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 observations licensee did not comply with the regulation cited above as the water temperature measured between 81.5 and 103.6, which poses an immediate health and safety risks to persons in care.
Official plan of correction
POC Due Date: 09/26/2025 Plan of Correction Facility agreed to adjust water temperature and provide proof to LPA by POC due date. Faciltiy agreed to weekly temperature logs.
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 1569.625(b)(2)
- Regulation authority
- HSC
What the official deficiency says
(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on records reviewed the facility did not comply with the cited above in staff files reviewed as there was no training for dementia, postural supports, restricted health conditions or hospice care. This poses an immediate health and safety risks to persons in care.
Official plan of correction
POC Due Date: 09/25/2025 Plan of Correction Facility agreed to conduct in service trainings of 4 hours of dementia, and 4 hours between the following categories: postural supports, restricted health conditions and hospice care and provide proof to LPA by POC due date.
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468(c)(1)
- Regulation authority
- CCR
What the official deficiency says
(c) Licensees shall prominently post personal rights, nondiscrimination notice, and complaint information in areas accessible to residents, representatives, and the public. (1) The personal rights of residents specified in Sections 87468.1, Personal Rights of Residents in All Facilities and 87468.2, Additional Personal Rights of Residents in Privately Operated Facilities shall be posted as applicable to the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation personal rights were not posted in the facility. This poses a potential personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/01/2025 Plan of Correction Facility agreed to post a copy of personal rights from 1569.269 in the entrance of the facility and provide proof to LPA by POC due date.
Administrator qualificationsType A
- Official classification
- Type A
- Official code
- 87405(a)
- Regulation authority
- CCR
What the official deficiency says
(a) All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be one and the same person. The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility as specified in this section. When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications adequate to be responsible and accountable for management and administration of the facility as specified in this section.... This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the cited above as the Administrator is listed as Liberty Ventura, who no longer has an active administrator certification. Licensee Peter Ventura is a certified Adult Residential Facility Administrator and does not have an active RCFE administrator certification. This poses an immediate health and safety risk to person in care.
Official plan of correction
POC Due Date: 09/26/2025 Plan of Correction Facility agreed to provide updated administrator with current RCFE administrator certification.