Medical and dental care
Cited in 4 reports, with 4 deficiencies in total.
1691 JOE SILVA AVENUE, Atwater CA 95301
5 bedsLatest official report May 11, 2026Licensed
The available records show 28 Type A and 26 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 19 Merced County facilities licensed for 6 or fewer beds, except where too few exist to state one — those come from facilities with 7 or more beds.
In the available public five-year record, CCLD published 32 reports for this facility: 20 inspections, 11 complaint investigations, and 1 licensing or administrative record.
Those records contain 28 Type A and 26 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
More than the typical 10
1 in the last 12 months
Well above the typical 19
3 in the last 12 months
Well above the typical 8
0 in the last 12 months
Well above the typical 10
3 in the last 12 months
Well above the typical 5
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 4 reports, with 4 deficiencies in total.
Cited in 3 reports, with 4 deficiencies in total.
Cited in 3 reports, with 4 deficiencies in total.
Cited in 3 reports, with 3 deficiencies in total.
Cited in 3 reports, with 3 deficiencies in total.
Cited in 3 reports, with 3 deficiencies in total.
Cited in 3 reports, with 3 deficiencies in total.
Cited in 2 reports, with 2 deficiencies in total.
All preserved reports from the most recent to the oldest, sortable by report type.
(6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes: (A) The name of the resident for whom prescribed. (B) The name of the prescribing physician. (C) The drug name, strength and quantity. (D) The date filled. (E) The prescription number and the name of the issuing pharmacy. (F) Instructions, if any, regarding control and custody of the medication. 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 Resident 1's centrally stored medication record is not accurate, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/25/2026 Plan of Correction Administrator and facility staff willl attend training on documenting centrally stored medications, and submit proof to LPA by POC date of 05/25/2026.
87463 Reappraisals (a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. 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 resident 1 and residnet 3's appraisal/ needs and services plan is not updated annually, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/25/2026 Plan of Correction Administrator will submit updated needs and services plans for resident 1 and resident 3 to LPA by POC date of 05/25/2026.
(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 in resdent 2's sink water measures to be 126 degrees, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/25/2026 Plan of Correction Administrator will ensure hot water measures to be between 105 and 120 and send proof to LPA by POC date of 05/25/2026.
(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 in two of three facility bathrooms had cleaning supplies accessible to residents,which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 04/30/2025 Plan of Correction Administrator will train facility staff on safe storage of chemicals and submit to LPA by POC date of 04/30/2025.
(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 record review, the licensee did not comply with the section cited above in Staff 1 does not have current CPR/First aid training on file, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/15/2025 Plan of Correction Administrator will submit proof of Staff 1's CPR/First aid training and submit to LPA by POC date of 05/15/2025.
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (11) A health screening as specified in Section 87411, Personnel Requirements - General. 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 Staff 2 does not have required health screening/ TB, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/14/2025 Plan of Correction Administrator will provide proof of Health screening to LPA by POC date of 05/14/2025.
(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 Record review, the licensee did not comply with the section cited above in Resident 3's medications are not logged up to current date on the Centrally Stored Medication record, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/14/2025 Plan of Correction Administrator will conduct medication handling training and submit proof to LPA by POC date of 05/14/2025.
87208 Plan of Operation (7) Sketches, showing dimensions, of the following: (A) Building(s) to be occupied, including a floor plan that describes the capacities of the buildings for the uses intended and a designation of the rooms to be used for nonambulatory residents and for bedridden residents, other than for a temporary illness or recovery from surgery as specified in Sections 87606(d) and (e) This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in the facility is using bedrooms for purposes other than listed on facility sketch (using office as bedroom) which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/07/2025 Plan of Correction Administrator will work with Licensing to ensure facility sketch is updated to reflect current bedroom use.
(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 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 in LPA's measured hallway bathroom water temperature to be 129 degrees, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 03/28/2024 Plan of Correction Licensee will lower water temperature to be within required temperature of 105 to 120 and send proof to LPA by POC date of 03/28/2024.
(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 in LPA's were not able to verify Staff 1 has required current first aid training, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 03/28/2024 Plan of Correction Licensee will send proof of Staff 1's first aid training to LPA by POC date of 03/28/2024.
(g) All personnel records shall be maintained at 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 in LPA's were not able to review Personnel records as they were not accessible, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 03/28/2024 Plan of Correction Licensee will provide Personnel records for all facilty Personnel to LPA by 03/28/2024 POC date.
(4) The licensee shall assist residents with self-administered medications as needed. 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 in Resident 1 was not given Levothyroxine medication for several days due to being out of the medication, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 03/28/2024 Plan of Correction Licensee will send proof of medication being filled to LPA by POC date of 03/28/2024.
(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 records review, the licensee did not comply with the section cited above in Resident 1's medications are not currently logged on the Centrally Stored Medication Record, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 03/07/2024 Plan of Correction Licensee will provide corrected Centrally Stored Medication Log for all facilty residents, and verification to prevent this error from reoccuring,
(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 observation, and record review the licensee did not comply with the section cited above in LPA's were not able to review any of the 4 residents records as they were not made available, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 03/28/2024 Plan of Correction Licensee will provide records for all 4 facility residents by 03/28/2024 POC date.
(b) The following food service requirements shall apply: (8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in LPA's observed several expired foot items in facility pantry, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/11/2024 Plan of Correction Licensee will conduct staff training or submit a plan to prevent expired food inside facility pantry and submit proof to LPA POC date 04/11/2024.
(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: 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 in LPA's requested and were not provided facilities 610E Disaster Plan, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/11/2024 Plan of Correction Licensee will provide 610D Emergency Disaster Plan to LPA by POC date of 04/11/2024.
87202 Fire Clearance (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: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above in LPA's observed a lock on the facility front door more than 6 feet high, and not accessible to residents, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 03/28/2024 Plan of Correction Licensee will ensure locks if not fire cleared will be removed, and send proof to LPA by POC date of 03/28/2024.
87355 Criminal Record Clearance (a) The Department shall conduct a criminal record review of all individuals specified in Health and Safety Code section 1569.17 and shall have the authority to approve or deny a facility license, or employment, residence, or presence in the facility, based upon the (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: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c) or The following requirement has not been met as evidenced by: Staff 1 is not associated to this facility in LIS or guardian, which poses an immediate health, safety, or personal rights risk to residents in care.
Licensee will submit LIC 9182 form to associate Staff 1 to the facility, and send proof to LPA by POC date of 03/14/2024.
Deadline recorded: Mar 14, 2024. A deadline is not proof that correction was completed.
87355 Criminal Record Clearance (a) The Department shall conduct a criminal record review of all individuals specified in Health and Safety Code section 1569.17 and shall have the authority to approve or deny a facility license, or employment, residence, or presence in the facility, based upon the results of such review. (b) Prior to the Department issuing a license, the applicant, administrator and any adults other than a client, residing in the facility shall have a criminal record clearance or exemption. The following requirement has not been met as evidenced by: Staff 2 is not background cleared and has been providing care to residents for one month, which poses an immediate, health, safety, or personal rights risk to residents in care.
Licensee will remove staff 2 from the facility, and staff will no longer provide care to facility residents until cleared and associated to the facility.
Deadline recorded: Mar 14, 2024. A deadline is not proof that correction was completed.
87465Incidental 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. (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. Based on LPA observation the facility was dispensing medications not in their orignally marked containers to Resident 1 which poses an immediate, health, safety, or personal rights risk to residents in care.
Licensee will conduct medication training with all facility staff, and submit proof to LPA Hurt by 09/22/2023 POC date.
Deadline recorded: Sep 22, 2023. A deadline is not proof that correction was completed.
87506 Resident 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. The following requirement has not been met as evidenced by: Based on observation the Licensee does not have resident records in a location readily available to Licensing staff.
Licensee will provide all requested resident records to LPA by 09/22/2023 POC date.
Deadline recorded: Sep 22, 2023. A deadline is not proof that correction was completed.
(6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes:(A) The name of the resident for whom prescribed. (B)The name of the prescribing physician. (C) The drug name, strength and quantity. (D) The date filled. (E) The prescription number and the name of the issuing pharmacy. (F) Instructions, if any, regarding control and custody of the medication. The following requirement has not been met as evidenced by: LPA Hurt observed Resident 1 does not have a centrally stored medication log which poses an immediate, health, safety, or personal rights risk to residents in care.
Licensee will provide centrally stored medication log for Resident 1 by 09/22/2023 POC date.
Deadline recorded: Sep 22, 2023. A deadline is not proof that correction was completed.
(c) To accept or retain a bedridden person, other than for a temporary illness or recovery from surgery, a facility shall obtain and maintain an appropriate fire clearance as specified in Section 87202(a). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation,and records reviewed the licensee did not comply with the section cited above in as LPA's observed Resident 1 to be bedridden, and bedroom does not have fire clearance for bedridden residents which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 05/18/2023 Plan of Correction Licensee will submit proof to LPA Hurt by 05/18/2023 POC date of request for bedridden for fire clearance.
(l) The following initial and continuing requirements shall be met for the licensee to lock exterior doors or perimeter fence gates: (1) Licensees shall notify the licensing agency of their intention to lock exterior doors and/or perimeter fence gates. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in LPA's observed one of three facility gates located on the south side of the backyard gate to have a lock which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 05/18/2023 Plan of Correction Licensee will unlock side gate, and send proof to LPA by POC dare of 05/18/2023
(d) In addition to requirements specified in Section 87303, Maintenance and Operation, safety modifications shall include, but not be limited to, inaccessibility of ranges, heaters, wood stoves, inserts, and other heating devices to residents with dementia. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in LPA's observed backyard Barbecue grill with knobs still on accesible to residents which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/31/2023 Plan of Correction Licensee will modify BBQ grill to be inaccessible to facility dementia residents by POC date of 05/31/2023.
87465 (6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes: (A) The name of the resident for whom prescribed. (B) The name of the prescribing physician. (C) The drug name, strength and quantity. (D) The date filled. (E) The prescription number and the name of the issuing pharmacy. (F) Instructions, if any, regarding control and custody of the medication. This requirement is not met as evidenced by: Deficient Practice Statement Based on records reviewed, the licensee did not comply with the section cited above in LPA's observed Resident 2's Centrally Stored Medication Records does not have current information which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/31/2023 Plan of Correction Licensee will audit Centrally Stored Medication Log to ensure information is current and accurate and send proof to LPA Hurt by 05/31/2023 POC date.
(j) The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in LPA's observed facility alerts on doors leading to outside not functioning which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 05/31/2023 Plan of Correction Licensee will ensure door alerts are functioning properly and send proof to LPA Hurt by POC date of 05/31/2023.
Section 87507(g)(3)(C) Any fee that is charged prior to or after admission, shall be clearly specified. **This requirement was not met as evidenced by review of the admission agreement provided to RP, that did not specify a $1300 holding fee.
Licensee will submit proof of refund of the holding fee to the RP within a reasonable timeframe such as 30 days and amendment of the admission agreement to include all fees and the refund provisions for each by 12/21/2022 POC date.
Deadline recorded: Dec 21, 2022. A deadline is not proof that correction was completed.
87355(e)(1): Obtain a California clearance or a crminal record exemption as required by the Department... This requirement was not met as evidenced by: Based on observation, Licensee did not ensure all staff obtained a California clearance or a criminal record exemption when S1 was present in the facility without a California clearance which poses an immediate health and safety risk to persons in care
Licensee agrees to submit a written statement detailing the facility's plan to ensure the requirements of section 87355(e)(1) are met to the Fresno CCL office by the POC due date.
Deadline recorded: Sep 27, 2022. A deadline is not proof that correction was completed.
(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. Based on interviews, Licensee did not ensure all residents were provided care and supervision when on 08/28/2022, R1 was able to " bypass " facility staff, exit the facility, and enter a neighboring home unsupervised, which poses an immediate health and safety risk to persons in care.
Licensee agrees to submit a written statement detailing the steps the facility will take to ensure the requirements for section 87468.2 are met to the Fresno CCL office by the POC due date. Licensee agrees to train all staff on requirements of Additional Personal Rights of Residents in Privately Operated Facilities by 10/14/2022. Evidence of training topics and attendance will be submitted to the Fresno CCL office by 10/14/2022.
Deadline recorded: Sep 27, 2022. A deadline is not proof that correction was completed.
(a) A plan for incidental medical and dental care shall be developed by each facility…. (5) Assistance with self-administered medications shall be limited to the following: (D) Assistance with self-administration does not include forcing a resident to take medication, hiding or camouflaging medications in other substances without the resident's knowledge and consent, or otherwise infringing upon a resident's right to refuse to take a medication. This requirement was not met as evidenced by: Based on interviews, the Licensee did not ensure that the requirements for the section 87465(a)(5)(D) on 08/28/2022 when ADM administered PRN medications to R1 while R1 was restrained. This poses an immediate health and safety risk to residents in care
Licensee agrees to submit a written statement detailing how the facility will ensure the requirements for the above section are met to the Fresno CCL office by the POC due date.
Deadline recorded: Sep 27, 2022. A deadline is not proof that correction was completed.
(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (2) In facilities licensed to provide care for 15 or fewer persons, the employee shall complete 10 hours of initial training. This training shall consist of 6 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 4 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first two weeks of employment. 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 when 2 out of 2 staff did not have documentation to prove staff received initial training prior to working in the faciltiy, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/17/2022 Plan of Correction Licensee agrees to submit a written statement detaling how each employee will receive training prior to working in the facility. Licensee will have 2 out of 2 employees complete the initial training submit a copy of attendance, certificates, and training topics to the Fresno CCL office by the POC due date.
87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above as evidenced by R1 missing 8 days of medication and R2 missing 2 PRN medications which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 06/20/2022 Plan of Correction Licensee agrees to submit a written statement detailing the steps the facility will take to ensure the requirements section 87465 Incidential Medical and Dental Care are met to the Fresno CCL office by the 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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