Fire safety and emergency preparednessType A
- 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 interview, observation, and records review, the licensee did not comply with the section cited above as during the annual require visit, LPA discovered that Resident #1 (R1) has an ambulatory status of bedridden. LPA requested to review the approved fire clearance and was advised that the facility did not maintain a copy onsite for LPA's review which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/19/2025 Plan of Correction Managing members are to review Title 22 Article 4, Operating Requirements, and provide LPA with a signed affidavit confirming that all sections were reviewed. The signed affidavit is to be forwarded to LPA by close of business, 12/19/2025.
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87606(c)
- Regulation authority
- CCR
What the official deficiency says
(c) To accept or retain a person who is bedridden, other than for a temporary illness or recovery from surgery, a licensee shall obtain and maintain an appropriate fire clearance as specified in Section 87202, Fire Clearance. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, licensee did not comply with the section cited above in (1) one out of (6) six clients has an ambulatory status of bedridden. Upon reviewing the facility license, the Licensee cannot retain any residents who have an ambulatory status of bedridden which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/18/2025 Plan of Correction Administrator/Licensee are to submit to the licensing department an updated LIC200 and facility sketch to begin the process updating the current fire clearance by close of business on 12/18/2025. Administrator/Licensee will complete an out-service training on RCFE acceptance and retention limitations. The training certificate must be completed by all managing members and forward to LPA via email by close of business on 1/2/2025.