Medication handling and storage
Cited in 3 reports, with 3 deficiencies in total.
HENRIETTA'S HOME
131 SEGOVIA AVENUE, San Gabriel CA 91775
6 bedsLatest official report Jun 25, 2026Licensed
Additional info
- Telephone
- (626) 703-4958
- Licensee
- SPECIALIZED COMMUNITY HEALTHCARE COMPANY
- Administrator
- BELEN TAICO
- Contact
- BELEN TAICO
- License first date
- Aug 23, 2022
- License effective date
- Aug 23, 2022
- District office
- MONTEREY PARK ASC · (323) 980-4934
- Regional office
- 28
- Clients served
- 983 - RCFE / DEMENTIA, 985 - RCFE / HOSPICE
Summary
The available records show 13 Type A and 9 Type B deficiencies for this facility.
- Most recent inspection
- Jun 25, 2026
- Most recent deficiency
- Jun 25, 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 12 reports for this facility: 6 inspections, 4 complaint investigations, and 2 licensing or administrative records.
Those records contain 13 Type A and 9 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 6
- Recorded deficiencies
- 22
- Type A deficiencies
- 13
- Type B deficiencies
- 9
- Substantiated complaints
- 3
- Repeated topics
- 3
More than the typical 4
1 in the last 12 months
Well above the typical 1
7 in the last 12 months
Most this size have none
4 in the last 12 months
Most this size have none
3 in the last 12 months
Most this size have none
0 in the last 12 months
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.
Health conditions and treatments
Cited in 2 reports, with 3 deficiencies in total.
Dementia care
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.
Inspection
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(6)
- Regulation authority
- CCR
What the official deficiency says
(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. 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 that R1’s Triamcinolone .1% cream, Nystop 100,000, Nystatin 100,000, and Calamine Lotion are not documented on the Centrally Stored Medication and Destruction Record and does not use Medication Administration Record (MAR), which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/26/2026 Plan of Correction Submit a copy by tomorrow of R1's updated Centrally Stored Medication and Destruction Record.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87608(a)(5)(B)
- Regulation authority
- CCR
What the official deficiency says
(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above because R1 & R2's beds had full length bed rails and neither resident is currently enrolled in hospice services, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/26/2026 Plan of Correction Administrator shall ensure the full-size bed rails are removed from R1 & R2’s beds. Please submit a copy of the half size bed rails physician order along with a picture by tomorrow.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87618(b)(3)(B)
- Regulation authority
- CCR
What the official deficiency says
(3) Ensuring that the use of oxygen equipment meets the following requirements: (B) “No Smoking-Oxygen in Use” signs shall be posted in the appropriate areas. 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 that an oxygen tank was observed in room #4 (R2 & R5'd) bedroom, but there was no " No Smoking-Oxygen in Use " posted sign in appropriate areas or in the facility physical plant, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/09/2026 Plan of Correction Administrator shall ensure that a No Smoking-Oxygen in Use sign is posted when there is an oxygen tank(s) in the facility. Submit picture proof that the signs are posted.
Plan of correction recorded
Correction not verified in available records
Background checksType A
- Official classification
- Type A
- Official code
- 87355(e)(3)
- Regulation authority
- CCR
What the official deficiency says
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or 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 that staff (S4) is not associated to the facility, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/26/2026 Plan of Correction Submit proof by tomorrow that S4 was associated to the facility via Guardian.
Plan of correction recorded
Correction not verified in available records
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(6)
- Regulation authority
- CCR
What the official deficiency says
(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. 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 that R1’s Triamcinolone .1% cream, Nystop 100,000, Nystatin 100,000, and Calamine Lotion are not documented on the Centrally Stored Medication and Destruction Record and does not use Medication Administration Record (MAR), which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/26/2026 Plan of Correction Submit a copy by tomorrow of R1's updated Centrally Stored Medication and Destruction Record.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(a)(11)
- Regulation authority
- CCR
What the official deficiency says
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (11) A health screening as specified in Section 87411, Personnel Requirements - General. 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 that Staff (S3 & S4's) health screening was not in their file or presented during the visit. Administrator did not provide documentation during the visit, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/09/2026 Plan of Correction Submit copies of S3 & S4s health screening and TB exam clearance.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(c)(1)
- Regulation authority
- CCR
What the official deficiency says
(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. 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 that staff (S3's) file did not have proof that 1st aid/CPR training has been completed. Administrator did not provide documentation during the visit, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/09/2026 Plan of Correction Submit a copy of S3’s 1st Aid/CPR training card.
Plan of correction recorded
Correction not verified in available records
Inspection
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(2)
- Regulation authority
- CCR
What the official deficiency says
(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. 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 that medication pills in dispensing cups were observed in an unlocked in the kitchen drawer next to the refrigerator, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/25/2025 Plan of Correction Administrator shall submit proof that staff were trained in regulation 87465 and medication storage facility procedures.
Plan of correction recorded
Correction not verified in available records
Hazardous items and storageType B
- Official classification
- Type B
- Official code
- 87309(a)
- Regulation authority
- CCR
What the official deficiency says
(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. 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 that alcohol i.e., vodka, whiskey, wine, and beer were observed unlocked in the bottom kitchen cabinet located on the right side of the refrigerator, and there are 3 residents with Dementia in which access to items poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/07/2025 Plan of Correction Administrator shall submit: 1. A written plan that addresses alcohol in the facility, storage, and storage procedures. 2. Proof of staff in-service training
Plan of correction recorded
Correction not verified in available records
Inspection
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(2)
- Regulation authority
- CCR
What the official deficiency says
(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. 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 that a total of 3 prescribed ointment creams were observed in an unlocked bathroom drawer, 2 of the creams belonged to 2 former residents, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/21/2024 Plan of Correction Submit a written plan by tomorrow and completed staff in-service training on Title 22 87465 by Friday 8/23/2024/
Plan of correction recorded
Correction not verified in available records
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(c)(6)
- Regulation authority
- CCR
What the official deficiency says
(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (6) Appraisals are conducted on an ongoing basis pursuant to Section 87463, Reappraisals. 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 that hospice/dementia residents (R1-R3) only have pre-placement and/or resident appraisals completed upon admission, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/03/2024 Plan of Correction Administrator shall submit copies of resident (R1-R3's) Appraisal Needs and Services Plans and/or updated care plans.
Plan of correction recorded
Correction not verified in available records
Inspection
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87608(a)(5)(B)
- Regulation authority
- CCR
What the official deficiency says
(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. 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 that resident (R1) is not enrolled in hospice and their bed has full bed rails; which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/19/2023 Plan of Correction Administrator shall remove the full bed rails from R1's bed, and obtain a physician order for half rails. Submit pictures of resident's bed and a copy of the physician orders for half bed rails by tomorrow.
Plan of correction recorded
Correction not verified in available records
Licensing and administrationType A
- Official classification
- Type A
- Official code
- 1569.72(c)(1)
- Regulation authority
- HSC
What the official deficiency says
Residents requiring skilled nursing or intermediate care; bedridden residents Notwithstanding paragraph (2) of subdivision (a), bedridden persons may be admitted to, and remain in, residential care facilities for the elderly that secure and maintain an appropriate fire clearance. (1) The fire safety requirements are met. 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 that per Physician's Report resident (R1) is bedridden presently located in room #2; which is not designated by the Fire department clearance as a bedridden room. Bedridden room is only room #4; which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/19/2023 Plan of Correction Administrator shall submit a written statement of what was done to correct the POC and if applicable picture proof evidence that resident (R1) was moved to the bedridden room.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(d)
- Regulation authority
- CCR
What the official deficiency says
(d) All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for 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 record review, the licensee did not comply with the section cited above in that staff (3) began working at the facility on 5/16/2023 and no staff training has been completed/documented; which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/01/2023 Plan of Correction Administrator shall submit proof of staff training for staff (S3).
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Licensing and administrationType A
- Official classification
- Type A
- Official code
- 87109(a)
- Regulation authority
- CCR
What the official deficiency says
Transferability of License (a) The license shall not be transferable. 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 that the previous licensee's facility license was posted and filed at the facility; which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/13/2022 Plan of Correction Director of Assisted Living Operations emailed staff a copy of the correct licensee's license. Staff printed the copy and posted it at the facility. CLEARED during the visit.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87507(e)
- Regulation authority
- CCR
What the official deficiency says
Admission Agreements The licensee shall provide a copy of the signed and dated current admission agreement, and all subsequent signed and dated modifications, to the resident or the resident's representative, if any, immediately upon signing the admission agreement or modification. The licensee shall provide additional copies to the resident or resident’s representative upon request. 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 that 3 out of 4 residents (R1-R3) did not have current admission agreements issued by the new licensee; which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/03/2023 Plan of Correction Administration staff agreed to submit proof that residents (R1-R3) were issued updated Admission Agreements from new licensee.
Plan of correction recorded
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