SAINT BENEDICT CARE LLC

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 observation, the licensee did not comply with the section cited above in two out of two bathrooms, which poses an immediate risk to residents in care. LPA observed Bathroom #1 and Bathroom #2, measured between 126.6 and 129.6 degrees F.

Official plan of correction

POC Due Date: 03/21/2026 Plan of Correction Administrator made adjustments to hot water during visit and temperature measured at 106.5 degrees F, when tested a third time. Administrator stated they will keep temperature logs for resident bathrooms, every two hours for the next 24 hours, and submit records to CCLD via email by 5pm on POC due date.

Official classification

Type A

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

Basic Services 87464(f)(1) Basic services shall at a minimum include: Care and supervision defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidence by: The Department reviewed medical records for R1 that states that R1 had a stage 4 pressure injury upon admission to the hospital that facility staff was caring for. This poses an immediate health, safety and personal rights risk to residents in care.

Official plan of correction

Licensee stated they will conduct an In service on how to identify a stage 1 and 2 pressure injury, when to send resident out for higher level of care due to pressure injury and how to care for a stage 1 and 2 pressure injury with staff and send proof to LPA by POC due date.

Deadline recorded: Mar 19, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87615(a)(1)

Regulation authority

CCR

What the official deficiency says

Prohibited Health Conditions 87615(a)(1) (a) Persons who require health services for or have a health condition including, but not limited to... shall not be admitted or retained... (1) Stage 3 and 4 pressure injuries. This requirement was not met as evidence by: The Department reviewed R1s medical records stating that R1 had a Stage 4 pressure injury upon admission. 2 of 2 staff informed LPA that staff were treating the wound only. This poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee stated they will conduct an in service with staff on the cited regulation and how to identify a stage 3 and 4 pressure injury and when to send the resident out for a higher level of care and send to LPA by POC due date.

Deadline recorded: Mar 19, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.311

Regulation authority

HSC

What the official deficiency says

Every residential care facility for the elderly shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above. LPA observed staff bedroom was missing a smoke detector. This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/26/2025 Plan of Correction Licensee states they will install a new smoke detector in the staff bedroom and send a photo and video as proof of completion of an operable smoke detector to CCLD via email to edward.kim@dss.ca.gov by POC due date September 26, 2025.

Official classification

Type A

Official code

87307(a)(2)(B)

Regulation authority

CCR

What the official deficiency says

(2) Resident bedrooms shall be provided which meet, at a minimum, the following requirements: (B) No room commonly used for other purposes shall be used as a sleeping room for any resident. This includes any hall, stairway, unfinished attic, garage, storage area, shed or similar detached building. 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. LPA observed a bed in the garage, and the staff corroborated another staff member was sleeping in the garage. This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/26/2025 Plan of Correction Deficiency cleared during the visit. Licensee removed curtains, personal belongings, and stored the bed. Licensee understands the garage cannot be used as a sleeping room.

Official classification

Type B

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 and interview, the licensee did not comply with the section cited above. LPA observed Cascade bottle and Palmolive bottle stored under a sink with a lock that was not working. Caregiver stated it has not been working for a few months. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/02/2025 Plan of Correction Deficiency cleared during the visit. Licensee removed all cleaning supplies under sink to another locked cabinet in the kitchen. Staff and Licensee will only place cleaning solutions, disinfectants, and/or poisonous substances in locked storage areas.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(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 observation, interview, and record review, the licensee did not comply with the section cited above, LPA observed R1's Reappraisal dated 3/18/2022, R2's Reappraisal dated 1/5/2023, R3's Reappraisal dated 5/20/2022, and R4's Reappraisal dated 5/28/2022. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/09/2025 Plan of Correction Licensee states they will update R1, R2, R3, and R4 Reappraisal records and send proof to CCLD via email to edward.kim@dss.ca.gov by POC due date 10/9/2025.

Official classification

Type B

Official code

Not listed

Regulation authority

Not listed

What the official deficiency says

87705(f)(1)(2): Care of Persons with Dementia(f)The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s).(2)Over-the-counter medication... CONTINUED... This requirment is not met as evidenced by:PA Quiroz observed the following in refrigerator area unlocked and unsecured: Ozempic injection, Basaglar injection and Novolog flex pen injection, Simbrinza eye drops and latanprost eye drops readily available for residents in care. CONT...

Official plan of correction

On or about 10:36am, while inspecting garage area, LPA Quiroz observed opened door leading to garage area and observed pair of scissors and lighter readily unlocked and unsecured readily available to residents in care. This poses a potential risk to residents in care.

Deadline recorded: Apr 26, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87618(b)(3)(C)

Regulation authority

CCR

What the official deficiency says

87618(b)(3)(C) Oxygen Administration - Gas and Liquid:(b)In addition to...(3)Ensuring that the use of oxygen equipment meets the...:(C)Smoking shall be prohibited where oxygen is in use. This requirement is not met as evidenced by CONT This requirement is not met as evidenced by: On today's date, on or about 3:40pm as LPA Quiroz was walking towards entrance of facility, LPA Quiroz detected cigarette smell coming from the garage area. LPA Quiroz observed garage door opened, and observed (CG1) inside the garage area.

Official plan of correction

L/AD Almiranez will read and understand CCR 87618 and conduct inservice training with all staff and provide proof of understanding and inservice to CCLD by 10/02/2023. (CG1) verified cigarette smell/smoke in garage area verifying smoking in garage area. During today's record review, LPA Quiroz verified Resident 1 (R1) who is in close proximity to garage area has oxygen in use. This poses a potential risk to residents in care.

Deadline recorded: Oct 2, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87217(d)(3)

Regulation authority

CCR

What the official deficiency says

(CCR)-87217(d)(3):Safeguards for Resident Cash, Personal Property, and Valuables (d) Except as provided in approved continuing care agreements, no licensee or employee of a facility shall:(3)become substitute payee for any payments made to any persons. This requirement is not met as evidenced by: CONT On 1/31/2022 L/AD Uldarico Almiranez had Resident 1(R1) sign a hand written letter to change social security benefits from (R1) to facility representative. This was verified with (L/AD)Almiranez indicating " To make sure I got paid for his share of cost because if R1 got it he wouldn't pay his share CONT...

Official plan of correction

R1 is no longer residing at Saint Benedict Care LLC. Saint Benedict Care LLC is no longer the payee for R1. R1 is his own payee. L/AD Almiranez will read and understand CCR 87217 and provide proof of understanding to CCLD by 3/6/2023. of cost to me. " This poses a potential risk to residents in care.

Deadline recorded: Mar 6, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

87705(f)(2):(f)The following shall be stored inaccessible to residents with dementia:(2) Over-the-counter medication, nutritional supplements or vitamins, alcohol,...cleaning supplies and disinfectants.This requirement was not met as evidenced by: At 2:09pm, LPA Quiroz...CONTINUED BELOW... observed R4's 2 bottles of medications on top of table in living room area while R5 was laying on recliner in livingroom area. This poses a potential risk for residents in care.

Official plan of correction

Licensee to ensure all staff working at the facility have received required Medication Training by POC due date and submit proof to CCL by 11/11/2021.

Deadline recorded: Nov 11, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(3)

Regulation authority

CCR

What the official deficiency says

87468.1Personal Rights of Residents in All Facilities(3)To be free from punishment, humiliation, intimidation, abuse... interfering with daily living functions such as eating, sleeping, or elimination.This requirement was not met as evidenced by, at 3:26pm LPA Quiroz observed locked refrigerator with lock. Caregiver Guevara indicated " We lock it because Resident 1 (R1) gets up at night and eats everything inside the refrigerator. He forgets he eats, so we lock it. " This poses a potential risk for residents in care.

Official plan of correction

Licensee to ensure all staff working at the facility have received required Personal Rights Training by POC due date and submit proof to CCL by 10/22/2021. Lock was removed by Administrator Almiranez during today's visit.

Deadline recorded: Oct 20, 2021. A deadline is not proof that correction was completed.