Staffing, personnel, and training
Cited in 2 reports, with 3 deficiencies in total.
OUR LEGACY LLC
13000 WILD SAGE LN, Moreno Valley CA 92555
6 bedsLatest official report Mar 11, 2026Licensed
Additional info
- Telephone
- (951) 575-7775
- Licensee
- OUR LEGACY LLC
- Administrator
- RODRIGUEZ, JEANNETTE
- Contact
- RODRIGUEZ, JEANNETTE
- License first date
- Apr 7, 2022
- License effective date
- Apr 7, 2022
- District office
- RIVERSIDE ASC · (951) 248-2222
- Regional office
- 18
- Clients served
- 935 - ELDERLY
Summary
The available records show 4 Type A and 11 Type B deficiencies for this facility.
- Most recent inspection
- Mar 11, 2026
- Most recent deficiency
- Mar 11, 2026
No later report is available, so the records do not show what happened afterward.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 486 Riverside County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 5 reports for this facility: 4 inspections, 0 complaint investigations, and 1 licensing or administrative record.
Those records contain 4 Type A and 11 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 4
- Recorded deficiencies
- 15
- Type A deficiencies
- 4
- Type B deficiencies
- 11
- Substantiated complaints
- 0
- Repeated topics
- 3
More than the typical 3
1 in the last 12 months
Well above the typical 1
4 in the last 12 months
Most this size have none
0 in the last 12 months
Well above the typical 1
4 in the last 12 months
Most this size also have none
0 in the last 12 months
Last 36 months
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
Fire safety and emergency preparedness
Cited in 2 reports, with 2 deficiencies in total.
Incident reporting
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)
- Regulation authority
- CCR
What the official deficiency says
(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. 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 incident which required an unusual incident report to be submitted, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/25/2026 Plan of Correction The Administrator will train staff on reporting requirements, submit an unusual incident report for the incident that required a report to be submitted, and they will submit proof via e-mail to Licending Program Analyst, Jarred Torres.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(d)(2)
- Regulation authority
- CCR
What the official deficiency says
(2) The premises shall be maintained in a state of good repair and shall provide a safe and healthful environment. 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 in two out of five bedrooms that had broken drawers, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/25/2026 Plan of Correction The Administrator will contact the handyman to fix the drawers. The Administrator will send proof of the repair request via e-mail to Licensing Program Analyst, Jarres Torres' e-mail.
Plan of correction recorded
Correction not verified in available records
Hazardous items and storageType B
- Official classification
- Type B
- 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 and interview, the licensee did not comply with the section cited above in one out of one kitchens where cleaning supplies were not locked and inaccessible to clients in care, which posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/11/2026 Plan of Correction In the presence of the LPAs, the administrator moved cleaning supplies and chemicals to a secured and locked location which is inaccessible to clients in care.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(a)(11)
- 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: (11) A health screening as specified in Section 87411, Personnel Requirements - General. 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 two out of seven client files where a health screening was missing, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/25/2026 Plan of Correction The Administrator will remove staff from schedule until a health screening is completed. Administrator will send proof via e-mail to Licensing Program Analyst, Jarred Torres.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Background checksType A
- 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) or This requirement is not met as evidenced by: Deficient Practice Statement Based on interview, record review, the licensee did not comply with the section cited with (1) unassociated staff who worked at the facility for (1) month and (1) uncleared staff who worked at the facility for (6) months which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/25/2025 Plan of Correction The licensee agreed to associate and finger print staff members prior to working for the facility, submit association for S1 and S2.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- 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 interview and record review, the licensee did not comply with the section cited above with the administration, and (6) staff records that were incomplete which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/24/2025 Plan of Correction The licensee agreed to submit completed staff files for the administration and S3, S4, S5, and S6 including criminal clearance, LIC503, TB test, and LIC501 by the POC due date.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 1569.625(b)(1)
- Regulation authority
- HSC
What the official deficiency says
(1) The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. A staff member shall complete 20 hours, including six hours specific to dementia care, as required by subdivision (a) of Section 1569.626 and four hours specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696, before working independently with residents. The remaining 20 hours shall include six hours specific to dementia care and shall be completed within the first four weeks of employment. The training coursework may utilize various methods of instruction, including, but not limited to, lectures, instructional videos, and interactive online courses. The additional 16 hours shall be hands-on training. 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 in staff files that did not contain staff training including orientation, medication, and annual 40 hours training which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/24/2025 Plan of Correction The licensee agreed to obatin training by an approved vendor for the administrator, S3, S4, S5 and S6 for the above cited training and submit to the LPA by the POC due date.
Plan of correction recorded
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(b)
- Regulation authority
- CCR
What the official deficiency says
(b) Each resident's record shall contain at least the following information: This requirement is not met as evidenced by: Deficient Practice Statement Based on interview, record review, the licensee did not comply with the section cited above with all resident records that were incompleted which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/24/2025 Plan of Correction The licensee agreed to submit for R1, R2, R3, and R4 records: signed consent forms, signed personal rights form, TB test, and medications lists by the POC due date.
Plan of correction recorded
Correction not verified in available records
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 interview and record review, the licensee did not comply with the section cited above with last fire drill conducted 11/25/2024 which was past the quarterly requirement which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/24/2025 Plan of Correction The licensee agreed to conduct a fire drill by the POC due date, document the staff participating in the drill and the date conducted.
Plan of correction recorded
Correction not verified in available records
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)(A)
- Regulation authority
- CCR
What the official deficiency says
Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below...(A)Death of any resident from any cause regardless of where the death occurred, including but not limited to a day program, a hospital, en route to or from a hospital, or visiting away from the facility. 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 with (1) resident who passed away and no report was received by the regional office. LPA requested the report during the time of the visit, however the licensee did not have the date of the resident's passing and LPA obtained the date from the medical provider of R5. This poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/24/2025 Plan of Correction The licensee agreed to send a written incident death report completed with the above required information by the POC due date. The licensee agreed to obatin training from an approved vendor on reporting requirments for RFCE facilities. Proof of completion of the training is due by the POC due date.
Plan of correction recorded
Correction not verified in available records
Licensing and administrationType A
- Official classification
- Type A
- Official code
- 1569.618(c)
- Regulation authority
- CCR
What the official deficiency says
(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above with staff schedule showing staff that are not associated to the facility and with (1) staff present during the visit and LPA observed residents need for supervision as (1) resident wandered while staff was changing another resident out of sight which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/25/2025 Plan of Correction The licensee agreed to update the staff schedule with cleared staff and show staff coverage to meet the resident's needs of supervision.
Plan of correction recorded
Correction not verified in available records
Background checksType A
- Official classification
- Type A
- Official code
- 87355(e)(2)
- Regulation authority
- CCR
What the official deficiency says
87355(e)(2) Criminal Record Clearance (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: (2) Obtain a California clearance or a criminal record exemption as required by the Department or...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 with S2 who did not have a fingerprint clearance which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/25/2025 Plan of Correction The licensee agreed to send a LIC9182 for the staff by the POC due date.
Plan of correction recorded
Correction not verified in available records
Background checksType A
- Official classification
- Type A
- Official code
- 87355(c)(3)
- Regulation authority
- CCR
What the official deficiency says
87355(e)(2) Criminal Record Clearance (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) orThis 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 with S1 who was not associated to the facility which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/25/2025 Plan of Correction The licensee agreed to send a LIC9182 for the staff by the POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
Fire safety and emergency preparednessType B
- Official classification
- Type B
- 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 interview and record review, the licensee did not comply with the section cited above with (1) resident that was found to be bedridden. The facility does not have a fire clearance for this resident which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/03/2024 Plan of Correction The licensee agreed to submit request for bedridden clearance to the LPA by the POC due date.
Plan of correction recorded
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87467(a)
- Regulation authority
- CCR
What the official deficiency says
(a) Prior to, or within two weeks of the resident’s admission, the licensee shall arrange a meeting with the resident, the resident’s representative, if any, appropriate facility staff, and a representative of the resident’s home health agency, if any, and any other appropriate parties, to prepare a written record of the care the resident will receive in the facility, and the resident’s preferences regarding the services provided at the facility. 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 with (3) resident that did not have a record of care which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/03/2024 Plan of Correction The licensee agreed to have a written care plan for all residents and send proof of (3) resident care plans by POC due date.
Plan of correction recorded
Correction not verified in available records
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Source and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
Read the data methodology