ABOUT CARE ASSISTED LIVING CENTER

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: Based on observation, the licensee did not comply with the section cited above, due to LPA observing space heaters, space heaters plugged into extension cords, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator will remove space heaters and extension cords. Verification will be sent to the Dept by POC due date.

Deadline recorded: Jun 22, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87303(f)

Regulation authority

CCR

What the official deficiency says

(f) All waste shall be located, stored, and disposed of in a manner that will not transmit communicable diseases or odors, pose a risk to health and safety, or provide a breeding place or food source for insects or rodents. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above, due to LPA observing solid briefs and pads throw in trash can with no lids & hanging out of trash cans, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Facility will replace trash with proper top. Verification will provide verification to the Dept.

Deadline recorded: Jun 22, 2026. A deadline is not proof that correction was completed.

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: Based on observation, the licensee did not comply with the section cited above, due to laundry area having unlocked cabinet with laundry soap and other cleaning supplies, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Facility will do in-service and lock up disinfectants and cleaning supplies. Verification will be sent to the Dept by POC due date.

Deadline recorded: Jun 22, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87555(a)

Regulation authority

CCR

What the official deficiency says

(a) The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared and served in a safe and healthful manner. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above, due LPA observing expired spinach, bacon and chorizo to be opened and not dated, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Facility will review food and throw expired food items. Verification will be sent to the Dept by POC due date.

Deadline recorded: Jun 22, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87307(d)(6)

Regulation authority

CCR

What the official deficiency says

(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. 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 1 out of 3 exits which poses an immediate health, safety or personal rights risk to persons in care. The deck area outside of the exit door, the landing of the stairs, and the path to the gate contained various items creating a hazard.

Official plan of correction

POC Due Date: 01/09/2026 Plan of Correction Facility will remove all obstacles on interior and exterior of exit doors, preventing them from being used fully, without any obstacles. Photos to be submitted to Licensing.

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 in that an open bottle of PineSol cleaner was found in an open, unlocked part of the facilitiy which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/14/2026 Plan of Correction Facility will provide training to staff on the proper use and storage of chemicals. Proof of training given, including signatures and dates of the staff, to be provided to Licensing by 01/14/2026

Official classification

Type B

Official code

87705(a)(5)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia (a) This section applies to licensees who accept or retain residents diagnosed by a physician to have dementia. Mild cognitive impairment, as defined in Section 87101(m), is not considered to be dementia. (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs. 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 does not have annual medical assesment as required, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/30/2024 Plan of Correction Administrator will provide required annual medical assesment to LPA by POC date of 12/30/2024.