Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
(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 in: having black mold on the bathroom shower wall, sink, and toilet bowl; the lower kitchen cabinets had grease on them; the kitchen stove top had grease; there were loose knobs on the kitchen cabinets; there was a lot of dust on top of the refrigerator and on low hanging lights; the inside of the refrigerator was not clean; which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/25/2026 Plan of Correction The administrator has agreed to create a plan to always maintain facility in good repair and sanitary. The administrator will deep clean the facility and email photos of mold removed from the bathrooms, clean refrigerator, clean kitchen cabinets and stove top, dust removed from low hanging lights, and other items mentioned above. Email plan and photos to Socorro.Leandro@dss.ca.gov
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(i)
- Regulation authority
- CCR
What the official deficiency says
(i) When there is significant change in condition, as defined in Section 87101, Definitions, or once every 12 months, whichever occurs first, the licensee shall arrange an in-person or virtual meeting or conference call to share the reappraisal with the resident, the resident's representative, if applicable, and appropriate facility staff, as specified in Section 87467, Resident Participation in Decision Making. 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 2 out of 6 resident Appraisal & Needs Services Plans did not have resident signature nor resident representative signature which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/25/2026 Plan of Correction The administrator has agreed to create yearly meetings with Resident and Resident Representative and review/create Appraisal & Needs Services Plans (ANS) and request signatures from Resident and Resident Representative. The Administrator will email ANS for Resident 4 and Resident 5 with Resident and Resident Representative signatures. Email plan and ANS (LIC625) to Socorro.Leandro@dss.ca.gov