Medication handling and storage
Cited in 3 reports, with 3 deficiencies in total.
FALLBROOK ELDERLY CARE LLC
5515 FALLBROOK AVENUE, Woodland Hills CA 91367
6 bedsLatest official report Jun 16, 2026Licensed
Additional info
- Telephone
- (818) 712-0904
- Licensee
- FALLBROOK ELDERLY CARE LLC
- Administrator
- HOWE, MARY ANN
- Contact
- HOWE, MARY ANN
- License first date
- Jun 30, 2022
- License effective date
- Jun 30, 2022
- District office
- WOODLAND HILLS N.ASC · (818) 596-4334
- Regional office
- 29
- Clients served
- 935 - ELDERLY
Summary
The available records show 5 Type A and 4 Type B deficiencies for this facility.
- Most recent inspection
- Jun 16, 2026
- Most recent deficiency
- Jun 16, 2026
No later report is available, so the records do not show what happened afterward.
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 1,564 Los Angeles County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 6 reports for this facility: 4 inspections, 0 complaint investigations, and 2 licensing or administrative records.
Those records contain 5 Type A and 4 Type B deficiencies.
1 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 4
- Recorded deficiencies
- 9
- Type A deficiencies
- 5
- Type B deficiencies
- 4
- Substantiated complaints
- 0
- Repeated topics
- 2
About the same as most this size
1 in the last 12 months
Well above the typical 1
3 in the last 12 months
Most this size have none
1 in the last 12 months
Most this size have none
2 in the last 12 months
Most this size also have none
0 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.
Fire safety and emergency preparedness
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.
Inspection
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 87202(a)
- Regulation authority
- CCR
What the official deficiency says
(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: 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 Resident #1 is bedridden but resides in Bedroom #5 which does not have fire clearance for bedridden-use. This poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/17/2026 Plan of Correction Administrator stated they will contact R1's physician to update their ambulatory status as R1 is able to reposition and transfer. Administrator will send proof of contact to CCLD by the due date.
Plan of correction recorded
Correction not verified in available records
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(h)
- Regulation authority
- CCR
What the official deficiency says
(h) The following requirements shall apply to medications which are centrally stored: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and medication review, the licensee did not comply with the section cited above as refrigerated medications were accessible, two medications logged on the centrally stored medications and destruction record with missing start dates, and Resident #3 (R3) has orders for insulin injections, but the injections are not pre-filled syringes or self-administered pens and staff are filling the syringes instead of a licensed medical professional which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/23/2026 Plan of Correction Refrigerated medications were secured and made inaccessible during the visit. Administrator corrected the missing start dates on the CSMDR. Administrator stated R3's home health nurse will pre-fill the syringes and Administrator will contact the prescribing physician for insulin pens. Administrator will conduct a medication in-service training with all staff and will submit proof to CCLD by the due date.
Corrective action observedRecorded in report dated Jun 16, 2026
Plan of correction recorded
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(b)
- Regulation authority
- CCR
What the official deficiency says
(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 record review, the licensee did not comply with the section cited above as five out of five (5) resident files missing current reappraisals, four (4) out of five (5) missing signed consent forms, one (1) out of five (5) missing a pre-placement appraisal, one (1) out of five (5) missing a signed LIC601 ID form, and one (1) out of five (5) missing a completed property and valuables form which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/23/2026 Plan of Correction Administrator stated they will submit the updated and completed forms to CCLD by the due date.
Plan of correction recorded
Correction not verified in available records
Inspection
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 87202(a)
- Regulation authority
- CCR
What the official deficiency says
(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: 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 as one (1) smoke detector was observed disconnected and fire extinguishers were expired which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/07/2025 Plan of Correction Administrator stated they will purchase and install new smoke detector and will either provide proof of scheduled fire extinguisher servicing or purchase a new fire extinguisher. Administrator will submit proof to CCL by 05/07/2025.
Plan of correction recorded
Correction not verified in available records
Hazardous items and storageType A
- Official classification
- Type A
- Official code
- 87309(a)
- Regulation authority
- CCR
What the official deficiency says
(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, 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 as detergents and cleaning solutions were accessible in the unlocked laundry area and outdoor storage shed which posed an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/07/2025 Plan of Correction Staff locked the laundry area and outdoor shed during the visit. Administrator stated that detergents will be kept locked and inaccessible. POC is cleared.
Official record says corrected or clearedOn or before May 6, 2025
Plan of correction recorded
Background checksType A
- Official classification
- Type A
- Official code
- 87355(e)
- 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: 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 Staff #1 (S1) was missing criminal record clearance which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/07/2025 Plan of Correction Administrator stated S1 will obtain a live scan and submit proof to CCL by 05/07/2025.
Plan of correction recorded
Correction not verified in available records
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(h)(4)
- Regulation authority
- CCR
What the official deficiency says
87465(h)(4) Incidental Medical and Dental Care (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 medication review, the licensee did not comply with the section cited above as two (2) medications were not properly logged and one (1) medication had missing pills which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/13/2025 Plan of Correction Administrator logged the start dates for the medications with missing information. Administrator agreed to submit a signed statement of understanding of the section to CCL by 05/13/2025 and stated that additional medication training will be provided to staff in the near future.
Plan of correction recorded
Correction not verified in available records
Inspection
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(5)
- Regulation authority
- CCR
What the official deficiency says
(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. 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 one out of one medication,the review of the Centrally Stored and Destruction Record (LIC622) revealed that one medication Amlodipine (5mg/30) for R1 did not match the pills stored in the prescription bottle. which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/25/2024 Plan of Correction Administrator agreed to contract a qualified vendor/contractor to provide training to staff on medication storage, dispensing and verification of meds when received from pharmacy.
Plan of correction recorded
Correction not verified in available records
Inspection
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(6)
- Regulation authority
- CCR
What the official deficiency says
(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 observation and record review, the licensee did not comply with the section cited above as Folic Acid 50 mg was not centrally stored which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/16/2023 Plan of Correction Administrator will conduct medication training on all staff who handle and help with the self administration of medication. Administrator will provide training materials and attendees to CCL by 06/16/2023.
Plan of correction recorded
Correction not verified in available records
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Source 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.
Read the data methodology