Background checksType A
- Official classification
- Type A
- Official code
- 87355(e)(3)
- Regulation authority
- CCR
What the official deficiency says
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or 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 as one (1) staff member was missing a transfer of criminal record clearance which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/08/2026 Plan of Correction Administrator stated they will request a transfer of criminal record clearance to associate the staff member and will submit proof to CCLD by the due date.
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(e)(2)
- Regulation authority
- CCR
What the official deficiency says
(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 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as the hot water in the hallway bathroom measured above and below the required range which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 04/14/2026 Plan of Correction Administrator adjusted the water heater multiple times during the visit. Administrator stated they will install a caution sign above the faucet and monitor the water to be within range. Administrator will submit a 5-day hot water log to CCLD by the due date.
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 1569.618(c)(3)
- Regulation authority
- HSC
What the official deficiency says
(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above as the one staff member present during LPA's arrival did not have first aid/CPR training which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/14/2026 Plan of Correction Administrator stated that the staff member will obtain first aid/CPR training and submit proof to CCLD by the due date.
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.69(e)(2)(B)
- Regulation authority
- HSC
What the official deficiency says
(e) Each person who provides employee training under this section shall meet the following education and experience requirements: (2) The person shall meet any of the following practical experience or licensure requirements: (B) Two years of full-time experience, or the equivalent, within the last four years, as an administrator for a residential care facility for the elderly, during which time the individual has acted in substantial compliance with applicable regulations. 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 as the Administrator provided employee training without meeting the experiece requirements which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/14/2026 Plan of Correction Administrator stated that staff will get re-trained by a qualified Administrator and will submit proof of the training plan or the completed training to CCLD by the due date.