Licensing and administration
Cited in 10 reports, with 13 deficiencies in total.
Jul 21, 2026Apr 3, 2026Mar 25, 2026Mar 9, 2026Mar 3, 2026Feb 25, 2026Feb 19, 2026Dec 31, 2025Oct 16, 2025Sep 30, 2025
HILLS OF SANTA TERESA, THE
17698 SANTA TERESA CIRCLE, Fountain Valley CA 92708
6 bedsLatest official report Aug 21, 2026Licensed
Additional info
- Telephone
- (714) 430-7672
- Licensee
- HILLS OF SANTA TERESA, THE
- Administrator
- MIRANDA, ROSENDO CARLA
- Contact
- MIRANDA, ROSENDO CARLA
- License first date
- Aug 21, 2024
- License effective date
- Aug 21, 2024
- District office
- ORANGE COUNTY RO · (714) 703-2840
- Regional office
- 22
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 20 Type A and 5 Type B deficiencies for this facility.
- Most recent inspection
- Aug 21, 2026
- Most recent deficiency
- Aug 21, 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 984 Orange County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 32 reports for this facility: 23 inspections, 6 complaint investigations, and 3 licensing or administrative records.
Those records contain 20 Type A and 5 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 23
- Recorded deficiencies
- 25
- Type A deficiencies
- 20
- Type B deficiencies
- 5
- Substantiated complaints
- 5
- Repeated topics
- 3
More than the typical 4
20 in the last 12 months
Well above the typical 1
23 in the last 12 months
Most this size have none
19 in the last 12 months
More than the typical 1
4 in the last 12 months
Most this size have none
5 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.
Facility condition and maintenance
Cited in 6 reports, with 6 deficiencies in total.
Aug 21, 2026Jul 21, 2026Mar 9, 2026Mar 3, 2026Oct 23, 2025Jul 10, 2025
Background checks
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
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. This requirement was not met as evidenced by: Based on observation, there is a presence of mold in the large shower, the shower head was detached in the bathroom of Bedroom #4, and the toilet is leaking after flushing in the bathroom of Bedroom #4.
Official plan of correction
Licensee to ensure staff deep cleans the large shower removing mold, plumber reattaches the shower head and repairs the toilet. Evidence of repair will be submitted to LPA via email by POC due date.
Deadline recorded: Aug 22, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 22, 2026
Correction not verified in available records
Inspection
Licensing and administrationType A
- Official classification
- Type A
- Official code
- 87213
- Regulation authority
- CCR
What the official deficiency says
87213 The licensee shall have a financial plan that [...] assures sufficient resources to meet operating costs for care of residents; shall maintain adequate financial records; and shall submit such financial reports as may be required .. licensing agency. This requirement is not evidenced by: Based on interviews and record review, the facility paid July 2026 rent late, which poses an immediate health and safety risk to persons in care. Landlord stated July rent of $4525 was due on by 7/5/2026 and late fee of $250 was applied due to non payment. Record review revealed July rent was paid on 7/20/2026.
Official plan of correction
Licensee will submit a financial plan to ensure that staff receive their pay timely for next pay period and ongoing. Administrator/Licensee will submit proof to CCLD via email or fax by POC date. CIVIL PENALTY ASSESSED
Deadline recorded: Jul 22, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 22, 2026
Correction not verified in available records
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303(a)The facility shall be clean, safe sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Based on observation and interview, the facility failed to comply with the section cited, which poses an immediate risk to persons in care. LPA observed the tub in Bathroom #1 in need of repair and two overgrown trees in the backyard.
Official plan of correction
Licensee will have plumber repair pipes and replace overflow & drain cover in Bathroom #1 and submit proof to LPA by POC due date. Licensee will trim/cut overgrown trees in the backyard for safety and will provide proof of maintenance to CCLD by POC due date. CIVIL PENALTY ASSESSED
Deadline recorded: Jul 22, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 22, 2026
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Not classified in the sourceType A
- Official classification
- Type A
- Official code
- 1569.38(b)(1)
- Regulation authority
- HSC
What the official deficiency says
1569.38(b)(1) Posting of licensing reports A licensed residential care facility for the elderly shall provide written notice to a resident, the resident’s responsible party, if any, and the local long-term care ombudsman, within 10 days from the occurrence of either of the following...: The department commences proceedings to... revoke the license of the facility... The requirement is not met as evidenced by: Five responsible parties have not been notified of the proceedings which poses an immediate health and safety risk to persons in care.
Official plan of correction
AD stated all responsible parties and ombudsman will be notified by certified mail regarding the commencement of revocation. AD to submit proof to LPA by POC due date.
Deadline recorded: May 27, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 27, 2026
Correction not verified in available records
Not classified in the sourceType A
- Official classification
- Type A
- Official code
- 1569.38(e)
- Regulation authority
- HSC
What the official deficiency says
1569.38(e) Posting of licensing reports Upon providing the notice described in subdivision (b), the licensed residential care facility shall also post a written notice, in at least 14-point type, in a conspicuous location in the facility, that may include posted... any other easily accessible location in the facility. The posting shall include all of the following information: The requirement is not met as evidenced by: LPA did not observe any posting regarding the revocation at the facility. This poses an immediate health and safety risk to persons in care.
Official plan of correction
AD stated the legal accusation document will be posted at the facility. AD to send photo of posting to LPA by POC due date.
Deadline recorded: May 27, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 27, 2026
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Licensing and administrationType A
- Official classification
- Type A
- Official code
- 87213
- Regulation authority
- CCR
What the official deficiency says
87213 The licensee shall have a financial plan that conforms to the requirements of Section 87155, Application for License, and that assures sufficient resources to meet operating costs for care of residents... This requirement is not met as evidenced by: Based on observations, interviews, and record review, the paychecks due to staff were paid late, two staff paychecks bounces, and March and April rent payments were returned. This poses a immediate personal rights risk to persons in care.
Official plan of correction
Licensee will pay staff in a timely manner, ensure checks are paid in full, and cleared. Licensee stated they will resubmit rent payments for March and April and provide proof via email to eboni.bentley@dss.ca.gov by POC due date.
Deadline recorded: Apr 4, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 4, 2026
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Licensing and administrationType A
- Official classification
- Type A
- Official code
- 87213
- Regulation authority
- CCR
What the official deficiency says
87213 The licensee shall have a financial plan that [...] assures sufficient resources to meet operating costs for care of residents; shall maintain adequate financial records; and shall submit such financial reports as may be required .. licensing agency. This requirement was not met evidenced by: Based on observation, interviews, and record review, staff did not receive paycheck timely, which poses an immediate health and safety risk to persons in care. Staff stated they were due pay on 3/18/2026 and did not receive a paycheck as of 3/25/2026.
Official plan of correction
Licensee will submit a financial plan to ensure that staff receive their pay timely for next pay period and ongoing. Administrator/Licensee will submit proof to CCLD via email or fax by POC date. A deficiency was previously cited on 12/31/2025 and 3/9/2026 for failure to comply with CCR 87213. CIVIL PENALTY ASSESSED.
Deadline recorded: Mar 26, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 26, 2026
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Background checksType A
- Official classification
- Type A
- Official code
- 87355(e)(3)
- Regulation authority
- CCR
What the official deficiency says
87355 (e)(3) All individuals subject to a criminal record review... shall prior to working, residing or volunteering in a licensed facility: (3)Request a transfer of a criminal record clearance... This requirement is not met as evidenced by Based on observation, interview, and record review, the licensee did not comply with the section cited above. LPA reviewed S1’s & S2's record and found that they are not associated with the facility. This poses an immediate health, and safety, risk to persons in care. CIVIL PENALTY ASSESSED.
Official plan of correction
The Administrator stated they will associate S1 & S2 to the facility and submit a written statement of acknowledgement and understanding to CCLD via email by POC due date.
Deadline recorded: Mar 9, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 9, 2026
Correction not verified in available records
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303(a)The facility shall be clean, safe sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Based on observation, the facility failed to comply with the section cited above in two out of two yards and one screen, which poses an immediate risk to persons in care. LPA observed overgrown grass and weeds in the front and back yards, as well as a sliding door screen with two 1 inch holes.
Official plan of correction
Licensee will submit a plan is to have both the front and backyards maintained and will provide proof of maintenance to CCLD by POC due date. A deficiency was previously cited on 3/3/2026 for failure to comply with CCR 87303(a) CIVIL PENALTY ASSESSED.
Deadline recorded: Mar 10, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 10, 2026
Correction not verified in available records
Licensing and administrationType A
- Official classification
- Type A
- Official code
- 87213
- Regulation authority
- CCR
What the official deficiency says
87213 The licensee shall have a financial plan that [...] assures sufficient resources to meet operating costs for care of residents; shall maintain adequate financial records; and shall submit such financial reports as may be required .. licensing agency. This requirement is not evidenced by: Based on observation, interviews, and record review, staff did not receive paychecks timely, which poses an immediate health and safety risk to persons in care. Staff stated they were due pay on 3/5/2026 and did not receive a paycheck as of 3/9/2026.
Official plan of correction
Licensee will submit a financial plan to ensure that staff receive their pay timely for next pay period and ongoing. Administrator/Licensee will submit proof to CCLD via email or fax by POC date. A deficiency was previously cited on 12/31/2025 for failure to comply with CCR 87213. CIVIL PENALTY ASSESSED.
Deadline recorded: Mar 10, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 10, 2026
Correction not verified in available records
Licensing and administrationType A
- Official classification
- Type A
- Official code
- 1569.605
- Regulation authority
- HSC
What the official deficiency says
On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests...This requirement is not met as evidenced by: Based on observation and interviews, the licensee did not comply with the section cited above, which poses an immediate health, safety, and personal rights risk to persons in care. Administrator stated the facility does not have current liability insurance.
Official plan of correction
Administrator/Licensee will submit proof of bonded liability insurance for the facility to CCLD via email or fax by POC date.
Deadline recorded: Mar 10, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 10, 2026
Correction not verified in available records
Inspection
Licensing and administrationType A
- Official classification
- Type A
- Official code
- 87213
- Regulation authority
- CCR
What the official deficiency says
13 The licensee shall have a financial plan that [...] assures sufficient resources to meet operating costs for care of residents; shall maintain adequate financial records; and shall submit such financial reports as may be required .. licensing agency. This requirement is not evidenced by: Based on interviews and record review, staff did not receive paychecks timely, which poses an immediate health and safety risk to persons in care. Staff stated they were due pay on 2/27/2026 and have not received a paycheck as of 3/3/2026.
Official plan of correction
Licensee will submit a financial plan to ensure that staff receive their pay timely for next pay period and ongoing. Administrator/Licensee will submit proof to CCLD via email or fax by POC date. A deficiency was previously cited on 12/31/2025 and 2/25/2026 for failure to comply with CCR 87213. CIVIL PENALTY ASSESSED.
Deadline recorded: Mar 4, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 4, 2026
Correction not verified in available records
Licensing and administrationType A
- Official classification
- Type A
- Official code
- 1569.605
- Regulation authority
- HSC
What the official deficiency says
On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests...This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above, which poses an immediate health, safety, and personal rights risk to persons in care. The facility does not have current liability insurance.
Official plan of correction
Licensee will submit proof of liability insurance for the facility to CCLD via email or fax by POC date. A deficiency was previously cited on 2/19/2026 for failure to comply with HSC 1569.605 CIVIL PENALTY ASSESSED.
Deadline recorded: Mar 4, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 4, 2026
Correction not verified in available records
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303(a)The facility shall be clean, safe sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Based on observation, the facility failed to comply with the section cited above in two out of two yards and one screen, which poses an immediate risk to persons in care. LPA observed overgrown grass and weeds in the front and back yards, as well as a sliding door screen with two 1 inch holes.
Official plan of correction
Licensee will submit a plan is to have both the front and backyards maintained and will provide proof of maintenance to CCLD by POC due date. A deficiency was previously cited on 7/10/2025 for failure to comply with CCR 87303(a) CIVIL PENALTY ASSESSED.
Deadline recorded: Mar 4, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 4, 2026
Correction not verified in available records
Inspection
Licensing and administrationType A
- Official classification
- Type A
- Official code
- 87213
- Regulation authority
- CCR
What the official deficiency says
7213 The licensee shall have a financial plan that [...] assures sufficient resources to meet operating costs for care of residents; shall maintain adequate financial records; and shall submit such financial reports as may be required .. licensing agency. This requirement is not evidenced by: Based on observation, interviews, and record review, staff did not receive paychecks in full, which poses an immediate health and safety risk to persons in care. Staff stated they were not paid in full on 2/19/2026.
Official plan of correction
Licensee will submit a financial plan to ensure that staff receive their pay in full. Administrator/Licensee will submit proof to CCLD via email or fax by POC date.
Deadline recorded: Feb 26, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 26, 2026
Correction not verified in available records
Inspection
Licensing and administrationType A
- Official classification
- Type A
- Official code
- 87213
- Regulation authority
- CCR
What the official deficiency says
7213 The licensee shall have a financial plan that [...] assures sufficient resources to meet operating costs for care of residents; shall maintain adequate financial records; and shall submit such financial reports as may be required .. licensing agency. This requirement is not evidenced by: Based on observation, interviews, and record review, staff did not receive paychecks timely, which poses an immediate health and safety risk to persons in care. Staff stated they were due pay on 2/13/2026 and did not receive a paycheck until 2/19/2026.
Official plan of correction
Licensee will submit a financial plan to ensure that staff receive their pay timely for next pay period and ongoing. Administrator/Licensee will submit proof to CCLD via email or fax by POC date. A deficiency was previously cited on 12/31/2025 for failure to comply with CCR 87213. CIVIL PENALTY ASSESSED.
Deadline recorded: Feb 20, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 20, 2026
Correction not verified in available records
Licensing and administrationType A
- Official classification
- Type A
- Official code
- 1569.605
- Regulation authority
- HSC
What the official deficiency says
On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests...This requirement is not met as evidenced by: Based on observation and interviews, the licensee did not comply with the section cited above, which poses an immediate health, safety, and personal rights risk to persons in care. Administrator stated the facility does not have current liability insurance.
Official plan of correction
Administrator/Licensee will submit proof of liability insurance for the facility to CCLD via email or fax by POC date.
Deadline recorded: Feb 20, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 20, 2026
Correction not verified in available records
Inspection
Food serviceType A
- Official classification
- Type A
- Official code
- 87555(b)(26)
- 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 (b) The following food service requirements shall apply:(26)Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above, which poses a potential health and safety risk to persons in care. LPA observed a limited supply of canned goods, cereal, and pasta in kitchen cabinets.
Official plan of correction
Licensee will check perishable food supplies and provide a receipt and picture of additional items delivered by POC due date by 2/6/2026
Deadline recorded: Feb 6, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 6, 2026
Correction not verified in available records
Complaint
Allegations3 substantiated · 0 unsubstantiated · 0 unfounded · 3 cited
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87464(f)(1)
- Regulation authority
- CCR
What the official deficiency says
87464 Basic Services (f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidenced by: Based on interviews and record review, the licensee did not ensure staff are providing care and supervision to prevent and address R1, R2, and R3’s care needs during night supervision, which poses a potential health and safety risk to persons in care.
Official plan of correction
The licensee will retain staff on night supervision requirements to address care needs of residents. Licensee will submit proof of training to CCLD by POC due date.
Deadline recorded: Jan 27, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 27, 2026
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 87213
- Regulation authority
- CCR
What the official deficiency says
87213 The licensee shall have a financial plan that conforms to the requirements of Section 87155, Application for License, and that assures sufficient resources to meet operating costs for care of residents... This requirement is not met as evidenced by: Based on observations, interviews, and record review, the paychecks due to staff were paid late and some not issued at all as today's visit. This poses a potential personal rights risk to persons in care.
Official plan of correction
Licensee states they will pay staff in a timely manner and ensure checks are paid in full. They will send a Statement of Understanding of the CCR 87213 and state they understand, read, and provide a signature and send proof via email to eboni.bentley@dss.ca.gov by 1/7/2026.
Deadline recorded: Jan 7, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 7, 2026
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303(a)The facility shall be clean, safe sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Based on observation and record review, the facility failed to comply with the section cited above by failing to trim two overgrown trees in the backyard, which poses a potential risk to persons in care.
Official plan of correction
The administer stated the plan is to have all over grown trees trimmed and will provide proof to CCLD by POC due date.
Deadline recorded: Oct 30, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 30, 2025
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Licensing and administrationType A
- Official classification
- Type A
- Official code
- 87213
- Regulation authority
- CCR
What the official deficiency says
The licensee shall have a financial plan that conforms to the requirements of Section 87155, Application for License, and that assures sufficient resources to meet operating costs for care of residents. This requirement is not met as evidenced by: Based on LPA's observation, records obtained and interviews conducted, facility was unable to cover operating costs due to deliquency in rental property payments and staff salary as a result of legal and financial troubles. This poses an immediate risk to the health and safety of residents in care.
Official plan of correction
Facility has already made arrangements for backpay through legal settlement. Facility stated they will submit a written detailed plan of action to LPA via email by POC due date, that ensures solutions and transparency to meet resources and operating costs for care of the residents.
Deadline recorded: Oct 17, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 17, 2025
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 87213
- Regulation authority
- CCR
What the official deficiency says
87213 The licensee shall have a financial plan that conforms to the requirements of Section 87155, Application for License, and that assures sufficient resources to meet operating costs for care of residents... This requirement is not met as evidenced by: Based on observations, record review, and interviews, the paychecks issued to staff were returned due to insufficient funds. This poses a potential personal rights risk to persons in care.
Official plan of correction
Licensee states they will pay staff in a timely manner and ensure checks do not get returned. They will send a Statement of Understanding of the CCR 87213 and state they understand, read, and provide a signature and send proof via email to edward.kim@dss.ca.gov by 10/14/2025
Deadline recorded: Oct 14, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 14, 2025
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Background checksType A
- Official classification
- Type A
- Official code
- 87355(e)(3)
- Regulation authority
- CCR
What the official deficiency says
87355 (e)(3) All individuals subject to a criminal record review... shall prior to working, residing or volunteering in a licensed facility: (3)Request a transfer of a criminal record clearance... This requirement is not met as evidenced by: Based on observation, interview, and record review, the licensee did not comply with the section cited above. LPA reviewed S1’s record that they are not associated with the facility. This poses an immediate health, safety, and personal rights risk to persons in care.
Official plan of correction
Licensee processed the asssociation of S1 during the visit. This has been corrected.
Deadline recorded: Jul 22, 2025. A deadline is not proof that correction was completed.
Corrective action observedRecorded in report dated Jul 21, 2025
Correction deadline recordedDeadline Jul 22, 2025
Inspection
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance ...for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above. LPA observed that the ceiling fan was not operating in room #1, leaky faucet in bathroom, and the swinging bench has a hole in the seated area. This poses a potential health or safety risk to persons in care.
Official plan of correction
Licensee states they will fix the ceiling fan in Room #1, leaky faucet in the bathroom, and swinging bench, and provide evidence of fix items to CCLD via email to edward.kim@dss.ca.gov by POC due date July 24, 2025.
Deadline recorded: Jul 24, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 24, 2025
Correction not verified in available records
Inspection
No deficiencies recorded in this report
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
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