HILLS OF SIERRA MAJORCA, THE

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance and Operation: (e) Water supplies ..shall be maintained as follows: (2) Faucets .. shall deliver hot water. Hot water .. shall be maintained .. not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). This requirement was not evidenced by: Based on observation, the Licensee did not ensure the facility had water as the facility was experiencing a water shutoff upon LPA's arrival to the facility. The facility remained without water for approximately two hours. This poses and immediate health, safety, and personal rights risk to persons in care.

Official plan of correction

The Licensee was able to restore the facility's water after approximately two hours by paying the past due balance. POC cleared at time of visit.

Deadline recorded: Aug 13, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87213

Regulation authority

CCR

What the official deficiency says

87213 Finances: The licensee shall have a financial plan.. shall maintain adequate financial records; and shall submit such financial reports as may be required upon the written request of the licensing agency... This requirement was not evidenced by: Based on observations & records reviewed, the Licensee does not have a sufficient financial plan as the facility has an overdue balance of $22,500 in past due rent and of $1,337.33 in their water bill. This poses an immediate health, safety, and personal rights risk to persons in care.

Official plan of correction

The Licensee stated that they will provide LPA a written financial plan on how they will address the facility's outstanding rent balance and ensure utilities are operational. The Licensee agreed to provide LPA the written plan via email or fax by POC date.

Deadline recorded: Aug 13, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.38(e)

Regulation authority

HSC

What the official deficiency says

§1569.38 Posting of licensing reports; disclosure to new residents: (e) Upon providing the notice described in subdivision (b), the licensed residential care facility shall also post a written notice.. in the facility.. This requirement is not evidenced by: Based on observation, the Licensee did not ensure that a notice regarding the proceedings from Community Care Licensing was posted at the facility during today's visit. This poses an immediate health and safety risk to persons in care.

Official plan of correction

The Licensee stated that they will print and post a copy of the notice of the proceeding in the facility. The Licensee agreed to provide LPA proof of posting of the notice via email or fax by POC due date. LPA will also conduct a follow up visit to confirm the notice has been posted.

Deadline recorded: Aug 13, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.38(b)(1)

Regulation authority

HSC

What the official deficiency says

§1569.38 (e) 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 where the mail boxes are located, where the facility license.. (cont.) is posted, or any other easily accessible location in the facility. Based on observation, the Licensee did not ensure a notice regarding the proceedings was posted at the facility.

Official plan of correction

Licensee was informed by LPA that a copy of the Accusation was provided to the facility and staff has to be posted in a prominent location by the front door. Licensee stated they will post it no later than 07/08/2026 and send proof of correction to CCLD by POC due date.

Deadline recorded: Jul 8, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87213

Regulation authority

CCR

What the official deficiency says

87213 Finances: The licensee shall have a financial plan that conforms to the requirements of Section 87155, .. and that assures sufficient resources to meet operating costs for care of residents.. This requirement is not evidenced by: Based on interviews conducted, the Licensee did not have an adequate financial plan in place to ensure staff are paid on time and in full. This poses a potential health and safety risk to persons in care.

Official plan of correction

The Administrator/Licensee to submit a financial plan to ensure that staff receive their pay on time. The financial plan shall be submitted via email or fax by POC date.

Deadline recorded: Mar 27, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87156(a)

Regulation authority

CCR

What the official deficiency says

87156 Licensing Fees: (a) An applicant or licensee shall be charged fees as specified in Health and Safety Code section 1569.185. This requirement was not evidenced by: Based on observation and records reviewed, the Licensee did not pay the facility's annual fees for 2026. This poses a potential health, safety, and personal rights risk to persons in care.

Official plan of correction

The Licensee stated that he will pay the facility's annual fees. The Licensee agreed to provide LPA proof of payment via email or fax by POC date.

Deadline recorded: Mar 31, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87213

Regulation authority

CCR

What the official deficiency says

87213 Finances: The licensee shall have a financial plan that conforms to the requirements of Section 87155, .. and that assures sufficient resources to meet operating costs for care of residents.. This requirement is not evidenced by: Based on interviews conducted, the Licensee did not have an adequate financial plan in place to ensure staff are paid on time. This poses a potential health and safety risk to persons in care.

Official plan of correction

The Administrator/Licensee to submit a financial plan to ensure that staff receive their pay on time. The financial plan shall be submitted via email or fax by POC date.

Deadline recorded: Mar 21, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87156(a)

Regulation authority

CCR

What the official deficiency says

87156 Licensing Fees: (a) An applicant or licensee shall be charged fees as specified in Health and Safety Code section 1569.185. This requirement was not evidenced by: Based on observation and records reviewed, the Licensee did not pay the facility's annual fees for 2026. This poses a potential health, safety, and personal rights risk to persons in care.

Official plan of correction

The Licensee stated that he will pay the facility's annual fees. The Licensee agreed to provide LPA proof of payment via email or fax by POC date.

Deadline recorded: Mar 31, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87213

Regulation authority

CCR

What the official deficiency says

87213 Finances: The licensee shall have a financial plan.. shall maintain adequate financial records; and shall submit such financial reports as may be required upon the written request of the licensing agency... This requirement was not evidenced by: Based on observation and records reviewed, the Licensee did not provide all the requested documents to Community Care Licensing as agreed upon. Additionally, the Licensee did not ensure staff have been paid on schedule. This poses an immedate health, safety, and personal rights risk to persons in care.

Official plan of correction

The Licensee stated that they will provide a written plan to LPA on when they will submit the requested documents on how they will address the owed wages of staff. The Licensee agreed to provide LPA the written plan via email or fax by POC date.

Deadline recorded: Feb 25, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87156(a)

Regulation authority

CCR

What the official deficiency says

87156 Licensing Fees: (a) An applicant or licensee shall be charged fees as specified in Health and Safety Code section 1569.185. This requirement was not evidenced by: Based on observation and records reviewed, the Licensee did not pay the facility's annual fees for 2025 depsite previous reminders. This poses a potential health, safety, and personal rights risk to persons in care.

Official plan of correction

The Licensee stated that he will pay the facility's annual fees. The Licensee agreed to provide LPA proof of payment via email or fax by POC date.

Deadline recorded: Mar 3, 2026. A deadline is not proof that correction was completed.

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 in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. LPA observed the Licensee currently does not have RCFE liability insurance for the facility.

Official plan of correction

POC Due Date: 02/14/2026 Plan of Correction The Administrator stated that he will contact the Licensee to ensure liability insurance is obtained for the facility. The Adminstrator agreed to provide LPA proof of liability insurance for the facility via email or fax by POC date.

Official classification

Type B

Official code

87411(f)

Regulation authority

CCR

What the official deficiency says

(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health.Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. LPA observed that Staff #4 (S4) did not have a Health Screening or proof of a TB test on file. LPA observed that Staff #2 (S2) and Staff #3 (S3) also did not have proof of a TB test on file.

Official plan of correction

POC Due Date: 02/27/2026 Plan of Correction The Adminstrator stated that he will obtain the required documents for the three staff. The Administrator agreed to provide LPA the documents once they are obtained via emai or fax by POC date.

Official classification

Type B

Official code

87458(c)(1)(A)

Regulation authority

CCR

What the official deficiency says

(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following: (A) Communicable tuberculosis. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. LPA observed the facility did not have proof of a TB test on file for Resident #2 (R2).

Official plan of correction

POC Due Date: 02/27/2026 Plan of Correction The Adminstrator stated that he would obtain proof of TB test for R2. The Adminstrator agreed to provide LPA the proof of TB test for R2 via email or fax by POC date.

Official classification

Type A

Official code

87405(a)

Regulation authority

CCR

What the official deficiency says

87405 Administrator - Qualifications and Duties: (a) All facilities shall have a qualified... and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility... This requirement was not evidenced by: Based on interviews conducted, the Licensee did not ensure the Administrator is at the facility a sufficient number of hours as they are currently overseeing three other homes. This poses an immediate health and safety risk to persons in care.

Official plan of correction

The Administrator stated that he will create a plan to ensure the facility has adequate supervisor. The Administrator stated that he will provide LPA the plan via email or fax by POC date.

Deadline recorded: Jan 9, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87213

Regulation authority

CCR

What the official deficiency says

87213 Finances: The licensee shall have a financial plan that conforms to the requirements of Section 87155, .. and that assures sufficient resources to meet operating costs for care of residents.. This requirement is not evidenced by: Based on interviews conducted, the Licensee did not have an adequate financial plan in place to ensure staff are paid on schedule. This poses a potential health and safety risk to persons in care.

Official plan of correction

The Administrator stated that they will create a financial plan to ensure that staff receive their pay for previous pay period, and for pay periods moving forward. The Administrator agreed to provide LPA the finacial plan via email or fax by POC date.

Deadline recorded: Jan 16, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87458(a)

Regulation authority

CCR

What the official deficiency says

87458 Medical Assessment: (a) Prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment, signed by a licensed medical professional ...to be kept in the resident's record. This requirement was not evidenced by: Based on a review of resident records, the Licensee did not ensure that there was a Medical Assessment on file for Resident #3 prior to their admission to the facility. This poses a potential health, safety, and personal rights risk to persons in care.

Official plan of correction

The Administrator stated that they will obtain a Medical Assessment for Resident #3 (R3). The Administrator agreed to provide the Medical Assessment for R3 to LPA via email or fax by POC date.

Deadline recorded: Jan 30, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87507(a)

Regulation authority

CCR

What the official deficiency says

87507 Admission Agreements: (a) The licensee shall complete an individual written admission agreement, as defined in Section 87101(a), with each resident or the resident's representative, if any. This requirement was not evidenced by: Based on a review of resident records, the Licensee did not ensure there were valid Admission Agreement on file for Resident #4 and Resident #5. This poses a potential health, safety, and personal rights risk to persons in care.

Official plan of correction

The Administrator stated that they will complete valid Admission Agreemeents for Resident #4 (R4) and Resident #5 (R5). The Administrator agreed to provide the Admission Agrements for R4 and R5 to LPA via email or fax by POC date.

Deadline recorded: Jan 30, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.652(c)

Regulation authority

HSC

What the official deficiency says

(c) A refund of any fees paid in advance covering the time after the resident’s personal property has been removed from the facility shall be issued to the individual...responsible for the fees... within 15 days after the personal property is removed. This requirement was not met as R1's authorized representatives did not receive a refund. This poses a potential personal rights risk to persons in care.

Official plan of correction

Licensee stated will issue check via certified mail and provide proof to LPA by POC due date.

Deadline recorded: Dec 10, 2025. A deadline is not proof that correction was completed.

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 Licensee interview, the Licensee did not comply with the section cited above as Licensee does not have sufficient resources to meet opeating costs for care of the residents, which poses an immediate health, safety, and personal rights risk to persons in care.

Official plan of correction

Licensee stated will issue 60 day eviction notices to residents and will provide copies to LPA Mendivil by POC due date. an immediate civil penalty is assessed due to repeat violation.

Deadline recorded: Oct 15, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.605

Regulation authority

HSC

What the official deficiency says

all residential care facilities for the elderly … shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee. This requirement was not met as evidence by Licensee stated they do not have liability insurance. This poses an immediate health and safety risk to person in care.

Official plan of correction

Licensee stated will obtain liability insurance and provide proof to LPA by POC due date.

Deadline recorded: Oct 15, 2025. A deadline is not proof that correction was completed.

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 Licensee interview, the Licensee did not comply with the section cited above as Licensee does not have sufficient resources to meet opeating costs for care of the residents, which poses an immediate health, safety, and personal rights risk to persons in care.

Official plan of correction

Licensee stated they will submit a written plan of action to LPA via email by POC date, that ensures Licensee will have sufficient resources to meet the operating costs for care of the residents.

Deadline recorded: May 15, 2025. A deadline is not proof that correction was completed.