Fire safety and emergency preparedness
Cited in 2 reports, with 3 deficiencies in total.
12200 HATTERAS ST, Valley Village CA 91607
6 bedsLatest official report Jul 28, 2026Licensed
The available records show 4 Type A and 16 Type B deficiencies for this facility.
2 later reports, from Jun 16, 2026 through Jul 28, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.
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: 3 inspections, 3 complaint investigations, and 2 licensing or administrative records.
Those records contain 4 Type A and 16 Type B deficiencies.
4 deficiencies have explicit official correction or clearance evidence in the loaded records.
Fewer than the typical 4
1 in the last 12 months
Well above the typical 1
3 in the last 12 months
Most this size have none
0 in the last 12 months
Most this size have none
3 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 3 deficiencies in total.
Cited in 2 reports, with 3 deficiencies in total.
Cited in 2 reports, with 3 deficiencies in total.
Cited in 2 reports, with 2 deficiencies in total.
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 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 interview and record review, the licensee did not comply with the section cited above in the Licensee did not have a health screening and TB test which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/16/2025 Plan of Correction The Licensee will obtain their Health Screening and TB test results and provide them to CCLD by the POC due date.
(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 record review, the licensee did not comply with the section cited above in 2 out of 2 residents medication records were not maintained which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/16/2025 Plan of Correction The Licensee will provide CCLD current medication records and submit a statement of understanding to maintain all residents medication records by POC due date.
(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. 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 3 out of 5 resident records were not complete which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/16/2025 Plan of Correction The Licensee will obtain a Physician's Report, TB test results, and signatures on consent forms and personal rights and provide all documents to CCLD by POC due date.
(c) An Infection Control Plan shall be developed by the licensee and shall be included in the Plan of Operation required by Section 87208. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in the Licensee did not maintain an Infection Control Plan which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/31/2025 Plan of Correction The Licensee will complete and maintain their Infection Control Plan at the facility, review it annually, and send CCLD proof by POC due date.
(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 one restroom sink was observed to be clogged which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/17/2025 Plan of Correction The Licensee unclogged the sink's drainage. POC Cleared.
(e) Water supplies and plumbing fixtures shall be maintained as follows: (4) Grab bars shall be maintained for each toilet, bathtub and shower used by residents. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in 1 out of 2 resident restrooms did not have grab bars which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/31/2025 Plan of Correction The Licensee will install grab bars near the toilet and in the shower in the restroom in Bedroom #1. The Licensee will send CCLD proof by POC due date.
(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: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above in 2 out of 2 Staff did not have personnel records which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/31/2025 Plan of Correction The Licensee will complete 2 Staff's personnel record and store it in a centralized location at the facility. The Licensee will send CCLD proof by POC due date.
(1) The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. A staff member shall complete 20 hours, including six hours specific to dementia care, as required by subdivision (a) of Section 1569.626 and four hours specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696, before working independently with residents. The remaining 20 hours shall include six hours specific to dementia care and shall be completed within the first four weeks of employment. The training coursework may utilize various methods of instruction, including, but not limited to, lectures, instructional videos, and interactive online courses. The additional 16 hours shall be hands-on training. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in 2 out of 2 Staff did not receive training which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/31/2025 Plan of Correction The Licensee will review training regulations, implement a plan for Staff training, and complete a statement of understanding. The Licensee will send CCLD proof by POC due date.
(b) The following food service requirements shall apply: (28) All food shall be protected against contamination. Contaminated food shall be discarded immediately upon discovery. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in fridge food and non-perishables were expired which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/31/2025 Plan of Correction The Licensee will review the facility's food supply, discard expired food, and update food supply if necessary. The Licensee will submit a statement of understanding outlining food service regulation by POC due date.
(h) The following requirements shall apply to medications which are centrally stored: (4) All centrally stored medications shall be labeled and maintained in compliance with state and federal laws. No persons other than the dispensing pharmacist shall alter a prescription label. 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 in the licensee did not maintain centrally stored medications and prescription labels were altered which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/31/2025 Plan of Correction The Licensee will review incidental and medical service regulations and update 4 residents' centrally stored records. The Licensee will send proof to CCLD by POC due date with a statement of understanding.
(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, interview, and record review, the licensee did not comply with the section cited above in residents did not have a PRN Authorization Letter or PRN administration logs which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/31/2025 Plan of Correction The Licensee will obtain PRN Authoriation Letters for all residents and create a PRN administration and refusal log. The Licensee will send CCLD proof of these documents by POC due date.
(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. 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 in resident records were not maintained on the facility, or in a centralized location, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/31/2025 Plan of Correction The Licensee will maintain resident files in a centralized location in the facility and send CCLD proof by POC due date.
(b) Each resident's record shall contain at least the following information: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above in 4 out of 4 residents did not have any completed documents which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/31/2025 Plan of Correction The Licensee will complete resident records, obtain signatures, and provide copies to the residents and/or their POAs. The Licensee will provide CCLD complete files for all 4 residents by POC due date.
(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above in the Licensee did not maintain an Emergency Disaster Plan which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/31/2025 Plan of Correction The Licensee will complete and maintain their Emergency Disaster Plan at the facility, review it annually, and send CCLD proof by POC due date.
(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 and interview, the licensee did not comply with the section cited above in 1 out of 3 resident bedrooms did not have " oxygen in use " signs which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/17/2025 Plan of Correction The Licensee posted " oxygen in use " sign on the bedroom. POC cleared.
(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 ... 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 interview and record review, the licensee did not comply with the section cited above in the facility did not conduct emergency drills which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/31/2025 Plan of Correction The Licensee will create a schedule to conduct emergency drills and send CCLD this schedule with a template of how the Licensee plans to document the drills.
87355 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Saefty Code Section 159.17(b) shall prior to working, residing, or volunterring in a licensed facility : ... This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in 2 Staff did not obtain a criminal record clearance which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 07/18/2025 Plan of Correction The Licensee will have the 2 Staff obtain their criminal record clearance and send proof of clearance to CCLD. The 2 Staff will not be allowed on the facility's property until they are cleared.
87202 Fire Clearance (a) All facilities shall maintain a fire clearance approved by the city, county, or ... fire department ... 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 1 resident was Bedridden and resided in the second living room, which is not approved, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 07/11/2025 Plan of Correction The Licensee will relocate the resident to Bedroom #1, which is approved for 1 bedridden resident. The Licensee will send CCLD proof by 8PM on 07/11/2025.
87309 Storage Space and Access (a) Except as specified in subsection (b), the licensee shall ensure that disinfenctants, cleaning soluation, poisonous substances, knives, 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 steak knives, bug repellent, and one shed containing tools were not locked which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 07/11/2025 Plan of Correction The Licensee secured the steak knives, bug repellent, and the outside shed. POC Cleared.
87465 Incidental Medical and Dental Care Services (h) The following requirements shall apply to medications ... (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, interview, and record review, the licensee did not comply with the section cited above in refridgerated medications were not locked and 1 resident was allowed to store their medications they were not allowed access to which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 07/11/2025 Plan of Correction The Licensee secured the refrigerated medications. The Licensee obtained and centrally stored the medications the resident had access to. POC Cleared.
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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