Background checksType A
- Official classification
- Type A
- Official code
- 87355(e)(3)
- Regulation authority
- CCR
What the official deficiency says
The licensee shall submit these fingerprints to the California Department of Justice, along with a second set of fingerprints for the purpose of searching the records of the Federal Bureau of Investigation, or comply with Section 87355(c), prior to the individual's employment, residence, or initial presence in the facility.This requirement is not met as evidence by: Based on interview and review of Guardian Background System Check facility Staff S2 is criminal background is clearanced but not associated to the facility. This poses a potential risk to residents in care.
Official plan of correction
Administrator has agreed to complete Guardian association of S2 to facility by POC due date.
Deadline recorded: Apr 23, 2026. A deadline is not proof that correction was completed.
Hazardous items and storageType A
- Official classification
- Type A
- Official code
- 87309(a)
- Regulation authority
- CCR
What the official deficiency says
The licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, ...which could pose a danger to residents are in locked storage and are This requirement is not met as evidenced by: not left unattended if outside the locked storage. Based on LPA's observations, staff did not comply with the section cited above. LPA observed R6 pocket knife were not locked in a cabinet which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
Administrator locked away R6 knife.
Deadline recorded: Apr 23, 2026. A deadline is not proof that correction was completed.
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(A)(1)
- Regulation authority
- CCR
What the official deficiency says
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 was not met as evidenced by: LPA observe S2 entering bedroom #3 without knockling to access the patio as a passageway.
Official plan of correction
Administrator will write a plan to LPA acknoledging a correction for deficiency BY POC date.
Deadline recorded: May 6, 2026. A deadline is not proof that correction was completed.
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(a)
- Regulation authority
- CCR
What the official deficiency says
Prior to, or within two weeks of the resident’s admission, the licensee shall arrange a meeting with the resident,... of the resident’s home health agency, if any, and any other. appropriate parties, to prepare a writtenrecord of the care the resident will receive in the facility, and the resident’s preferences regarding the services provided at the facility. This requirement is not met as evidenced by: R6 does not have a file at the facility, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
Administrator will create a file for R6.
Deadline recorded: May 6, 2026. A deadline is not proof that correction was completed.
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87464(F)(6)
- Regulation authority
- CCR
What the official deficiency says
Arrangements to meet health needs, including arranging transportation, as specified in Section 87465, Incidental Medical and Dental Care Services. This requirement was not met as evidenced by: LPA observe R1 did not have any medications at the facility.
Official plan of correction
Administrator agreed to pick-up R1 medication immediately.
Deadline recorded: May 6, 2026. A deadline is not proof that correction was completed.
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(a)
- Regulation authority
- CCR
What the official deficiency says
The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. This requirement is not met as evidenced by: No files were available for LPA to review for S1 and S2.
Official plan of correction
Administrator agrees to create and retain S1 and S2 file at the facility by POC date.
Deadline recorded: May 6, 2026. A deadline is not proof that correction was completed.