Fire safety and emergency preparedness
Cited in 2 reports, with 2 deficiencies in total.
AGING IN THE BAY 3
1088 DONALDSON WAY, American Canyon CA 94503
6 bedsLatest official report Sep 4, 2025Licensed
Additional info
- Telephone
- (510) 388-7352
- Licensee
- C & M HEALTH CARE LLC
- Administrator
- MENDAROS, CHARMAINE
- Contact
- MENDAROS, CHARMAINE
- License first date
- Oct 19, 2022
- License effective date
- Oct 19, 2022
- District office
- SANTA ROSA RO · (707) 588-5026
- Regional office
- 21
- Clients served
- 983 - RCFE / DEMENTIA, 985 - RCFE / HOSPICE
Summary
The available records show 5 Type A and 2 Type B deficiencies for this facility.
- Most recent inspection
- Sep 4, 2025
- Most recent deficiency
- Nov 16, 2023
3 later reports, from Apr 22, 2024 through Sep 4, 2025, recorded no deficiencies, though the records do not say whether they were follow-ups.
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 22 Napa 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 8 reports for this facility: 4 inspections, 3 complaint investigations, and 1 licensing or administrative record.
Those records contain 5 Type A and 2 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 4
- Recorded deficiencies
- 7
- Type A deficiencies
- 5
- Type B deficiencies
- 2
- Substantiated complaints
- 1
- Repeated topics
- 1
Fewer than the typical 6
1 in the last 12 months
More than the typical 5
0 in the last 12 months
Most this size have none
0 in the last 12 months
Fewer than the typical 3
0 in the last 12 months
Most this size 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.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
Licensing and administrationType A
- Official classification
- Type A
- 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 LPA's file reviews, direct care staff lack current CPR certification as required, S2, S3, S4, and S5, the licensee did not comply with the section cited above in [4] out of [5] staff which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/03/2023 Plan of Correction Licensee to ensure that staff have CPR as required/needed; There must be one staff on each shift that has CPR certification at all times. Submit staff, S2, S3, S4, and S5, copies of obtained CPR certification. POC due 10/3/23.
Plan of correction recorded
Correction not verified in available records
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 LPA's file reviews, staff S4, and S5 are not associated to the facility as required], the licensee did not comply with the section cited above in [2] out of 5() staff which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/03/2023 Plan of Correction Licensee to ensure that staff are associated as required; Submit all required paperwork to the licensing office to have S4 & S5 associated to the facility. POC due 10/3/23.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87411(c)(1)
- Regulation authority
- CCR
What the official deficiency says
(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's file reviews, staff lack current First Aid, S2, S3, and S4, the licensee did not comply with the section cited above in [4] out of [5] [(objects) (persons)] [identifiers] which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/03/2023 Plan of Correction Licensee to ensure that staff have First Aid as required; All direct care staff must have current first aid certification. Submit staff, S2, S3, and S4, copies of obtained First Aid certification. POC due 10/3/23.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(a)
- Regulation authority
- CCR
What the official deficiency says
(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: This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's file review, staff, S2, S3, S4, & S5, files were found to be incomplete, the licensee did not comply with the section cited above in [4] out of [5] staff files, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/31/2023 Plan of Correction Licensee to ensure all staff have complete files with all required documents. Licensee to ensure all records are made complete and submit written self-certification to this, that all staff files are complete and available for review. POC due 10/31/23.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 1569.625(b)(1)
- Regulation authority
- HSC
What the official deficiency says
(1) The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. A staff member shall complete 20 hours, including six hours specific to dementia care, as required by subdivision (a) of Section 1569.626 and four hours specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696, before working independently with residents. The remaining 20 hours shall include six hours specific to dementia care and shall be completed within the first four weeks of employment. The training coursework may utilize various methods of instruction, including, but not limited to, lectures, instructional videos, and interactive online courses. The additional 16 hours shall be hands-on training. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's file review, staff, S2, S3, S4, and S5, have proof of required 40/20 hrs of required annual training., the licensee did not comply with the section cited above in [4] out of [5] staff record reviews, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/16/2023 Plan of Correction Licensee to ensure all staff , S2, S3, S4, and S5, obtain required initial 40 hour training and annual 20 hour training as required by H & S; Submit proof of required trainings having been completed by POC due date of 11/16/23.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 1569.69(a)(2)
- Regulation authority
- HSC
What the official deficiency says
Personnel Records/Staff Training -1569.69(a)(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 LPA's observation staff S2, S3, S4, and S5 lack medication training as required, the licensee did not comply with the section cited above in [4] out of 5] staff, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/03/2023 Plan of Correction Licensee to ensure all staff obtain required medication training per Health & Safety 1569.69; Submit proof of all staff having obtained required medication training by 10/9/23. Submit plan of correction in correcting this deficiency by POC due date of 10/3/23.
Plan of correction recorded
Correction not verified in available records
Inspection
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