Facility condition and maintenance
Cited in 2 reports, with 2 deficiencies in total.
420 S. MANNINGTON PLACE, West Covina CA 91791
6 bedsLatest official report May 15, 2026Licensed
The available records show 2 Type A and 22 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: 5 inspections, 3 complaint investigations, and 0 licensing or administrative records.
Those records contain 2 Type A and 22 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
4 in the last 12 months
Most this size have none
0 in the last 12 months
Most this size have none
4 in the last 12 months
Most this size 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) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply: (2) Resident bedrooms shall be provided which meet, at a minimum, the following requirements: (B) No room commonly used for other purposes shall be used as a sleeping room for any resident. This includes any hall, stairway, unfinished attic, garage, storage area, shed or similar detached building. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, the licensee did not comply with the section cited above in that the living room is used for sleeping, confirmed by a staff member which poses/posed a potential health, safety or personal rights risk to residents in care.
POC Due Date: 05/29/2026 Plan of Correction Administrator/House Manager will ensure that the living room will not be used as a sleeping room by any staff member. Administrator/House Manager will send a signed self certification that they have read, reviewed and understood Title 22 regs, 87307 to CCLD/LPA by POC due date.
(a) All residential care facilities for the elderly shall meet the following training requirements, as described in Section 1569.625, for all direct care staff: (1) Twelve hours of dementia care training, six of which shall be completed before a staff member begins working independently with residents, and the remaining six hours of which shall be completed within the first four weeks of employment. All 12 hours shall be devoted to the care of persons with dementia. The facility may utilize various methods of instruction, including, but not limited to, preceptorship, mentoring, and other forms of observation and demonstration. The orientation time shall be exclusive of any administrative instruction. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview, record review, the licensee did not comply with the section cited above in that the staff did not complete the 12-hour dementia training as required which poses/posed a potential health, safety or personal rights risk to residents in care.
POC Due Date: 05/29/2026 Plan of Correction House Manager agreed to train all staff members and submit a signed in service training log indicating the topics discussed to CCL/LPA by 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 licensee did not comply with the section cited above in that the staff did not properly document the medications administered to the resident on the medication administration record (MAR) which poses/posed a potential health, safety or personal rights risk to residents in care.
POC Due Date: 05/29/2026 Plan of Correction House Manager to re-train staff on properly documenting medication administration records (MARs) for all residents and submit a copy of the signed in service training log to CCLD/LPA by POC due date.
(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) (record review)], the licensee did not comply with the section cited above in that the facility did not have an up to date prescribed and PRN medication list from the residents' physicians which poses/posed a potential health, safety or personal rights risk to residents in care.
POC Due Date: 05/29/2026 Plan of Correction House Manager/Administrator to obtain an up to date medication list of prescribed and PRN medications from the residents' physicians and send a copy to CCLD/LPA by POC due date.
87632 Hospice Care Waiver (a) In order accept or retain terminally ill residents and permit them to receive care from a hospice agency, the licensee shall have obtained a facility hospice care waiver from the Department. To obtain this waiver the licensee shall submit a written request for a waiver to the Department on behalf of any residents... The request shall include, but not be limited to the following: (1) Specification of the maximum number of terminally ill residents which the facility wants to have at any one time. 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 which 3 out of 6 residents are receiving hospice services which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/06/2025 Plan of Correction The licensee shall review the hospice care regulation and submit a request to increase the number of residents on hospice. The POC is due on 6/6/25.
(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health.Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, LPA did not observe S1 and S2 has the health screening and chest x ray result in their personnel file which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/06/2024 Plan of Correction Administrator will send the copy of health screening for S1 and S2 to LPA by POC due date.
(a) Each facility shall have and maintain a current, written definitive plan of operation. The plan and related materials shall be on file in the facility and shall be submitted to the licensing agency with the license application. Any significant changes in the plan of operation which would affect the services to residents shall be submitted to the licensing agency for approval. The plan and related materials shall contain the following: (12) The Infection Control Plan pursuant to Section 87470. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the facility does not have any infection control plan in place which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/06/2024 Plan of Correction The administrator will submit the infection control plan to LPA by POC due date.
On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, LPA was not able to review the updated liability insurance policy during the inspection which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/06/2024 Plan of Correction The administrator will send the updated liability insurnace policy to LPA by POC due date.
(a) All individuals shall be residential care facility for the elderly certificate holders prior to being employed as an administrator. (1) Applicants who possess a valid Nursing Home Administrator license, issued by the California Department of Public Health, shall be exempt from completing an approved Initial Certification Training Program and taking a written exam, provided the individual completes twelve (12) hours of classroom instruction in the following Core of Knowledge areas: This requirement is not met as evidenced by: Deficient Practice Statement Based on which record review, LPA was not able to review the administrator file in the facility during the inspection which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/06/2024 Plan of Correction The administrator will send all the documents for the administrator to LPA by POC due date.
(a) Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall, as specified in this article 8: (3) Obtain and evaluate a recent medical assessment. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, LPA did not observe R3 has any physician report in resident's file since admitted to the facility which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/06/2024 Plan of Correction The administrator will send the copy of R3's physician report to LPA by POC due date.
(b) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the physician's primary diagnosis and secondary diagnosis, if any and results of an examination for communicable tuberculosis, other contagious/infectious or contagious diseases or other medical conditions which would preclude care of the person by the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, LPA observe R2 did not have an updated physician report and last one was conducted in 2018 which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/06/2024 Plan of Correction The administrator will send the updated physician report for R2 to LPA by POC due date.
(c) The licensee shall arrange a meeting with the resident, the resident's representative, if any, appropriate facility staff, and a representative of the resident's home health agency, if any, when there is significant change in the resident's condition, or once every 12 months, whichever occurs first, 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, LPA observe R1 to R4 do not have any updated Needs and service plan in residents' files which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/06/2024 Plan of Correction The administrator will send R1-R4 needs and service plan to LPA by POC due date.
(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 did not observe any fire drill documentation/log book in faciltiy which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/06/2024 Plan of Correction The administrator will send the fire/disaster drill log to LPA by POC due date.
(d) A facility shall review the plan annually and make updates as necessary, including changes in floor plans and the population served. The licensee or administrator shall sign and date documentation to indicate that the plan has been reviewed and updated as necessary. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the facility does not have an updated Emergency Disaster Plan in place, the last one was updated back in 2010 which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/06/2024 Plan of Correction The administrator will send the updated LIC610D Emergency Disaster Plan to LPA 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, LPA observed the bathroom in Bedroom#1 and the hot water was not working which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/06/2024 Plan of Correction The administrator will fix the hot water in the bathroom in Bedroom#1 and send the plumber receipt to LPA by POC due date.
(d) The licensee shall maintain documentation that an administrator has met the certification requirements specified in Section 87406, Administrator Certification Requirements or the recertification requirements in Section 87407, Administrator Recertification Requirements. This requirement is not met as evidenced by: Deficient Practice Statement Based on the record reviewed, LPA did not observe any updated Administrator Certificate in the facility which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/03/2023 Plan of Correction The administrator will provide the updated Administrator Certificate to LPA by POC due date.
(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, LPA did not observe any training hours for administrator as administrator file was not maintained in the facility which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/03/2023 Plan of Correction The administrator will send the updated training hours (20 hours annually) to LPA by POC due date.
(d) The licensee shall provide initial and ongoing training for all members of its staff to ensure that residents’ rights are fully respected and implemented. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, LPA did not observe any staff training for resident's right which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/03/2023 Plan of Correction The administrator will send the staff trianing log about resident right by POC due date.
(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 did not observe any record for facility drill that conduct at least quarterly for each shift which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/03/2023 Plan of Correction The administrator will ensure the facility will conduct a drill at least quarterly for each shift and send the updated drill to LPA by POC due date.
87506 Residents Records (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, LPA observed Resident#1-#5 all missing different docuements including pre-appraisal, resident's appraisal, admission agreement , physician report which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 07/03/2023 Plan of Correction The administrator will send all the udpated residents docuemnts to LPA by POC due date
87303 Maintenance and Operation (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 degree C) and not more than 120 degree F (49 degree C). This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observation, LPA observed the bathroom#2 hot water temeperature was measured at 78.5 degrees F.
POC Due Date: 06/08/2022 Plan of Correction The administrator will ensure the hot water temperature of not less than 105 degrees F and not more than 120 degrees F. The administrator will fix the hot water temperuatre immediately and send the 7 days hot water log to LPA by POC due date on 06/14/22
87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observation, LPA observed the bathroom#1 and #2 -hot water faucet , the right sink near the toilet are not working.
POC Due Date: 06/21/2022 Plan of Correction The administrator will ensure the faciltiy are in good repair at all times. The administrator will fix the hot water faucet in bathroom#1 and #2 and send the receipt to LPA by POC due date 6/21/22
87412 Personnel Records (g) All personnel records shall be maintained at the facility and shall be available to the licensing agency for review. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, LPA observed the administrator file was not located in the facility and LPA was not able to review administrator certificate and health screening.
POC Due Date: 06/21/2022 Plan of Correction The adminisrator will ensure all the personnel record shall be maintained at the facility and available for licensing to review The admistrator will email the copy of administrator certificate and health screening to LPA by 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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