VIA LA CORUNA MANOR

Official classification

Type A

Official code

87307(a)

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: This requirement is not met as evidenced by: Based on observation and interview, staff are residing in the garage which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

AD agreed for staff to remove their belongings from these areas. AD also agreed to provide a written plan to LPA stating what the living arrangements are going to be for these staff. AD agreed to provide the statement to LPA via email by POC date.

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

Official classification

Type A

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: Based on observation and interview, Resident #1's file is in another facility location, which poses an immediate health, safety, or personal rights risk to persons in care.

Official plan of correction

AD agreed for obtain resident's file and ensure it is kept at the facility and available at all times. AD will submit proof to LPA by the POC due date.

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

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) This requirement is not met as evidenced by: Based on observation and record review, Staff #3 (DOH: 07/01/26) is cleared, but not associated with the facility at the time of the visit, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee will ensure all staff are cleared and associated with the facility according to CCR (87355)(e)(3). Administrator will provide proof of an updated roster to CCLD by the Plan of Correction (POC) due date.

Deadline recorded: Jul 16, 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 posted in a prominent location by the front door.

Deadline recorded: Jun 24, 2026. A deadline is not proof that correction was completed.

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) This requirement is not met as evidenced by: Based on observation and record review, Staff #2 (DOH: 06/18/26) are cleared, but not associated with the facility, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator will ensure all staff are cleared and associated with the facility according to CCR (87355)(e)(3). Administrator will provide proof of an updated roster to CCLD by the Plan of Correction (POC) due date.

Deadline recorded: Jun 24, 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: Apr 2, 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 an immediate 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 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 27, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87314

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 11, 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 finacial plan shall be submitted via email or fax by POC date.

Deadline recorded: Mar 6, 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 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 for previous pay that is due, and for pay periods moving forward. The finacial plan shall be submitted via email or fax by POC date.

Deadline recorded: Feb 27, 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 schedule. 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 for previous pay that is due, and for pay periods moving forward. the finacial plan shall be submitted via email or fax by POC date.

Deadline recorded: Feb 20, 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

1569.605: Liability insurance; coverage requirements: ... all residential care facilities for the elderly, ... shall maintain liability insurance ... in the amount of ... ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, ..... This requirement is not evidenced by: Based on observation and interview, the Licensee did not ensure that the facility currently has liability insurance. Two staff interviews conducted confirmed the facility does not have liability insurance. This poses an immediate health and safety risk to persons in care.

Official plan of correction

The Licensee stated that she is in the process of obtaining liability insurance for the facility. The Licensee stated that she will provide proof of the liability insurance once it has been obtained to LPA via email or fax by POC date.

Deadline recorded: Nov 5, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

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 observation, interview, and record review, the licensee did not comply with the section cited above in one out of four staff members. LPA observed Staff#1 (S1) did not have their 20 hours of annual training available at the time of the visit. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/15/2024 Plan of Correction Licensee states they will provide S1's completed 2024 training hours and certificates to CCLD via email to edward.kim@dss.ca.gov by POC due date November 15, 2024.