Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(e)(2)
- Regulation authority
- CCR
What the official deficiency says
(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 and interview, the licensee did not comply with the section cited above two out of four resident bathrooms. LPA observed the one out of four resident bathroom measured at 124.1 degrees F. This poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/07/2026 Plan of Correction Licensee stated they will send a video that the resident bathroom's water temperature is in range and send a hot water temperature log for every hour from August 6, 2026, 5:00 PM to August 7, 2026, 5:00 PM to CCLD via email to edward.kim@dss.ca.gov by POC due date August 7, 2026.
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87307(a)(2)(B)
- Regulation authority
- CCR
What the official deficiency says
(a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply: (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 interviews, the licensee did not comply with the section cited above. LPA interviewed S1 who stated they used a pull out bed to sleep in the living room one time. This poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/07/2026 Plan of Correction Licensee stated they will send photo proof that they got rid of the pullout bed and send proof the facility training plan for all staff on regulation 87307(a)(2)(B) to CCLD via email to edward.kim@dss.ca.gov by POC due date August 7, 2026.
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87456(a)(3)
- Regulation authority
- CCR
What the official deficiency says
(a) Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall, as specified in this article 8: (3) Obtain and evaluate a recent medical assessment. 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 did not have a Medical Assessment in their file at the time of the visit. This poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/21/2026 Plan of Correction Licensee stated they will send a copy of R1's medical assessment to CCLD via email to edward.kim@dss.ca.gov by POC due date August 21, 2026.
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. 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 did not observe any completed emergency/fire drill log during the time of the visit. This poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/21/2026 Plan of Correction Licensee stated they will conduct a drill for this quarter and send a plan of when they will conduct emergency drills from this third quarter 2026 to the fourth quarter of 2027 to CCLD via email to edward.kim@dss.ca.gov by POC date August 21, 2026.