Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(e)(2)
- Regulation authority
- CCR
What the official deficiency says
(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 two out of two bathroom faucets, which poses an immediate healthy and safety risk to persons in care. LPA observed water temperatures between 131.2 and 139.1 degrees F in bathrooms used by residents in care.
Official plan of correction
POC Due Date: 01/13/2026 Plan of Correction Licensee stated they will test water temparures in two bathrooms over the next 24 hours and submit water temperature logs to CCLD by POC due date via eboni.bentley@dss.ca.gov
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87606(c)
- Regulation authority
- CCR
What the official deficiency says
(c) To accept or retain a person who is bedridden, other than for a temporary illness or recovery from surgery, a licensee shall obtain and maintain an appropriate fire clearance as specified in Section 87202, Fire Clearance. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and records review, the licensee did not comply with the section above in one out of five bedrooms used by residents in care. LPA observed a medical assessment indicating Resident #1 (R1) has an ambulatory status of Bedridden and living in Bedroom #1, which is a non-ambulatory room. The facility does not have a Fire Clearance for Bedridden bedrooms and is not licensed to care for Bedridden residents.
Official plan of correction
POC Due Date: 01/13/2026 Plan of Correction Licensee stated plan to submit LIC 200 application and 850 form immediately requesting new fire clearance for Bedridden room at current facility by POC due date. Licensee stated they plan to transfer Bedridden resident to another licensed facility within 24 hours where a Bedridden room is available and submit proof to CCLD by 5pm on POC due date via eboni.bentley@dss.ca.gov
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303
- Regulation authority
- CCR
What the official deficiency says
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: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in four out of four stove burners, which poses a potential healthy and safety risk to persons in care. LPA observed four non-operational range burners on the stove, used for preparing meals for residents in care.
Official plan of correction
POC Due Date: 01/20/2026 Plan of Correction Licensee stated they will repair all four burners on the stove top or purchase new operational stove and provide proof to CCLD by POC due date via eboni.bentley@dss.ca.gov
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(a)(2)
- Regulation authority
- HSC
What the official deficiency says
(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: (2) Plans for the facility to be self-reliant for a period of not less than 72 hours immediately following any emergency or disaster, including, but not limited to, a short-term or long-term power failure. If the facility plans to shelter in place and one or more utilities, including water, sewer, gas, or electricity, is not available, the facility shall have a plan and supplies available to provide alternative resources during an outage This requirement is not met as evidenced by: Deficient Practice Statement Based on observations and interview, the licensee did not comply with the section cited about, which poses a potential risk to residents in care. LPA did not observe any emergency water and food supply. Licensee stated they will buy additional cases of water and canned goods for emergency use only.
Official plan of correction
POC Due Date: 01/20/2026 Plan of Correction Licensee stated purchase sufficient amount of emergency water and food supply for residents and staff and submit proof to CCLD by POC due date via eboni.bentley@dss.ca.gov