Facility condition and maintenance
Cited in 2 reports, with 2 deficiencies in total.
5029 MCCLINTOCK AVE., Temple City CA 91780
6 bedsLatest official report Mar 30, 2026Licensed
The available records show 12 Type A and 13 Type B deficiencies for this facility.
No later report is available, so the records do not show what happened afterward.
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.
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 8 reports for this facility: 8 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 12 Type A and 13 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
More than the typical 4
1 in the last 12 months
Well above the typical 1
5 in the last 12 months
Most this size have none
0 in the last 12 months
Most this size have none
5 in the last 12 months
Most this size also have none
0 in the last 12 months
Last 36 months
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.
Cited in 2 reports, with 2 deficiencies in total.
All preserved reports from the most recent to the oldest, sortable by report type.
(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above. The window sill in shower is uncleaned which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/06/2026 Plan of Correction Administrator will clean the window sill and send proof to LPA.
(26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. There was not sufficient 7 day Non perishables at the facility during visit. which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/06/2026 Plan of Correction Administrator will purchase 7 day Non perishables and send proof to LPA >
(27) All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. Refrigerator and freezer are uncleaned which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/06/2026 Plan of Correction Administrator will clean refrigerator and freezer and send proof to LPA
(e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician on a prescription blank, maintained in the resident's file, and a label on the medication. Both the physician's order and the label shall contain at least all of the following information. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above 4 of 4 medication reviewed did not have labels on bottles which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/06/2026 Plan of Correction Administrator will obtain labels and place them on bottles and send proof to LPA.
1. A comprehensive description of any items and services provided under a single fee, such as monthly fee for room, board and other items and services shall be listed. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation interview record review, the licensee did not comply with the section cited above. All the admission agreements had the monthly fee redacted which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/27/2026 Plan of Correction Administrator will make sure that new admission agreements are completed for all 6 residents.
PERSONNEL REQUIREMENTS - GENERAL All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69. (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 (S1-S3 ) did not have current 1st Aid/CPR training on file; which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/19/2024 Plan of Correction Submit a copy of S1-S3's 1st Aid/CPR training card.
Prohibited Health Conditions Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: Gastrostomy tubes. 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 in that resident (3) has a g-tube but is not receiving home health services, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/19/2024 Plan of Correction Administrator shall submit an Exception Request to LPA by POC due date.
(e) Water supplies and plumbing fixtures shall be maintained as follows: (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, the licensee did not comply with the section cited above in that the hot water in bathrooms was 141.0, 143.6, 143.2, and kitchen was 143.3 DF, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 03/12/2024 Plan of Correction Admininstrator adjusted the hot water temperature during the visit. Submit a hot water temperature log showing that the water was tested 3x today and 3x tomorrow.
(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. 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 Resident (R1) is missing Crestor Oral Tablet 5 mg, Levetiracetam 500 mg, amino acids 30 ml, Ciclopirox 8% sol, Ranolazine 500 mg, and the facility had Rx- Levothyroxine Sodium 25 mcg (dosage error), instead of 150 mg, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 03/13/2024 Plan of Correction Administrator shall fill all missing medications immediately and submit POC proof by tomorrow. Additionally, all staff shall be re-trained on regulation 87465.
(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 all residents (R1-R4) had full bed-rails without being enrolled in hospice services, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 03/13/2024 Plan of Correction Administrator shall remove all full bed-rails from resident beds and request physician orders for half bed rails. Submit pictures of beds with installed half bed-rails and copies of their physician's orders. Administrator requested an extra day because 1 MD is on vacation.
(f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. 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 underneath 2 bathroom sinks Lysol spray, furniture polish, and bengay ointment were observed unlocked, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 03/13/2024 Plan of Correction Administrator shall remove all toxic substances that are stored in unlocked bathroom cabinets and submit written certification of how the deficiency was corrected.
(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 resident (R4) has an oxygen tank in the room and " No Smoking- Oxygen in Use “signage was not posted anywhere in the facility, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/19/2024 Plan of Correction Submit a picture of the posted " No Smoking- Oxygen in Use “ sign.
(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care needs. 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 residents (R2 - R4) have Physician Reports more than 1 year old dated (2021 & 2022), which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/19/2024 Plan of Correction Submit copies of updated Phyician's Reports for residents (R2-R4).
(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, Medications Administration Record (MAR) was not completed for 5 out of the 5 residents in care for the month of May 2023, the licensee did not comply with the section cited above in 5 out of 5 clients which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 05/03/2023 Plan of Correction Licensee will retrain staff on proper documentation of medications dosage and storage. Licensee will maintain medication dosage logs. Proof of staff re-traning and staff receiving re-training is required to be emailed to LPA by POC due date.
(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, knives and sharps located near kitchen cabinet stove were accessible, padlock was observed on cabinet but locking mechanism was missing, the licensee did not comply with the section cited above in 2 out of 5 residents which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 05/03/2023 Plan of Correction Licensee will ensure staff places locking mechanism back on padlock immediately after not in use, as to ensure inaccessible to residents. Staff moved knives and sharps to secure location till locking mechanism can be placed back on padlock. Licensee will re-train staff on safe keeping and securing knives and other items that could constitute a danger to resident(s). Proof of staff re-traning and staff receiving re-training is required to be emailed to LPA by POC due date.
(f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, kitchen sink cabinet conating 2 cans of insect/bug spray, various bottles of cleaning solutions, to be accessible and LPA observed a padlock but no locking mechanism was observed, the licensee did not comply with the section cited above in 2 out of 5 residents which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 05/03/2023 Plan of Correction Licensee will re-train staff on safe guarding of over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. Licensee will provide LPA with proof of staff receiving training via email by POC due date. Staff later found locking mechanism and placed on padlock cabinet.
(j) The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, auditory devices in resident rooms sliding doors and exits were not placed in " ON " mode, LPA had to switch " ON " , the licensee did not comply with the section cited above in 2 out of 5 residents which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 05/03/2023 Plan of Correction Licensee will ensure auditory devices remain in " ON " mode. Licensee will provide a training to staff and send proof of staff receveing training to LPA no later than POC date.
The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, kitchen walls, kitchen ceiling, stove back splash, kitchen stove vent, and kitchen cabinets above and below surrounding stove; all contained caked on grease, dirt, grime and front door screen is torn, the licensee did not comply with the section cited above in 5 out of 5 residents which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/09/2023 Plan of Correction Licensee will clean all areas mentioned. Licensee will replace front door screen. LPA will return to facility to ensure corrections have been made by POC date. Licensee will ensure staff cleans and maintains above mentioned areas on a regular basis.
The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. (1) Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, shared resident bathroom#1 and private resident bathroom#1 floors and showers contained caked dirt and grime,kitchen floors were observed to be dirty, the licensee did not comply with the section cited above in 5 out of 5 residents which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/09/2023 Plan of Correction Licensee will ensre staff cleans above mentioned areas and maintains above mentioned areas. LPA will return to facility to ensure corrections have been made by POC date. Licensee will ensure staff cleans and maintains above mentioned areas on a regular basis.
(c) General storage space shall be maintained for equipment and supplies as necessary to ensure that space used to meet other requirements of these regulations is not also used for storage. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, 1 walker, and 2 folding commodes were observed being stored in private resident bathroom#1 shower, the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/09/2023 Plan of Correction Licensee will store excessive items in another location as to ensure residents have access to shower. Licensee will not use bathroom shower as stotage.
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, LPA could not locate proof of drills, the licensee did not comply with the section cited above in 5 out of 5 residents which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/09/2023 Plan of Correction Licensee will maintain emergency drill log per health and safety code. Proof must be submitted to LPA via email by POC due date.
(e) Water supplies and plumbing fixtures shall be maintained as follows: (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, interview, the Administrator did not comply with the section cited above in which the hot water temperature in bathroom #3 read at 121.3 degrees F which is not within the Title 22 Regulations, which poses an immediate health, safety or personal rights risk to residents in care.
POC Due Date: 11/07/2022 Plan of Correction The Administrator will send the receipts and work order from the plumber/handyman who will fix the hot water temperature in the sink and shower in bathroom #3 to LPA by email or fax on or before the POC due date.
(i) Facilities shall have signal systems which shall meet the following criteria: (1) All facilities licensed for 16 or more and all residential facilities having separate floors or buildings shall have a signal system which shall: (B) Transmit a visual and/or auditory signal to a central staffed location or produce an auditory signal at the living unit loud enough to summon staff. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, the Administrator did not comply with the section cited above in which the auditory device in one of the exit doors next to Bedroom #3 is inoperable, which poses an immediate health, safety or personal rights risk to residents in care.
POC Due Date: 11/07/2022 Plan of Correction The Administrator will send a copy of the receipts of the new auditory device or the battery replacement to LPA by email or fax on or before 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, interview, the Administrator did not comply with the section cited above in which LPA observed cleaning solutions and disinfectants were stored under the kitchen sink cabinet unlocked and accessible to residents. Additionally, there were laundry soaps, cleaning solutions out and open next to the washing machine in the laundry area. which poses an immediate health, safety or personal rights risk to residents in care.
POC Due Date: 11/07/2022 Plan of Correction The Administrator will send pictures of the kitchen cabinet with lock and show the cleaning solutions stored inside. Administrator will also send pictures of the laundry area without the hazardous materials and laundry soaps to LPA by email or fax on or before the POC due date.
(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (3) A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken, and the resident's response. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the Administrator did not comply with the section cited above in which LPA observed that the Medication Administration Records (MARs) for all 5 residents are not updated and medications are not recorded properly which poses an immediate health, safety or personal rights risk to residents in care.
POC Due Date: 11/07/2022 Plan of Correction Administrator will schedule an in-service training on Medication Management for all facility staff in charge of medication management. A copy of the materials discussed during the training along with signatures of staff present must be forwarded to CCL by the POC due date.
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.
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