PALOS VERDES CARE COTTAGE

1808 PENINSULA VERDE DR., Rancho Palos Verdes CA 90275

Facility 198320305 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Oct 31, 2025Licensed

Additional info
Licensee
PALOS VERDES CARE COTTAGE LLC
Administrator
MEDINA, MA. SALVACION
Contact
MEDINA, MA. SALVACION
License first date
Oct 3, 2022
License effective date
Oct 3, 2022
District office
EL SEGUNDO ASC · (424) 544-1075
Regional office
11
Clients served
935 - ELDERLY

Summary

The available records show 7 Type B deficiencies for this facility.

Most recent inspection
Oct 31, 2025
Most recent deficiency
Jun 6, 2025

1 later report, on Oct 31, 2025, recorded no deficiencies, though the records do not say whether they were follow-ups.

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 7 reports for this facility: 4 inspections, 1 complaint investigation, and 2 licensing or administrative records.

Those records contain 0 Type A and 7 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
4

About the same as most this size

1 in the last 12 months

Recorded deficiencies
7

Well above the typical 1

0 in the last 12 months

Type A deficiencies
0

Most this size also have none

0 in the last 12 months

Type B deficiencies
7

Most this size have none

0 in the last 12 months

Substantiated complaints
1

Most this size have none

0 in the last 12 months

Repeated topics
1

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.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Complaint

Allegations2 substantiated · 1 unsubstantiated · 0 unfounded · 2 cited

Fire safety and emergency preparednessType B
Official classification
Type B
Official code
87203
Regulation authority
CCR

What the official deficiency says

87203 - Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This has not been met as evidenced by: Based on LPA's observation the licensee did not ensure the facility remains within the regulations adopted by the State Fire Marshal in rooms 1, 2, 3 to ensure that control equipment produces an alarm signal, and are in working condition, to protect life and property, which poses a potential health risk to residents in care.

Official plan of correction

The licensee and LPA have agreed that the facility will ensure that rooms 1, 2 and 3 are able to produce an alarm from the control equiptment observed in disrepair. During today's visit, S1 repaired rooms 1, 2 and 3 control equiptment. LPA has provided POC letter to S1.

Deadline recorded: Jun 6, 2025. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Jun 6, 2025
Correction not verified in available records
View official report
Facility condition and maintenanceType B
Official classification
Type B
Official code
87307(d)(6)
Regulation authority
CCR

What the official deficiency says

87307 Personal Accommodations and Services (d) The following space and safety provisions shall apply to all facilities: (6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This has not been met as evidenced by: Based on LPA's observation, the licensee did not ensure that the facilities' Eastern walkway remains free of obstruction, which poses a potential health risk to residents in care.

Official plan of correction

The licensee and LPA have agreed that the facility will ensure that all emergency exits will remain free of obstruction. During today's visit, S1 has cleared the Eastern outdoor walkway. LPA has provided POC letter to S1.

Deadline recorded: Jun 6, 2025. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Jun 6, 2025
Correction not verified in available records
View official report
Inspection
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
87413(a)(1)
Regulation authority
CCR

What the official deficiency says

(1) When regular staff members are absent, there shall be coverage by personnel with qualifications adequate to perform the assigned tasks. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above which poses a potential safety risk to persons in care. On 10/12/2024, Administrator was not present and staff had a challenging time locating facility records, resident records, and staff records. Also, during record and medication review, Resident #2 needed two staff members. Two residents remained in the living room and the tv program was turned off for about 60 - 90 minutes.

Official plan of correction

POC Due Date: 11/12/2024 Plan of Correction The Administrator will provide a plan of correction to regina.cloyd@dss.ca.gov by the POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Medication handling and storageType B
Official classification
Type B
Official code
87465(h)(5)
Regulation authority
CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above which poses a potential health and safety risk to persons in care. On 10/12/2024, LPA observed a pill box sorter in the medication cabinet for Resident #2.

Official plan of correction

POC Due Date: 11/12/2024 Plan of Correction The Administrator will provide a plan of correction to regina.cloyd@dss.ca.gov by the POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Health conditions and treatmentsType B
Official classification
Type B
Official code
87625(b)(3)
Regulation authority
CCR

What the official deficiency says

(b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: (3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above which posed a potential health and personal rights risk to persons in care. On 10/12/2024 1:16 PM, LPA smelled feces in the facility until LPA's 5:00 PM departure.

Official plan of correction

POC Due Date: 11/12/2024 Plan of Correction The Administrator will send a plan of correction to regina.cloyd@dss.ca.gov by the POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Facility condition and maintenanceType B
Official classification
Type B
Official code
87303(g)(1)
Regulation authority
CCR

What the official deficiency says

87303 Maintenance and Operation (g) Facilities which have machines and do their own laundry shall: (1) Have adequate supplies available and equipment maintained in good repair. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above for the washer and dryer which poses/posed a potential health risk to persons in care. LPA did not observe a operable washer and dryer. Administrator stated that it has been since 10/11/24.

Official plan of correction

POC Due Date: 10/22/2024 Plan of Correction The Administrator will send evidence of proof of correction to regina.cloyd@dss.ca.gov by the POC Due Date.

Plan of correction recorded
Correction not verified in available records
View official report
Facility condition and maintenanceType B
Official classification
Type B
Official code
87307(d)(6)
Regulation authority
CCR

What the official deficiency says

87307 Personal Accommodations and Services (d) The following space and safety provisions shall apply to all facilities: (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 licensee did not comply with the section cited above for two bedroom exits and outdoor perimeter which poses/posed a potential safety risk to persons in care. LPA observed oudoor medical equipment and grill blocking one resident outdoor exit. LPA observer a resident's couch blocking resident's outdoor exit. LPA observe material around the perimeter of the house.

Official plan of correction

POC Due Date: 10/22/2024 Plan of Correction The Administrator will email evidence of correction to regina.cloyd@dss.ca.gov by the POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report

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