Resident rights
Cited in 8 reports, with 9 deficiencies in total.
May 2, 2025Apr 8, 2025Mar 14, 2025Mar 11, 2025Feb 18, 2025May 17, 2024Feb 23, 2024Oct 12, 2023
LA POSADA
8120 PAINTER AVE, Whittier CA 90602
114 bedsLatest official report Jul 30, 2026Licensed
Additional info
- Telephone
- (562) 945-2651
- Licensee
- POSADA SL LLC
- Administrator
- COLLEEN ROZATTI
- Contact
- COLLEEN ROZATTI
- License first date
- Dec 7, 2021
- License effective date
- Dec 7, 2021
- District office
- MONTEREY PARK ASC · (323) 980-4934
- Regional office
- 28
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 19 Type A and 52 Type B deficiencies for this facility.
- Most recent inspection
- Feb 27, 2026
- Most recent deficiency
- Jul 10, 2026
2 later reports, from Jul 14, 2026 through Jul 30, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.
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 52 reports for this facility: 12 inspections, 38 complaint investigations, and 2 licensing or administrative records.
Those records contain 19 Type A and 52 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 12
- Recorded deficiencies
- 71
- Type A deficiencies
- 19
- Type B deficiencies
- 52
- Substantiated complaints
- 17
- Repeated topics
- 13
More than the typical 7
3 in the last 12 months
Well above the typical 8
16 in the last 12 months
Well above the typical 3
2 in the last 12 months
Well above the typical 5
14 in the last 12 months
Well above the typical 3
3 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.
Staffing, personnel, and training
Cited in 7 reports, with 11 deficiencies in total.
Feb 27, 2026May 2, 2025Mar 14, 2025Mar 11, 2025Nov 15, 2024Apr 25, 2024Feb 23, 2024
Medication handling and storage
Cited in 5 reports, with 6 deficiencies in total.
Basic services and supervision
Cited in 5 reports, with 5 deficiencies in total.
Apr 16, 2026Feb 18, 2025Oct 10, 2024Jul 25, 2024Feb 23, 2024
Facility condition and maintenance
Cited in 4 reports, with 5 deficiencies in total.
Admission, assessment, and eviction
Cited in 4 reports, with 4 deficiencies in total.
Incident reporting
Cited in 4 reports, with 4 deficiencies in total.
Medical and dental care
Cited in 3 reports, with 4 deficiencies in total.
Food service
Cited in 3 reports, with 3 deficiencies in total.
Health conditions and treatments
Cited in 3 reports, with 3 deficiencies in total.
Fire safety and emergency preparedness
Cited in 2 reports, with 2 deficiencies in total.
Licensing and administration
Cited in 2 reports, with 2 deficiencies in total.
Records and plan of operation
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 · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 5 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations3 substantiated · 10 unsubstantiated · 0 unfounded · 3 cited
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)
- Regulation authority
- CCR
What the official deficiency says
Reporting Requirements. A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below..... This requirement was not met evidenced by: Based on record review, the findings indicate from December 2025- February 2026 a total of 30 incident reports and one (1) death report were submitted late, which posed a potential health and safety risk to persons in care.
Official plan of correction
Executive Director agreed to: 1. Submit a written plan of correction addressing incident reports/death reporting requirements and facility procedures. 2. Staff in-service training on regulation 87211
Deadline recorded: Jul 31, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 31, 2026
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(b)(17)(E)
- Regulation authority
- CCR
What the official deficiency says
Resident Records. Each resident’s record shall contain at least the following information: Documents and information required by the following: (E) Section 87463, Reappraisals; and... This requirement was not met evidenced by: Based on record review of electronic health records, multiple residents' service plans were not updated despite documented changes in condition. Service plans were completed late and/or there was no service plan in the file; this poses a potential health and safety risk to persons in car.
Official plan of correction
Executive Director agreed to submit a written plan of correction /certification that residents (R1 -R4's) services plans are updated and proof of staff in-service training in resident records and service plans.
Deadline recorded: Jul 31, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 31, 2026
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(b)(1)(E)
- Regulation authority
- CCR
What the official deficiency says
Reappraisals. The reappraisal shall document significant changes in the resident's physical, mental, cognitive, behavioral, or functional condition.....Significant changes in condition...Illness or injury that results in a significant change in the health care or dietary needs of the resident. This posed a potential health and safety risk. Based on record review, residents (R4 & R5) had a change in condtion that resulted in hospitalizations. Documentation of completed reassessments upon return were not observed or provided during the 2/13/26 initial complaint visit. This posed a potential health and safety risks to persons in care.
Official plan of correction
Executive Director agreed to submit copies of R4 & R5's reappraisals and proof of staff in-service training.
Deadline recorded: Jul 31, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 31, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
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
Not classified in the sourceType B
- Official classification
- Type B
- Official code
- 87206(a)
- Regulation authority
- CCR
What the official deficiency says
Advertisements and License Number. In accordance with Health and Safety Code Sections 1569.68 and 1569.681, licensees shall reveal each facility license number in all public advertisements, including Internet, or correspondence. This requirement was not met evidenced by: Based on record review and interviews, the findings indicate the facility website has listed an incorrect license number that belongs to another Licensee's facility. In addition, the Resident Handbook lists the previous operator/ licensee's number. This poses a potential, health, safety risks to persons in care.
Official plan of correction
Licensee agreed to correct the website license number and the Resident Handbook license information. *The website license number was fixed during the visit. Submit picture evidence of corrections.
Deadline recorded: Jun 26, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 26, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 5 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations3 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(b)
- Regulation authority
- CCR
What the official deficiency says
Personal Accommodations and Services. Toilets and bathrooms shall be conveniently located...... This requirement was not met evidenced by: In July 2025, staff began locking the 1st floor public restrooms because a resident fell twice in the public restroom. Housekeepers were instructed to lock the restroom. As as result, some residents had incontinence accidents because they were not allowed to use the restroom and did not make it in time to their room bathroom. This posed a potential health, safety, and personal rights risk.
Official plan of correction
Executive Director agreed to submit a written plan of correction that addresses the July 2025 1st floor public bathroom closure, and rectification. A staff in-service will be conducted.
Deadline recorded: May 7, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 7, 2026
Correction not verified in available records
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(18)
- Regulation authority
- CCR
What the official deficiency says
General Food Service Requirements. The following food service requirements shall apply: Sufficient food service personnel shall be employed, trained and their working hours scheduled to meet the needs of residents. This requirement was not met evidenced by: Based on interviews, in the month of July 2025 the facility experienced staff shortages that affected meal service preparation and meal times services, causing residents to wait from 20-45 minutes for their lunch and/or dinner meals. This posed a potential health, safety, and personal rights risk to persons in care.
Official plan of correction
Executive Director agrees to oversee delivery of meals and meal times. Staff in-service will be provided.
Deadline recorded: May 7, 2026. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn May 7, 2026
Deficiency Dismissed Type B 05/07/2026 Section Cited CCR 87555(b)(18)
Plan of correction recorded
Correction deadline recordedDeadline May 7, 2026
Correction not verified in available records
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87219(f)
- Regulation authority
- CCR
What the official deficiency says
Planned Activities. In facilities licensed for fifty (50) persons or more, one staff member shall have full-time responsibility to organize, conduct and evaluate planned activities, and shall be given such staff assistance as necessary in order for all residents to participate in accordance with their interests and abilities....This requirement was not met evidenced by: Based on record review and interviews, the findings indicate that the facility did not have an Activity Director since the end of 2024. An activity assistant was responsible for activities, but the staff member went on leave and was off occassionally, and as a result planned activities did not occur. This posed a potential health, safety, and personal rights risk to persons in care.
Official plan of correction
Executive Director agrees to oversee activity calendar on a monthly basis and submit a written plan of correction.
Deadline recorded: May 7, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 7, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 6 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 4 unsubstantiated · 0 unfounded · 1 cited
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(3)
- Regulation authority
- CCR
What the official deficiency says
General Food Service Requirements. The following food service requirements shall apply: Between-meal nourishment or snacks shall be made available for all residents unless limited by dietary restrictions prescribed by a physician. This requirement was not met evidenced by: Based on observation on 2/6/2025, the Memory Care Unit did not have adequate inventory of snacks in the refrigerator or cabinet, and interviews revealed snacks in the memory care unit were not always provided in between meal times. This poses a potential health, safety, and personal rights risks to persons in care.
Official plan of correction
Executive Director agreed conduct staff in-service training on Title 22 regulation 87555 and facility procedure regarding snack inventory and distribution. Submit plan of correction.
Deadline recorded: Aug 4, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 4, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Jul 31, 2025 · Control 28-AS-20250122154956
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.2(a)(4)
- Regulation authority
- CCR
What the official deficiency says
Additional Personal Rights of Residents in Privately Operated Facilities...... shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidenced by: Based on interviews and records review, the findings indicate that on several dates in the month of Jan. 2025 caregiver staff did not reposition hospice resident (R1) every 2 hours as required. R1 had a pressure injury. This posed an immediate health and safety risk to the resident.
Official plan of correction
Executive Director shall conduct staff training on incontinence care, repositioning, care and supervision, and adherence to facility Plan of Operation protocol procedures. Submit a written plan by tomorrow, and proof of staff training by Tue. May 6, 2025.
Deadline recorded: May 3, 2025. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn May 3, 2025
Deficiency Dismissed Type A 05/03/2025 Section Cited CCR 87468.2(a)(4)
Plan of correction recorded
Correction deadline recordedDeadline May 3, 2025
Correction not verified in available records
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)
- Regulation authority
- CCR
What the official deficiency says
Reporting Requirements. A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below..... This requirement was not met evidenced by: Based on record review and interviews conducted staff did not notify R1's responsible party of the bruise staff observed on 1/17/25 under R1's right eye. Responsible party observed the bruise on 1/20/25. Note: Staff did not submit an incident report to CCL as required. This posed a potential health and safety risk to persons in care.
Official plan of correction
Executive Director shall provide in-service training regarding reporting procedures/requirements. Please submit a written plan and proof that all caregiver and med-tech staff were trained.
Deadline recorded: May 9, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 9, 2025
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(d)(3)
- Regulation authority
- CCR
What the official deficiency says
Personnel Requirements - General. 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....(3) Skill and knowledge required to provide necessary resident care and supervision, including the ability to communicate with residents. Based on interviews and record review, the findings indicate noc shift (S8) repositioned bedridden resident (R1), and the following day (1/17/25) staff observed bruising under R1's eye. This posed a potential health and safety risk to resident in care.
Official plan of correction
Executive Director shall ensure that all staff receive repositioning and procedure training of bedridden residents. Submit plan of correction and proof of staff training.
Deadline recorded: May 9, 2025. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn May 9, 2025
Deficiency Dismissed Type B 05/09/2025 Section Cited CCR 87411(d)(3)
Plan of correction recorded
Correction deadline recordedDeadline May 9, 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
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(11)
- Regulation authority
- CCR
What the official deficiency says
Personal Rights of Residents in All Facilities. Residents in all residential care facilities for the elderly shall have all of the following personal rights: To have their visitors, including ombudspersons and advocacy representatives, permitted to visit privately during reasonable hours and without prior notice, provided that the rights of other residents are not infringed upon. Based on record review, the findings indicate that resident (R1) was prohibited visits from former staff (S5). R1's family invited former staff to the facility when R1's was close to dying. This posed a potential health, safety, and personal rights risk to the resident in care.
Official plan of correction
Executive Director agreed to submit a written plan of correction that addresses policy regarding former employee visits after separation from employer and proof of staff training. If changes to the Employee Handbook and Residence and Care Agreement will be made, submit updated forms for approval.
Deadline recorded: Apr 22, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 22, 2025
Correction not verified in available records
Complaint
Allegations5 substantiated · 3 unsubstantiated · 0 unfounded · 2 cited · investigated over 2 visits
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
Personnel Requirements-General. Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met by evidence of: On 7/1/2024, at approximately 6:30 PM Memory Care Unit resident (R1) climbed out of a 1st floor bedroom window, fell, and sustained head injuries and dislocated shoulder. Staff responsible for supervision of residents in activity room was assisting another resident in the bathroom. This posed an immediate health, saferty, and personal rights risk to persons in care.
Official plan of correction
Executive Director shall submit a plan of correction that includes in-service training regarding elopement, wandering behavior, methods of redirection, resident care and supervision procedures, and staff/resident ratio in Memory Care unit.
Deadline recorded: Mar 15, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 15, 2025
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(8)
- Regulation authority
- CCR
What the official deficiency says
Personal Rights of Residents in All Facilities. In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents ..... shall have all of the following personal rights: To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. Based on interviews, on 5/30/24 former staff (S10) handled Memory Care Unit resident (R2) in a rough manner by grabbing arm which caused bruising, instead of using redirection techniques. S10 was terminated. This posed a potential health and safety risk to the resident in care.
Official plan of correction
Executive Director shall conduct staff training in Title 22 Personal Rights 87468, 87468.1, & 87468.2 and will submit training log with staff signatures. Submit proof of staff training.
Deadline recorded: Mar 18, 2025. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Mar 18, 2025
Deficiency Dismissed Type B 03/18/2025 Section Cited CCR 87468.2(a)(8)
Plan of correction recorded
Correction deadline recordedDeadline Mar 18, 2025
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Mar 14, 2025 · Control 28-AS-20240829114254
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468(a)(8)
- Regulation authority
- CCR
What the official deficiency says
Personal Rights of Residents in All Facilities. In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents ..... shall have all of the following personal rights: To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. Based on interviews, on 5/30/24 former staff (S10) handled Memory Care Unit resident (R2) in a rough manner by grabbing arm which caused bruising, instead of using redirection techniques. This posed a potential health and safety risk to the resident in care.
Official plan of correction
Executive Director shall conduct staff training in Title 22 Personal Rights 87468, 87468.1, & 87468.2 and will submit training log with staff signatures. Submit proof of staff training.
Deadline recorded: Mar 18, 2025. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Mar 18, 2025
Deficiency Dismissed Type B 03/18/2025 Section Cited CCR 87468(a)(8)
Plan of correction recorded
Correction deadline recordedDeadline Mar 18, 2025
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
Personnel Requirements-General. Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met by evidence of: On June 4, 2021 at approximately 1:30 pm resident (R1) eloped out of the facility after exiting the memory care unit delayed egress door without staff knowlede when staff (S6) exited out, and did not ensure the door closed properly. This posed an immediate safety risk to this resident in care.
Official plan of correction
Executive Director shall submit a plan of correction that includes in-service training regarding elopement, wandering behavior, methods of redirection, and resident care and supervision procedures.
Deadline recorded: Mar 18, 2025. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Mar 18, 2025
Deficiency Dismissed Type B 03/18/2025 Section Cited CCR 87411(a)
Plan of correction recorded
Correction deadline recordedDeadline Mar 18, 2025
Correction not verified in available records
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(4)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care The following requirements shall apply to medications which are centrally stored: 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. Based on interviews and record review, med-tech staff altered resident medications by using house supply and labeling the medications with electronic MAR information instead of obtaining medication refills in a timely manner. This posed an immediate health, safety, and personal rights risk to persons in care.
Official plan of correction
Executive director shall conduct in-service training for all med-tech staff. Submit proof of correction by tomorrow.
Deadline recorded: Mar 12, 2025. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Mar 12, 2025
Deficiency Dismissed Type A 03/12/2025 Section Cited CCR 87465(h)(4)
Plan of correction recorded
Correction deadline recordedDeadline Mar 12, 2025
Correction not verified in available records
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(c)(2)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care Services. 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. Based on record review and interviews, med-tech staff were logging in the electronic (MAR) database that medications were administered but did not administer the medications. This posed an immediate health, safety, and personal rights risk to persons in care.
Official plan of correction
Administrator shall: 1. Submit proof of staff training. 2. Submit a written plan that addresses centrally stored record keeping/inventory protocols, refill procedures, and facility auditing of medications.
Deadline recorded: Mar 12, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 12, 2025
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(a)
- Regulation authority
- CCR
What the official deficiency says
Resident Records. 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: Based on interviews, a resident's medical file was lost/missing from the med-tech room. Staff did not find the file. A new file was created. This poses a potential health, safety, and personal rights risk to persons in care.
Official plan of correction
Executive Director shall provide in-service training to all staff that access and update resident files. Submit proof of staff training.
Deadline recorded: Mar 18, 2025. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Mar 18, 2025
Deficiency Dismissed Type B 03/18/2025 Section Cited CCR 87506(a)
Plan of correction recorded
Correction deadline recordedDeadline Mar 18, 2025
Correction not verified in available records
Complaint
Allegations6 substantiated · 2 unsubstantiated · 0 unfounded · 6 cited · investigated over 2 visits
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87464(f)(1)
- Regulation authority
- CCR
What the official deficiency says
Basic Services. Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met evidenced by: Based on record review and interviews conducted, the findings indicate that on 7/31/2024 (R1) sustained a right hand injury while the resident was transferred from the shower chair to the toilet by 1 staff instead of 2 staff, which posed an immediate health and safety risk to the resident.
Official plan of correction
Executive Director agreed to: 1. Submit a written Plan of Correction by tomorrow explaining facility procedures pertaining to 2-person assist responsibilities while bathing and care coordination. 2. Conduct in-service training for all caregiver staff regarding transfers, and body check assessments.
Deadline recorded: Feb 21, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 21, 2025
Correction not verified in available records
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(1)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care...The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met evidenced by: Based on interviews and records review, facility staff did not comply with the section above. On 7/31/2024, R1 sustained a hand injury at 7AM, and med-tech staff failed to arrange for timely medical attention which resulted in R1 being transported to the hospital until after 10 PM. This posed an immediate health and safety risk to resident in care.
Official plan of correction
Executive Director agree to the following 1. Staff are retrained in regulation 87465. 2. Submit proof of staff training. 3. Submit a written plan that specify facility procedures.
Deadline recorded: Feb 21, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 21, 2025
Correction not verified in available records
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(5)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care Services. A plan for incidental medical and dental care shall be developed by each facility…..the licensee may assist persons with self-administration as needed. This requirement is not met as evidenced by: Based on interviews and MAR record review, med-tech staff failed to order and obtain a refill for “Latanoprost 0.005 %” eye drops and on 7/6/24 asked family to order the refills and pick up the medication. Additionally, on 8/8/24 medication Donepezil HCL 5mg was not administered at the physician order time, and was given at 6 PM, instead of bedtime. This posed an immediate health and safety risk to the resident in care.
Official plan of correction
Executive Director agreed to: 1. Ensure all med-tech staff take state approved vendored training on incidental medical and dental care. 2. Submit proof of completed staff training to CCL.
Deadline recorded: Feb 21, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 21, 2025
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87625(b)(3)
- Regulation authority
- CCR
What the official deficiency says
Managed Incontinence.... the licensee shall be responsible for the following: Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement was not met evidenced by: Based on record review and interviews the findings indicate that on multiple dates R1 was not provided incontinence care at least every 2 hours as required, and on 8/10/24, R1’s bed sheets were soiled with urine and the resident had not received incontinence care. This posed a potential health and safety risk to the resident in care.
Official plan of correction
Executive Director agrees to conduct staff training in incontinence care, responsibilities, and facility protocols. Submit proof of staff training.
Deadline recorded: Feb 25, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 25, 2025
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(2)
- Regulation authority
- CCR
What the official deficiency says
Personal Rights of Residents in All Facilities. Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Based on interviews, during (Jun 2024-Aug. 2024, PM staff were not locking the front doors at 7 PM as required. On 8/3/24, at midnight R1’s family stopped by the facility to check if the front doors were locked. They were found unlocked. On 8/1/24, Administration staff were notified of the concern. This posed a potential health and safety risk to residents in care.
Official plan of correction
Executive Director is to ensure that all residents are afforded a safe, comfortable, and healthful environment to reside in. Please submit a written plan on how the facility has and/or will address the issue of individuals entering the facility after 7 PM.
Deadline recorded: Feb 21, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 21, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Feb 18, 2025 · Control 28-AS-20240805162120
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87507(e)
- Regulation authority
- CCR
What the official deficiency says
Admission Agreements. The licensee shall provide a copy of the signed and dated current admission agreement, and all subsequent signed and dated modifications, to the resident or the resident's representative, if any, immediately upon signing the admission agreement or modification. This requirement was not met evidenced by: Based on record review of email correspondence, R1's family never received a copy of the admission agreement after it was signed, until multiple requests later. On 8/5/24, the copy was provided, but R1 was admitted on 11/17/23.
Official plan of correction
Administrator shall submit a copy of the plan of operation addressing Admission agreements, a written plan, and proof that R1's authorized representative were issued the copy of the admission agreement. *This is a repeat violation. Civil penalties are being assessed.
Deadline recorded: Nov 1, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 1, 2024
Correction not verified in available records
Complaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(1)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. Based on record review and interviews conducted, the findings indicate that R1 had a decline in health since Jan. 2024, with change in condition, which prompted R1's doctor to inform staff on 7/9/24, that a Cardiologist and Pulmonologit consult was needed. Per record review, staff did not follow up or obtain referral documentation.
Official plan of correction
Administrator agreed to: 1. Submit proof the MD specialist consult appointments have been scheduled. 2. Submit a written plan of correction. 3. Conduct med-tech staff training on physician referral follow-up protocols, note charting, and requesting updated physician's reports when there is a change in condition.
Deadline recorded: Oct 17, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 17, 2024
Correction not verified in available records
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87466
- Regulation authority
- CCR
What the official deficiency says
Observation of the Resident . The licensee shall ensure ...When changes ... or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. Based on record review, staf observed deterioration of physical health condition in R1 since early Jan. 2024, but did not bring to the attention the resident's change in condition, nor was a medical exam requested. This poses a potential health and safety risk to persons in care.
Official plan of correction
Administrator stated that on 7/30/24, facility requested an updated Physician's Report from hospice MD. 1. Submit proof that all caregiver and med-tech staff were trained in regulation 87466, and change in condition.
Deadline recorded: Oct 17, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 17, 2024
Correction not verified in available records
Complaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(c)(2)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care Services. 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. Based on record review, med-tech staff did not dispense medications to at least 10 residents as directed by Physician; records indicate some residents went 2-5 days without medications, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
Administrator agrees to: 1. Submit proof of staff training. 2. Submit a written plan that addresses centrally stored record keeping/inventory protocols, refill procedures, and facility auditing of medications.
Deadline recorded: Sep 25, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 25, 2024
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87464(f)(6)
- Regulation authority
- CCR
What the official deficiency says
Basic Services. Basic services shall at a minimum include: Arrangements to meet health needs, including arranging transportation, as specified in Section 87465, Incidental Medical and Dental Care Services. This requirement was not met evidenced by: Based on interviews conducted and record review, the findings indicate that resident (R1) missed dialysis appointments on June 6, 2024 & July 4, 2024, because the facility did not ensure the resident was transported to appointments via Access transport, and/or facility van, or other alternate arrangement. This poses an immediate health and safety risk to persons in care.
Official plan of correction
Licensee shall ensure the admission agreement is adhered to, makes available transportation to medical appointments, and a contigency plan is in place when 3rd party transportation services do not pick-up residents. Submit written POC and staff training.
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
Allegations2 substantiated · 3 unsubstantiated · 0 unfounded · 2 cited · investigated over 2 visits
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.2(a)(4)
- 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: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidenced by: Based on interviews, records review conducted by Investigator Santana, the licensee did not comply with the section cited above in which due to lack of care and supervision, R1 sustained a left hip fracture as a result of a fall while under the care of the facility.
Official plan of correction
Licensee/Administrator shall develop a written Plan of Correction to ensure compliance with California Code of Regulations Title 22, Section 87468.2(a)(4). Written POC must be submitted to CCL/LPA by POC due date.
Deadline recorded: May 20, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 20, 2024
Correction not verified in available records
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.2(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87468.2 Additional Personal Rights of Residents...(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:(1) To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations, use of the Internet, and meetings of resident and family groups. This requirement is not met as evidenced by: Based on interviews, records review conducted by Investigator Santana, the licensee did not comply with the section cited above in which due to lack of care and supervision contributed to a delay in obtaining timely medical attention for R1.
Official plan of correction
Licensee/Administrator shall develop a written Plan of Correction to ensure compliance with California Code of Regulations Title 22, Section 87468.2(a)(1). Written POC must be submitted to CCL/LPA by POC due date.
Deadline recorded: May 21, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 21, 2024
Correction not verified in available records
Complaint
Allegations3 substantiated · 0 unsubstantiated · 0 unfounded · 3 cited
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(c)(2)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care. If the resident's physician has stated in writing that the resident is unable to determine his/her own need ........ facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: Once ordered by the physician the medication is given according to the physician's directions. Based on records review and interviews, med-tech staff failed to order R1's insulin medication and on 10/5/23 the resident ran out of insulin resulting in dangerously elevated blood sugar levels; which posed an immediate health and safety hazard to the resident.
Official plan of correction
Administrator submitted proof of staff in-service training " CCLD Medication Guide " that was conducted on 12/6/2023 by former Wellness Director. Administrator agreed to ensure that medication administration procedures are being evaluated routinely, especially when new med-tech staff are hired. Licensee shall provide medication admininstration in-service training to all staff that dispense medications. This training shall be provided by pharmacy and/or registered nurse. Submit proof of training by POC due
Deadline recorded: Apr 25, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 25, 2024
Correction not verified in available records
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87411(d)(4)
- Regulation authority
- CCR
What the official deficiency says
Personnel Requirements - General (d) All personnel shall be given on the job training or have related experience in the job assigned to them.... (4) Knowledge required to safely assist with prescribed medications which are self-administered. This requirement was not met evidenced by: Based on interviews and record review, on 10/29/23 med-tech left another resident's medications in R1's room and asked the resident to take the medications, which posed an immediatel health and safety risk to persons in care.
Official plan of correction
Administrator shall ensure that all staff are trained in job responsibilities,facility procedures, and all med-techs are adhering to company procedures. Administrator provided in-service training that was conducted on 12/6/23. However, new med-tech staff have been onboarded. Therefore, new staff in-service training shall be submitted by POC due date.
Deadline recorded: May 2, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 2, 2024
Correction not verified in available records
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, the findings indicate that on 10/10/23, staff faxed to CCLD an incident report that contained falsified information and omitted details of R1's incident (10/5/23), in which staff did not refill in time R1's insulin. The report stated that paramedics were called, but they were not. This poses a potential health and safety risk to persons.
Official plan of correction
Administrator agreed to conduct staff in-service training on emergency call protocols, and incident report writing and oversight. Submit proof of staff training.
Deadline recorded: May 2, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 2, 2024
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
Personnel Requirements - General. Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met by evidence of: Based on interviews conducted and record review, between Aug. 2021- Feb. 2022, there were staff shortages, and so the facility hired registry staff, but still could not meet the needs of residents. This posed a potential health and safety risk to persons in care.
Official plan of correction
Administrator agreed to submit a plan that ensures sufficient staffing is in place at all times, and staff receive continuous training in personnel responsibilities.
Deadline recorded: Mar 1, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 1, 2024
Correction not verified in available records
Complaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(4)
- Regulation authority
- CCR
What the official deficiency says
Additional Personal Rights of Residents in Privately Operated Facilities. To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. Based on interviews and record review, between Nov. 2021- Feb. 2022, residents were not being showered at least 2 times per week due to staffing shortages related to the COVID-19 pandemic. This posed a potential health and safety risk to residents in care.
Official plan of correction
Administrator agrees to conduct staff training on care plans and bathing schedules. Submit a written POC and proof of staff training.
Deadline recorded: Mar 1, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 1, 2024
Correction not verified in available records
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87464(f)(4)
- Regulation authority
- CCR
What the official deficiency says
Basic Services. Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance with taking prescribed medications..., as specified in Section 87608, Postural Supports. Based on record review and interviews conducted residents that required feeding assistance were being fed 30 minutes after food was serveda as a result of staff shortages between Nov. 2021 - Feb. 2022. This posed a potential health and safety risk to residents in care.
Official plan of correction
Administrator agreed to conduct staff training in Basic services and submit a contigency plan that addresses potential staff shortages and meal assistance.
Deadline recorded: Mar 1, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 1, 2024
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(25)
- Regulation authority
- CCR
What the official deficiency says
Additional Personal Rights of Residents in Privately Operated Facilities.... residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: 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 evidenced by: Based on record review and interviews, the findings indicate that staff (S1) took $10 from resident (R1) to buy lottery tickets, but never gave the lottery tickets to the resident. This poses a potential health and safety risk to residents in care.
Official plan of correction
Administrator agreed to conduct staff training regarding Personal Property Procedures and Theft and Loss. Submit proof of staff training by POC due date.
Deadline recorded: Oct 19, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 19, 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
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 May 17, 2024 · Control 28-AS-20230131141908
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 1569.269(a)(21)
- Regulation authority
- HSC
What the official deficiency says
Enumerated rights; severability. Residents of residential care facilities for the elderly shall have all of the following rights: To have prompt access to review all of their records and to purchase photocopies. Photocopied records shall be promptly provided, not to exceed two business days, at a cost not to exceed the community standard for photocopies. This requirement was not met evidenced by: Based on record review, the facility received a formal medical records request on Jan. 26, 2023 and failed to provide the records within 2 business days, as required per regulation; which poses a potential health and safety risk to persons in care.
Official plan of correction
Administrator agreed to submit a written plan of correction addressing resident records, enumerated rights; severability, and facility procedures regarding resident records request. Submit by POC due date.
Deadline recorded: Feb 16, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 16, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 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.
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