LA HABRA PLAZA

Official classification

Type A

Official code

87303(e)(4)

Regulation authority

CCR

What the official deficiency says

Maintenance and Operation (e) Water supplies and plumbing fixtures shall be maintained as follows: (4) Grab bars shall be maintained for each toilet; bathtub and shower used by residents. This requirement is not met as evidenced by: Based on LPA's observations and interviews, grab bars in one of two bathrooms is secured next to the toilet with duct tape. This poses an immediate health and safety risk for all residents in care.

Official plan of correction

AD stated this will be repaired today. LPA requested AD email photos of repaired grab bars.

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

Official classification

Type A

Official code

87202(a)

Regulation authority

CCR

What the official deficiency says

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the front door has an internal chain lock at the very top of the door out of reach of all residents, effectively locking residents inside, and LPA observed the chain lock was used during the inspection, which poses an immediate safety risk to persons in care. CIVIL PENALTY ASSESSED.

Official plan of correction

POC Due Date: 05/30/2026 Plan of Correction During the inspection, the licensee removed the chain lock and LPA confirmed. Licensee stated they will conduct training on not locking residents inside the facility and submit proof to LPA by POC due date.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

(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: Deficient Practice Statement Based on observation, the facility was not clean, with stains on the walls, sticky floors, debris on the floor, black staining on kitchen drawers and cabinets, especially in the kitchen, which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 06/26/2026 Plan of Correction Licensee stated they will create a plan to clean the facility and submit before and after photographs of the cleaning to LPA by POC due date.

Official classification

Type B

Official code

1569.69(a)(2)

Regulation authority

HSC

What the official deficiency says

(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (2) In facilities licensed to provide care for 15 or fewer persons, the employee shall complete 10 hours of initial training. This training shall consist of 6 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 4 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first two weeks of employment. This requirement is not met as evidenced by: Deficient Practice Statement Based on records and admission, S2 does not have 8 hours of continuing medication training and S3 does not have 10 hours of initial medication training, and both administer medications, which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 06/26/2026 Plan of Correction Licensee stated they will complete the required medication training for these staff and submit proof to LPA by POC due date.

Official classification

Type B

Official code

87458(c)(7)

Regulation authority

CCR

What the official deficiency says

(c) The medical assessment shall include, but not be limited to: (7) A description of any known behavioral expression as defined in Section 87101, Definitions. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the physician's reports for R1 and R2 are on the old form and do not contain required information, including behavioral expressions, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 06/26/2026 Plan of Correction Licensee stated they will obtain new physician's reports for these residents on the new form and submit proof to LPA by POC due date.

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 documents, R1 does not have an appraisal and R2's appraisal is more than a year old, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 06/26/2026 Plan of Correction Licensee stated they will appraise or reappraise these residents, submit proof to LPA by POC due date, and ensure all residents are reappraised yearly.

Official classification

Type A

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, the licensee did not ensure approximately a dozen supplements were inaccessible to residents in the non-lockable staff bedroom and sharp tools were inaccessible in the non-lockable laundry room, which poses an immediate safety risk to persons in care.

Official plan of correction

POC Due Date: 05/13/2025 Plan of Correction During the inspection, the licensee secured these items and LPA confirmed. Licensee stated they will conduct staff training on securing dangerous items and submit proof to LPA by POC due date.

Official classification

Type B

Official code

87470(c)

Regulation authority

CCR

What the official deficiency says

(c) An Infection Control Plan shall be developed by the licensee and shall be included in the Plan of Operation required by Section 87208. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the facility does not have an infection control plan, which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 06/09/2025 Plan of Correction Licensee stated they will review Provider Information Notice (PIN) 22-18-ASC, as well as related PINs, and submit the Infection Control Plan to LPA by POC due date and ensure a copy is always available at the facility.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

(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: Deficient Practice Statement Based on observation, the facility's fire extinguishers have not been inspected in approximately two years, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 06/09/2025 Plan of Correction Licensee stated they will have the fire extinguishers inspected or replaced and will submit proof to LPA by POC due date.

Official classification

Type B

Official code

87303(e)(5)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (5) Slip-resistant mats, strips, or flooring shall be used in all bathtub and shower floors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not ensure two out of two showers had non-slip mats, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 06/09/2025 Plan of Correction Licensee stated they will install non-slip mats and submit proof to LPA by POC due date.

Official classification

Type B

Official code

87412(a)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: This requirement is not met as evidenced by: Deficient Practice Statement Based on documents and admission, the licensee did not ensure 2 out of 3 staff had staff files, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 06/09/2025 Plan of Correction Licensee stated they will review PIN 23-16-ASC regarding training requirements, will create completed staff files for all staff, and submit proof to LPA by POC due date.

Official classification

Type B

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 Guardian records, staff Jan Massie is background cleared but is not associated to this facility, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 06/09/2025 Plan of Correction Licensee stated they will associate this staff and submit proof to LPA by POC due date.

Official classification

Type B

Official code

1569.69(a)(2)

Regulation authority

HSC

What the official deficiency says

(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (2) In facilities licensed to provide care for 15 or fewer persons, the employee shall complete 10 hours of initial training. This training shall consist of 6 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 4 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first two weeks of employment. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the licensee did not ensure 3 out of 3 staff had documented medication training, which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 06/09/2025 Plan of Correction Licensee stated they will have staff trained on medication and submit proof to LPA by POC due date.

Official classification

Type B

Official code

87506(a)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff 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 by not having a complete resident record for four (4) out of six (6) residents in care, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/02/2024 Plan of Correction Licensee stated they will complete resident records and submit Proof of Correction (POC) to LPA by close of business on POC due date.

Official classification

Type B

Official code

87156(a)

Regulation authority

CCR

What the official deficiency says

(a) An applicant or licensee shall be charged fees as specified in Health and Safety Code section 1569.185. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above by not ensuring their licensing fees are paid. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/24/2024 Plan of Correction Licensee reported they will pay their annual fees online by close of business on 7/24/2024 and submit a copy of the payment receipt as proof of correction to LPA.

Official classification

Type A

Official code

87555(a)

Regulation authority

HSC

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.

Official plan of correction

Facility needs to have and maintain a 2-day supply of perishable foods and a 7 day of non-perishable foods at all times.

Deadline recorded: May 20, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(f)(1)

Regulation authority

CCR

What the official deficiency says

(f) Emergency care requirements shall include the following: (1) The name, address, and telephone number of each resident's physician and dentist shall be readily available to that resident, the licensee, and facility staff. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 4 out of 4 resident files which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 05/27/2022 Plan of Correction Facility needs to update forms and email LPA Claudia Gutierrez copies of the forms completed by 05/27/2022.

Official classification

Type B

Official code

87465(f)(2)

Regulation authority

CCR

What the official deficiency says

(f) Emergency care requirements shall include the following: (2) The name, address and telephone number of each emergency agency to be called in the event of an emergency, including but not limited to the fire department, crisis center or paramedical unit or medical resource, shall be posted in a location visible to both staff and residents. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 4 out of 4 resident files which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 05/27/2022 Plan of Correction Facility needs to update forms and email LPA Claudia Gutierrez copies of the forms completed by 05/27/2022.