Facility condition and maintenance
Cited in 10 reports, with 11 deficiencies in total.
Aug 27, 2026Jun 30, 2026May 28, 2026Feb 3, 2026Jan 30, 2026Jan 30, 2026Oct 14, 2025Sep 11, 2025Aug 18, 2025Jul 17, 2025
SANTA ANITA ASSISTED LIVING
5600 GRACEWOOD AVENUE, Temple City CA 91780
150 bedsLatest official report Aug 27, 2026Licensed
Additional info
- Telephone
- (626) 442-8410
- Licensee
- SANTA ANITA ASSISTED LIVING
- Administrator
- ALISA DEAN
- Contact
- ALISA DEAN
- License first date
- Jun 2, 2022
- License effective date
- Jun 2, 2022
- District office
- MONTEREY PARK ASC · (323) 980-4934
- Regional office
- 28
- Clients served
- 935 - ELDERLY
Summary
The available records show 18 Type A and 32 Type B deficiencies for this facility.
- Most recent inspection
- Aug 27, 2026
- Most recent deficiency
- Aug 27, 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 212 Los Angeles County facilities licensed for 50 or more beds.
In the available public five-year record, CCLD published 131 reports for this facility: 23 inspections, 106 complaint investigations, and 2 licensing or administrative records.
Those records contain 18 Type A and 32 Type B deficiencies.
6 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 23
- Recorded deficiencies
- 50
- Type A deficiencies
- 18
- Type B deficiencies
- 32
- Substantiated complaints
- 24
- Repeated topics
- 8
More than the typical 7
8 in the last 12 months
Well above the typical 8
24 in the last 12 months
Well above the typical 3
5 in the last 12 months
Well above the typical 5
19 in the last 12 months
Well above the typical 3
14 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.
Medical and dental care
Cited in 7 reports, with 7 deficiencies in total.
May 14, 2026May 5, 2026Apr 30, 2026Aug 11, 2025Jul 18, 2025Jul 17, 2025Jun 17, 2025
Resident rights
Cited in 6 reports, with 6 deficiencies in total.
Dec 18, 2025Dec 5, 2025Oct 21, 2025Oct 9, 2025Jun 14, 2024Sep 22, 2023
Admission, assessment, and eviction
Cited in 4 reports, with 4 deficiencies in total.
Food service
Cited in 3 reports, with 4 deficiencies in total.
Records and plan of operation
Cited in 3 reports, with 3 deficiencies in total.
Medication handling and storage
Cited in 2 reports, with 2 deficiencies in total.
Staffing, personnel, and training
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.
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 3 unsubstantiated · 0 unfounded · 1 cited · investigated over 2 visits
Not classified in the sourceType B
- Official classification
- Type B
- Official code
- 87312
- Regulation authority
- CCR
What the official deficiency says
...Any vehicle used by the facility to transport residents shall be maintained in a safe operating condition. This requirement was not met as evidenced by: The facility van's sliding door is jammed and not operable. This poses a potential health and safety risk to residents in care.
Official plan of correction
Administrator agreed to repair the facility van's sliding door and submit the proof of repair to licensing by the POC due date. POC was cleared on 06/10/26.
Deadline recorded: Jul 3, 2026. A deadline is not proof that correction was completed.
Official record says corrected or clearedOn Jun 10, 2026
Plan of correction recorded
Correction deadline recordedDeadline Jul 3, 2026
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded
Not classified in the sourceType B
- Official classification
- Type B
- Official code
- 1569.38(a)
- Regulation authority
- HSC
What the official deficiency says
1569.38 Posting of licensing reports; disclosure to new residents (a) Each residential care facility for the elderly shall place in a conspicuous place copies of all licensing reports issued by the department within the preceding 12 months... This requirement is not met as evidenced by: Based on interviews and observation, the copies of licensing reports are not posted in a conspicuous place which poses a potential personal rights to residents in care.
Official plan of correction
The licensee shall have copies of licensing reports in a visible area of the facility. A statement acknowledging this regulation and the location of reports is to submitted to LPA by 6/23/26.
Deadline recorded: Jun 23, 2026. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Jun 23, 2026
Deficiency Dismissed Type B 06/23/2026 Section Cited HSC 1569.38(a)
Plan of correction recorded
Correction deadline recordedDeadline Jun 23, 2026
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Jul 2, 2026 · Control 28-AS-20260526115258
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
The facility shall be clean, safe, sanitary and in good repair at all times. This requirement was not met as evidenced by: The facility van's sliding door is jammed and not operable. This poses a potential health and safety risk to residents in care.
Official plan of correction
Adminsitrator agreed to repair the facilty van's sliding door or replace the van if needed. Adminsitrator will submit the proof of repair to licensing by the POC due date
Deadline recorded: Jun 11, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 11, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited · investigated over 2 visits
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
(a) A plan for incidental medical ... care shall be developed by each facility. The plan shall encourage routine medical care and provide assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on observation, interviews, and record review, the licensee did not comply with the cited section, as the facility failed to ensure timely administration of morning medications as prescribed on 4/26/26. This deficiency poses an immediate risk to the health, safety, and personal rights of residents in care.
Official plan of correction
Administrator shall submit a written plan by the POC due date outlining how medication administration training will be provided to staff to ensure compliance. Administrator shall provide proof of completed training, including sign-in sheets and training curriculum, to the Department by 05/19/2026.
Deadline recorded: May 19, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 19, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on May 14, 2026 · Control 28-AS-20260427120552
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on observation, interviews, and record review, the licensee did not comply with the cited section, as the facility failed to ensure timely administration of morning medications as prescribed on 4/26/26. This deficiency poses an immediate risk to the health, safety, and personal rights of residents in care.
Official plan of correction
The Administrator shall submit a written plan by the POC due date outlining how medication administration training will be provided to staff to ensure compliance. Administrator shall provide proof of completed training, including sign-in sheets and training curriculum, to the Department by 05/19/2026.
Deadline recorded: May 6, 2026. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn May 6, 2026
Deficiency Dismissed Type A 05/06/2026 Section Cited CCR 87465(a)(4)
Plan of correction recorded
Correction deadline recordedDeadline May 6, 2026
Correction not verified in available records
Complaint
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(j)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care. In all facilities licensed for sixteen (16) persons or more, one or more employees shall be designated as having primary responsibility for assuring that each resident receives needed first aid and needed emergency medical services and for assisting residents as needed with self-administration of medications......This requirement was not met evidenced by: Based on interviews, the findings indicate that on Sunday, April 26, 2026, residents (R1 & R2) had a physical fight that resulted in minor injuries with bleeding that required 1st Aid, but since there were no med-tech working the morning shift they did not receive care. This poses a potential health, safety, and personal rights risk.
Official plan of correction
Assistant Administrator agreed to submit: 1. A written plan of correction that addresses personnel shortages, staff schedules, and staff responsibilities. 2. In-service training
Deadline recorded: May 21, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 21, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 6 unsubstantiated · 0 unfounded · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 7 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Apr 20, 2026 · Control 28-AS-20251015145335
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87208(a)(5)
- Regulation authority
- CCR
What the official deficiency says
Plan of Operation 87208 (a) The licensee shall have and maintain a current, written definitive plan of operation for the facility. The licensee shall operate the facility in accordance with the terms specified in the plan of operation and may be cited for not doing so pursuant to Health and Safety Code section 1569.49…(5) Staffing plan, qualifications and duties. This requirement was not met as evidenced by: based on interviews and record review, the facility has staffing shortages which have delayed wellness checks, bathing and incontinent care for residents which poses a potential risk for persons in care.
Official plan of correction
Licensee/Administrator will send LPA a plan regarding how to keep staffing consistent. Administrator will also send LPA, an updated copy of the updated staff roster.
Deadline recorded: Apr 6, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 6, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87507(g)(3)(G)
- Regulation authority
- CCR
What the official deficiency says
Admission Agreements (g) Admission agreements shall specify the following: (3) Payment provisions, including the following: (G) A comprehensive description of billing and payment procedures. This requirement is not met as evidenced by: Based on record review, Resident 1's admission agreement does not indicate rent payment provisions for payment procedures and proper notification to resident for outstanding balances if it applies, which poses a potential personal rights risk to residents in care.
Official plan of correction
The licensee shall ensure the admission agreement specifies rent payment provisions, including description of billing and payment procedures. Licensee will also ensure that procedures for notification to residents for payments made or balances due (continues below) are also included in residents' admission agreement. The licensee shall review all the residents' admission agreements to ensure that regulation policies are included accurately. Licensee will submit a statement indicating the resident records have been reviewed and a statement acknowledging the regulation have been read by POC due date.
Deadline recorded: Mar 13, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 13, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303(a) Maintenance and Operation (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 was not met as evidenced by: inspection and observation of the two dining rooms during and after meal services revealed that several walls and baseboards have splattered stains from drinks and other food particles. Also observed dirt and grime stains around the corners of the floor by the grand piano and doorways in both dining rooms.
Official plan of correction
Licensee will be paiting walls and baseboards and will do a deep clean on the floors to remove the grime througt the floors of both dining rooms. Licensee will send photos of the corrections by POC due date.
Deadline recorded: Feb 20, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 20, 2026
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87208(a)
- Regulation authority
- CCR
What the official deficiency says
87208(a) Plan of Operation (a) The licensee shall have and maintain a current, written definitive plan of operation for the facility. The licensee shall operate the facility in accordance with the terms specified in the plan of operation and may be cited for not doing so... This requirement was not met as evidenced by: R1's Care Plan indicates safety checks to be conducted 4 times per shift; however, staff indicated that staff conduct safety checks 2 to 3 times per 7.5 hour shift
Official plan of correction
Licensee will conduct an in-service training regarding following resident care plans to meet their needs and provide LPA proof of training via sign-in log and training topics and agenda.
Deadline recorded: Feb 6, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 6, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 5 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
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 was not met as evidenced by: Based on observation, interview, and record review, the licensee did not comply with the section cited above as on 12/12/2025, there was two (2) caregivers on duty in the AM shift to provide incontinence care for 40 to 48 residents out of the facility census of 147 residents. Resident #1 (R1’s) incontinence needs was not met as incontinence service was provided by staff at 9:15am which was two hours and fifteen minutes passed the scheduled time of 7am. LPA also observed a strong urine odor in Resident #14 (R14’s) room. This poses a potential health and safety risk to persons in care.
Official plan of correction
Facility will submit a written plan on what to do when multiple caregiver staff call out and to ensure that residents’ incontinence needs are met and provided in a timely manner.
Deadline recorded: Jan 16, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 16, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited · investigated over 2 visits
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(25)
- Regulation authority
- CCR
What the official deficiency says
(a) In addition to the rights listed in Section 87468.1, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (25) To protection of their property from theft or loss according to Health and Safety Code sections 1569.152, 1569.153, and 1569.154. This requirement was not met as evidenced by: 6 out of 10 residents did not have property protected from theft or loss. This poses a potential risk to the health, safety, or personal rights of persons in care.
Official plan of correction
*POC CLEARED ON 10/21/25 & 11/03/25. NO FUTHER ACTION REQUIRED* Administrator will submit plan as to when all staff retraining will be conducted. Plan must be received by 10/22/25 via email. All staff will receive retraining on Health and Safety Code sections 1569.152, 1569.153, and 1569.154. Proof of staff retraining is required by 11/4/2025.
Deadline recorded: Dec 5, 2025. A deadline is not proof that correction was completed.
Official record says corrected or clearedOn Oct 21, 2025
Plan of correction recorded
Correction deadline recordedDeadline Dec 5, 2025
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Dec 18, 2025 · Control 28-AS-20251023134654
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Dec 5, 2025 · Control 28-AS-20251014144300
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.2(a)(25)
- Regulation authority
- CCR
What the official deficiency says
(a) In addition to the rights listed in Section 87468.1, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (25) To protection of their property from theft or loss according to Health and Safety Code sections 1569.152, 1569.153, and 1569.154. This requirement was not met as evidenced by: 6 out of 10 residents did not have property protected from theft or loss. This poses an immediate risk to the health, safety, or personal rights of persons in care.
Official plan of correction
Administrator will submit plan as to when all staff retraining will be conducted. Plan must be received by 10/22/25 via email. All staff will receive retraining on Health and Safety Code sections 1569.152, 1569.153, and 1569.154. Proof of staff retraining is required by 11/4/2025.
Deadline recorded: Oct 22, 2025. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Oct 22, 2025
Deficiency Dismissed Type A 10/22/2025 Section Cited CCR 87468.2(a)(25)
Plan of correction recorded
Correction deadline recordedDeadline Oct 22, 2025
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Oct 24, 2025 · Control 28-AS-20250522124740
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 1 unsubstantiated · 0 unfounded
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 87207
- Regulation authority
- CCR
What the official deficiency says
False Claims. No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility. This requirement was not met evidenced by: Based on record review of Medication Release form dated 12/24/24 and multiple other forms on different dates it was observed that form dated 12/24/24's signature is different and inconsistent with the majority of signatures on record. Therefore, there is a signature mismatch. This poses a potential health, safety, and personal rights risk to residents in care.
Official plan of correction
Executive Director agreed to: 1. Provide proof of med-tech in-service training on Medication Release form, and protocols regarding obtaining resident signatures of residents that are unable to sign on their own. 2. Submit a written plan with facility procedures and training materials.
Deadline recorded: Oct 28, 2025. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Oct 28, 2025
Deficiency Dismissed Type B 10/28/2025 Section Cited CCR 87207
Plan of correction recorded
Correction deadline recordedDeadline Oct 28, 2025
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
Maintenance and Operation. 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 was not met evidenced by: Based on observation, there is one (1) indoor surveillance camera located in the hallway by the lobby, and multiple cameras in the exterior of the building. The main office camera monitors only show 3 operable cameras. The indoor camera is not operable. This poses a potential health, safety, and personal rights risk to residents in care.
Official plan of correction
Executive Director agreed to submit a written plan that addresses surveillance use, policy, and repairs. If cameras are to be used indoors, the facility plan of operation, sketch, and admission agreement must be updated and submitted to Community Care Licensing.
Deadline recorded: Nov 11, 2025. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Nov 11, 2025
Deficiency Dismissed Type B 11/11/2025 Section Cited CCR 87303(a)
Plan of correction recorded
Correction deadline recordedDeadline Nov 11, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 3 unsubstantiated · 0 unfounded · 1 cited · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 5 unsubstantiated · 0 unfounded
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(i)(1)(A)(B)(C)
- Regulation authority
- CCR
What the official deficiency says
Maintenance and Operation 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: (A) Operate from each resident's living unit. (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. (C) Identify the specific resident living unit. This requirement is not met as evidenced by: Facility failed to have a signal system operable in R7 and R9's room which poses an immediate health and safety risk to residents in care.
Official plan of correction
Facility to submit by POC due date verification of a scheduled appointment with a company to repair call buttons. Also to submit receipts when the work is completed.
Deadline recorded: Sep 12, 2025. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Sep 12, 2025
Deficiency Dismissed Type A 09/12/2025 Section Cited CCR 87303(i)(1)(A)(B)(C)
Plan of correction recorded
Correction deadline recordedDeadline Sep 12, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited · investigated over 2 visits
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(c)(3)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care 87465(c)(3): (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 was not met as evidenced by: at the time of visit on 8/11/25, the facility was unable to provide a record of each dose including date and time the PRN medication was taken, the dosage taken, and teh resident's response for May 2, 4 and 5, 2025 for R1.
Official plan of correction
Licensee will ensure med-techs receive additional training regarding proper documentation of medication administration, documenting and reporting documentation errors and notifying physicians of errors by POC due date. Licensee will send training sign-in log and an agenda stating the topics discussed with staff.
Deadline recorded: Aug 18, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 18, 2025
Correction not verified in available records
Complaint
Allegations1 substantiated · 3 unsubstantiated · 0 unfounded · 1 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(i)(A)
- Regulation authority
- CCR
What the official deficiency says
87303 (i)(A) Maintenance and Operation (i) Facilities shall have signal systems which shall meet the following criteria: (A) Operate from each resident’s living unit. This requirement is not met as evidence by: During inspection, (4) out of (24) call buttons were inoperable. Four (4) buttons located in (2) resident rooms, did not trigger an alert to front desk staff.
Official plan of correction
Licensee will conduct checks to ensure call buttons are working properly in resident rooms. Licensee will log call button inspections for the next five days and provide LPA a copy of the log by POC due date.
Deadline recorded: Aug 29, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 29, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
87411 Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement is not met as evidenced by: Based on interview, Staff could not find R1's PRN medication which poses an immediate health and safety risk to residents in care.
Official plan of correction
The licensee shall submit a written plan explaining how PRN medications are stored and documented when given. The plan is due to LPA by 8/16/25.
Deadline recorded: Aug 16, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 16, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 5 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Aug 28, 2025 · Control 28-AS-20250530112753
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(b)(3)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care (b) If resident's physician has stated in writing that the resident is able to determine and communicate his/her need for a prescription or nonprescription PRN medication, facility staff shall be permitted to assist the resident with self-administration of his/her PRN medication. (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 was not met as evidenced by: QuickMAR has multiple medication errors regarding a medication dose for pain relief for May 2, 4 and 5, 2025 for R1.
Official plan of correction
Licensee will ensure med-techs receive additional training regarding proper documentation of medication administration, documenting and reporting documentation errors and notifying physicians of errors by POC due date. Licensee will send training sign-in log and an agenda stating the topics discussed with staff.
Deadline recorded: Aug 18, 2025. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Aug 18, 2025
Deficiency Dismissed Type B 08/18/2025 Section Cited CCR 87465(b)(3)
Plan of correction recorded
Correction deadline recordedDeadline Aug 18, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87411(d)(4)
- Regulation authority
- CCR
What the official deficiency says
87411(d)(4) Personnel Requirements - General (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: (4) Knowledge required to safely assist with prescribed medications which are self-administered. This requirement was not met as evidenced by: based on observation, staff and resident interviews and record review, licensee did not ensure that caregiving staff who are not qualified to administer medication to residents refrain from administering medication to a resident.
Official plan of correction
Licensee will conduct training with caregiving and medical technician staff regarding medication administration policies and precedures. Licensee will submit proof of training by POC due date in a form of sign-in log of staff in attendance and topics discussed via an agenda of training.
Deadline recorded: Jul 29, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 29, 2025
Correction not verified in available records
Complaint
Allegations1 substantiated · 3 unsubstantiated · 0 unfounded · 1 cited
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on record review, Resident #3 did not take the medication Alendronate Sodium 70 MG once a week in June which poses an immediate health and safety risk to resident in care.
Official plan of correction
The licensee shall ensure medications are refilled timely and that residents do not miss any dosage. An in-service training for medication staff shall be conducted and the log to be submitted to LPA by 7/19/25.
Deadline recorded: Jul 19, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 19, 2025
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Sep 23, 2025 · Control 28-AS-20250616120107
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(e)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care. 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 residents 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 was not met evidenced by: Based on record review and interviews conducted, on June 14m, 2025 R1 ran out of 2 medications [ Furosemide 20 mg or Hydrochlorothiazide 25 mg]. Facility does not have a current physician order for the medications and they have not been filled as of today. This poses an immediate health and safety risk.
Official plan of correction
Executive Director agreed to submit 1. A written statement on medication administration protocols, and a plan that addresses the medications errors. 2. All med-tech staff shall obtain medication training from a medical professional 3. Physician orders for medications Furosemide 20 mg or Hydrochlorothiazide 25 mg.
Deadline recorded: Jun 18, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 18, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Jun 13, 2025 · Control 28-AS-20250605125710
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 6 unsubstantiated · 0 unfounded · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on May 7, 2025 · Control 28-AS-20241230090004
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Apr 4, 2025 · Control 28-AS-20250131145836
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 7 unsubstantiated · 0 unfounded · 1 cited · investigated over 2 visits
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(c)(2)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care.(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. Title 22, Division 6 Chapter 8 This requirement was not met as evidenced by: On 08/08/24, staff #21 gave R#20 the afternoon blood pressure medication, a dosage of 10 mg in the morning.
Official plan of correction
Administrator will provide staff with medication administering training by 12/13/24.
Deadline recorded: Dec 13, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 13, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 6 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Dec 6, 2024 · Control 28-AS-20240815132940
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited · investigated over 2 visits
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87507(5)(c)
- Regulation authority
- CCR
What the official deficiency says
Admission Agreements 87507(5) Refund conditions.(c) A refund of any fees paid in advance covering the time after the resident’s personal property has been removed from the facility... the deceased resident paid the fees, to the resident’s estate, within 15 days after the personal property is removed. This requirement not met as evidence by: Based on interviews and record review, licensee failed to refund monies with 15 days after R1's belonging were removed and after R1's death. California Code of Regulations, (Title 22, Division 6 & Chapter 8), are being cited.
Official plan of correction
Administrator produced the proof of refunded monies to R1's responsible party on 07/29/24. Proof of correction has been satisfied.
Deadline recorded: Aug 1, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 1, 2024
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Aug 1, 2024 · Control 28-AS-20240725105346
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Admission, assessment, and evictionType A
- Official classification
- Type A
- Official code
- 87224(a)
- Regulation authority
- CCR
What the official deficiency says
87224 Eviction Procedures...(a) The licensee may evict a resident.. Thirty (30) days written notice to the resident is required.... This requirement is not met as evidenced by: The facility did not comply with regulation of evictions procedures. R1 is ready to be discharged from the hospital however facility does not have room available for R1, facility gave away room to other resident. R1 did not given 30 day notice to facility about leaving.
Official plan of correction
Within 24-48 hours facility will send nurse to hospital and perform an assesment and then R1 will continue residing at the facility until more skilled nursing home is found for the resident.
Deadline recorded: Jul 25, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 25, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Jul 6, 2024 · Control 28-AS-20240610162952
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded · investigated over 3 visits
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Nov 14, 2023 · Control 28-AS-20231011133210
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87224(d)
- Regulation authority
- CCR
What the official deficiency says
(d) The licensee shall set forth in the notice to quit the reasons relied upon for the eviction with specific facts to permit determination of the date, place, witnesses, and circumstances concerning those reasons. This requirement was not met as evidence by: Licensee did not provide R1 in the notice to quit the reasons relied upon for the eviction with specific facts to permit determination of the date, place, witnesses, and circumstances concerning those reasons.
Official plan of correction
Licensee will rescind eviction. Licensee could not provide factual evidence that resident failed to comply with state or local law and received written notice of the alleged violation.
Deadline recorded: Oct 25, 2023. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Oct 25, 2023
Deficiency Dismissed Type B 10/25/2023 Section Cited CCR 87224(d)
Plan of correction recorded
Correction deadline recordedDeadline Oct 25, 2023
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Oct 17, 2023 · Control 28-AS-20230823112141
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1(a)(16)
- Regulation authority
- CCR
What the official deficiency says
87468.1 (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (16) To receive or reject medical care or other services. This requirement is not met evidenced by: Based on interviews, LPA determined that facility staff noticed R1's health was declining on 7/26/2022, however medical care was not obtained until 7/31/2022 after R1's family called for an ambulance, which poses an immediate health and safety risk.
Official plan of correction
Administrator shall ensure that all residents are afforded timely medical care. Administrator is to submit a written plan indicating how the facility will meet regulation 87468.1(a)(16) in a timely manner for all residents moving forward.
Deadline recorded: Sep 23, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 23, 2023
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Oct 17, 2023 · Control 28-AS-20230823112141
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 6 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited · investigated over 3 visits
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(8)
- Regulation authority
- CCR
What the official deficiency says
87468.2 Additional Personal Rights of Residents in Privately Operated Facilities a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:(8)To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. The requirement was not met as evidenced by interviews conducted and records reviewed which indicated the facility failed to obtain additional medical care for R1 as required which resulted in the advancement of her scabies diagnosis which posed a potential risk tor resident in care.
Official plan of correction
Administrator to submit written Plan of Correction to ensure the facility is meeting Title 22 Regulation. Licensee to submit a faxed or mailed copy of POC by due date
Deadline recorded: Aug 4, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 4, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 7 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303 Maintenance and Operation (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 evidence by: Seven out of the seven residents interviewed do not have keys to lock their rooms. 3 out of the seven residents are have been at the facility less than 60 days and never received a key to their room.
Official plan of correction
Licensee will develop a plan to address how facility will record lost keys and replacements, how facility will record new residents receiving keys to room. Facility staff provided majority of residents replacement keys to their rooms after report was drafted. Licensee will send list of all residents awaiting replacement keys 7/31/23.
Deadline recorded: Jul 31, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 31, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Jul 28, 2023 · Control 28-AS-20220902163645
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Jul 28, 2023 · Control 28-AS-20220902163645
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87466
- Regulation authority
- CCR
What the official deficiency says
87466 Observation of the Resident The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. The requirement was not met as evidenced by LPA contacted the medical professional and confirmed the faciltiy had scabies infection two to three months ago. And faciltiy had about 7 residents infected which pose an potenial risk to residents in care.
Official plan of correction
Administrator to submit written Plan of Correction to ensure the facility is meeting Title 22 Regulation. Administrator to submit a faxed or mailed copy of POC by due date.
Deadline recorded: Nov 28, 2022. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Nov 28, 2022
Deficiency Dismissed Type B 11/28/2022 Section Cited CCR 87466
Plan of correction recorded
Correction deadline recordedDeadline Nov 28, 2022
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87224(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87224 Eviction Procedures...(a) The licensee may evict a resident.. Thirty (30) days written notice to the resident is required....(4)If, after admission, has a need and a reappraisal has been conducted ... the licensee and the person who performs the reappraisal....not appropriate for the resident. This requirement is not met as evidenced by: The Administrator did not issue/provide the required thirty (30) days eviction written notice to the family or the resident's responsible party and CCLD.
Official plan of correction
The Administrator will submit a copy of the written eviction notice and a signed statement that she read, reviewed and understood Title 22 Regulations Division 6 Chapter 8 Article 04 Section 87224 Eviction Procedures to LPA on or before the POC due date.
Deadline recorded: Nov 21, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 21, 2022
Correction not verified in available records
Complaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportSource 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