REDONDO BEACH ELDERLY HOME

Official classification

Type A

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

87464 Basic Services (f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidenced by: Based on interviews conducted on February 5, 2026, and February 6, 2026, at approximately 7:00–8:00 AM, it was determined that R1 eloped from the facility without staff’s knowledge. This incident poses an immediate health, safety, and personal rights risk to persons in care.

Official plan of correction

The licensee and area manager have agreed to provide additional training to all staff on the cited regulation to prevent future resident elopements. Manager has also implimented additional auditory devises to R1's bed and door which has been agreed upon with the family. LPA observed at the time of visit. Proof of completed training and statement of understanding signed by all staff members, will be emailed to the Department upon completion. Bernadette.Allen@dss.ca.gov by the Plan of Correction (POC) due date of February 12, 2026.

Deadline recorded: Feb 12, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(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 and interview, the licensee did not comply with the section cited above in four restrooms which poses an immediate safety risk to persons in care. Between 10:30 AM - 10:55 AM, LPA measured the hot water temperature in the common, shared (rooms 4 and 9), and half bathrooms (near room 7) to be between 140 – 150 degree Fahrenheit.

Official plan of correction

POC Due Date: 04/09/2026 Plan of Correction The Administrator will submit a plan of correction, including water temperature log, to regina.cloyd@dss.ca.gov by the POC due date.

Official classification

Type B

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

Basic services shall at a minimum include: Care and supervision as defined in Section 87101(e)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidenced by: Based on interviews conducted on February 5, 2026, and February 6, 2026, at approximately 7:00–8:00 AM, it was determined that R1 eloped from the facility without staff’s knowledge. This incident poses an immediate health, safety, and personal rights risk to persons in care.

Official plan of correction

The licensee and area manager have agreed to provide additional training to all staff on the cited regulation to prevent future resident elopements. Manager has also implimented additional auditory devises to R1's bed and door which has been agreed upon with the family. LPA observed at the time of visit. Proof of completed training and statement of understanding signed by all staff members, will be emailed to the Department upon completion. Bernadette.Allen@dss.ca.gov by the Plan of Correction (POC) due date of February 12, 2026.

Deadline recorded: Feb 12, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(d)

Regulation authority

CCR

What the official deficiency says

(d) The licensee shall ensure that the facility has an auditory device or other staff alert feature to monitor exits on exterior doors and perimeter fence gates accessible to those residents who may be at risk for elopement, as defined in Section 87101, Definitions. This requirement was not met as evidenced by: Based on LPA observations on February 5, 2026, staff intermittently turned the auditory alert device on and off at the front entry door. Staff were advised that the device must remain activated continuously.

Official plan of correction

The licensee and area manager have agreed to provide additional training to all staff on the cited regulation to prevent future resident elopements. Proof of completed training with a statement of understanding, signed by all staff members, will be emailed to the Department upon completion. Bernadette.Allen@dss.ca.gov by the Plan of Correction (POC) due date of February 7,2026.

Deadline recorded: Feb 7, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.69(a)(2)

Regulation authority

HSC

What the official deficiency says

(2) In facilities licensed to provide care for 15 or fewer persons, the employee shall complete 10 hours of initial training. This training shall consist of 6 hours of hands-on shadowing ... and 4 hours of other training or instruction,... first two weeks of employment. This requirement was not met as evidence by: Based on record review of straff training and MAR, Staff #1 have not completed six hours of medication training prior to administering medication to Resident #1 which posed a potential health risk to resident in care.

Official plan of correction

The Licensee will provide initial medication training hours to staff who assist with medication and email evidence to regina.cloyd@dss.ca.gov. If needed, the Licensee will also ensure that those who assist with medication will also complete the required renewal hours.

Deadline recorded: Oct 20, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87606(c)

Regulation authority

CCR

What the official deficiency says

(c) To accept or retain a person who is bedridden, other than for a temporary illness or recovery from surgery, a licensee shall obtain and maintain an appropriate fire clearance as specified in Section 87202, Fire Clearance. 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 for one resident which poses an immediate safety risk to persons in care. Resident #5 has a bedridden status and currently resides in room #5. The room has not been approved for bedridden residents.

Official plan of correction

POC Due Date: 02/01/2025 Plan of Correction The Licensee will relocate resident #5 into a bedridden room by the POC due date and email evidence to regina.cloyd@dss.ca.gov. The Licensee will ensure that bedridden residents only reside in approved bedridden rooms (1, 2, and 9).