last 12 months
Recorded deficiencies
5
More than the typical 1
1 in the last 12 months
Type A deficiencies
3
Most this size have none
0 in the last 12 months
Type B deficiencies
2
Most this size have none
1 in the last 12 months
Substantiated complaints
0
Most this size also have none
0 in the last 12 months
Repeated topics
0
Last 36 months
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.
No topic repeats in the last 36 months
No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
(a) All individuals shall be residential care facility for the elderly certificate holders prior to being employed as an administrator. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and staff interview, the Administrator does not have a valid Residential Care for the Elderly Administrator Certificate but has a Adult Residential Facility Administrator Certificate that expires on 01/20/2026. This poses an potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/29/2026 Plan of Correction Licensee will ensure that the Administrator has a valid Residential Care Facility for the Elderly (RCFE) Administrator Certificate and send a copy of the RCFE Administrator Certificate to the LPA by the POC due date.
(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the Administrator did not comply with the section cited above in that disinfectants/cleaning solutions were observed to be unlocked in the kitchen cabinet under the sink. Additionally, few kitchen knives and sharp objects were also observed in one of the kitchen cabinets unlocked and accessible to the residents which posed an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/13/2023 Plan of Correction Administrator will submit photos that kitchen cabinets have locks and shall conduct staff training regarding the potential dangers of having unlocked disinfectants, cleaning solutions, and other dangerous items accessible to clients in care. Submit a written plan of correction stating how this deficiency was corrected on or before the POC due date.
(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the Administrator did not comply with the section cited above in that LPA observed debris and unused items around the yard and in the outdoor passageways which posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/24/2023 Plan of Correction Administrator will submit photos/proof that the outdoor passageways and backyard have been organized and clean and free of debris and will submit plan of correction to CCLD on or before the POC due date.
Infection Control Requirements. Staff shall demonstrate knowledge of and skill in infection control, as appropriate to the job assigned and as evidenced by safe and effective job performance. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the Administrator did not comply with the section cited above in which LPA was greeted by Staff/DSP I inside the facility (by the front door) and Staff/DSP I was observed not wearing a face covering/mask, while working inside the facility. Another staff who works for a 3rd party vendor was also observed not wearing a face covering/mask. Also, Staff did not conduct covid screening to the LPA upon entry and had to be prompted. LPA also observed that facility has insufficient supplies of PPEs which posed an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/13/2023 Plan of Correction Administrator will send photos/receipts of additional PPE supplie ensure that all facility staff are following Pasadena Public Health and CCLD requirements by conducting an in-service training with all staff on the importance of wearing a face covering/mask and also on the importance of COVID screening for all visitors, staff and residents. Administrator will send photos/receipts of additional PPE supplies and submit a copy of the sign-in sheet of all attendees along with the topics covered during the in-service training to CCL by the POC due date.
Maintenance and Operation. Water supplies and plumbing fixtures shall be maintained as follows: 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 degree C) and not more than 120 degree F (49 degree C). This requirement is not met as evidenced by: At 12:38pm, the hot water temperature in the kitchen was measured at 125.5 degrees F. At 12:52pm, The hot water temperature in bathroom #2 was measured at 125 degrees F. This poses an immediate health, safety risk to persons in care.
Deadline recorded: Mar 3, 2022. A deadline is not proof that correction was completed.
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.