CREST HOME FOR THE ELDERLY

Official classification

Type A

Official code

87355(e)(4)

Regulation authority

CCR

What the official deficiency says

(e) All individuals subject to a criminal record review pursuant to...(4) Request and be approved for a transfer of a criminal record exemption, as specified in Section 87356(r), unless, upon request for a transfer, the Department permits the individual to be employed, reside or be present at the facility. Based on observation and record review, the licensee did not comply with section cited above not ensuring S1 had an active association/transer to facility, which poses an immediate health, safety, and or personal rights risk to persons in care.

Official plan of correction

Licensee stated to submit LIC9182 to licensing department by POC due date.

Deadline recorded: Jun 22, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times...maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Based on LPAs observation, the back yard/back patio areas containing hazardous debris around and underneath ramp walkway, broken/unused furntiure, broken lumber, and exposed electrical wires which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee agrees to remove all hazardous debris and unsued furniture from the back areas of facility. Licensee will send photographic proof of correction to LPA via email by POC due date.

Deadline recorded: May 7, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities: (a) Residents in all residential care for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful, and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by having kitchen refrigerator locked, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/09/2025 Plan of Correction Licensee unlocked fridges during LPA visit. Licensee stated to submit waiver exception for having refrigerator locked to LPA Hernandez by POC due date.

Official classification

Type A

Official code

87465(d)(3)

Regulation authority

CCR

What the official deficiency says

87465 Incidential Medical and Dental Care (d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to communicate his/her symptoms clearly, facility staff designated by the licensee, shall be permitted to assist the resident with self-administration provided all of the following requirements are met: (3) The date and time the PRN medication was taken, the dosage taken, and the resident's response shall be documented and maintained in the resident's facility record. 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 by not ensuring Resident #2 (R2) and Resident #7 (R7) PRN medication was properly documented in Medication Administration Record (MAR) with date, time, dosage taken, and residents reponse, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/26/2025 Plan of Correction Licensee stated to advise facility staff of properly documenting PRN medication. POC will be cleared.

Official classification

Type A

Official code

87203

Regulation authority

CCR

What the official deficiency says

87203 Fire Safety: All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by having emergency exit gates kept locked, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/09/2025 Plan of Correction Licensee stated to submit to LPA fire department exclusion letter for locked gates by POC due date.

Official classification

Type B

Official code

87219(b)

Regulation authority

CCR

What the official deficiency says

87219(b)Residents served shall be encouraged to contribute to the planning, preparation, conduct, clean-up and critique of the planned activities. This requirement is not met at evidenced by: The Licensee did not comply with the section cited above by four (4) out of five (5) residents interviews reveals they were not aware of staff planned activities which poses a potential health, safety, and personal rights risk to persons in care

Official plan of correction

The Licensee/Administrator shall shall review the regulation cited and provide a statement of understanding to the licensing agency by POC due date.

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

Official classification

Type B

Official code

87219(e)

Regulation authority

CCR

What the official deficiency says

87219(e)In facilities licensed for sixteen (16) to forty-nine (49) persons, one staff member, designated by the administrator, shall have primary responsibility for the organization, conduct and evaluation of planned activities. This person shall have had at least six (6) months experience in providing planned activities or have completed or be enrolled in an appropriate education or training program. This requirement is not met at evidenced by: The Licensee did not comply with the section cited above by not having a dedicated staff with required training and/or experience to plan and conduct resident activities which poses a potential healh, safety, and personal rights risk to persons in care.

Official plan of correction

The Licensee shall review the regulation cited and submit a statement of understanding to the licensing agency by POC due date.

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

Official classification

Type A

Official code

1569.312(e)

Regulation authority

HSC

What the official deficiency says

1569.312 Basic Service Requirements (e) Monitoring the activities of the residents while they are under the supervision of the facility to ensure their general health, saftey, and well-being. Based on interviews, licensee failed to meet this requirement by not ensuring staff were properly supervising residents, which poses an immediate health, saftey or personal rights risk to persons in care.

Official plan of correction

Licensee stated to submit proof of staff training on supervision rules to LPA Hernandez by Plan of Correction (POC) due date.

Deadline recorded: Apr 14, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(h)(5)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review the licensee did not comply with the section cited above by not ensuring Resident #1 (R1), Resident #2 (R2), Resident#3 (R3), Resident #4 (R4) medications were stored in it's orginal received container, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/07/2024 Plan of Correction Licensee stated to submit photo documentation of all resident's medications stored properly in the orginal received container/packet by Plan of Correction (POC) due date.

Official classification

Type A

Official code

1569.312(e)

Regulation authority

HSC

What the official deficiency says

1569.312 Basic Service Requirements (e) Monitoring the activities of the residents while they are under the supervision of the facility to ensure their general health, saftey, and well-being. Based on interviews, licensee failed to meet this requirement by not ensuring staff were properly supervising residents, which poses an immediate health, saftey or personal rights risk to persons in care.

Official plan of correction

Licensee stated to submit proof of staff training on supervision rules to LPA Hernandez by Plan of Correction (POC) due date 10/21/2024.

Deadline recorded: Oct 21, 2024. 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) or This requirement is not met as evidenced by: Deficient Practice Statement Based on Guardian Review the licensee did not comply with the section cited above in one of five employee records reviewed LIcensee failed to associate E1 to the facility number, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/03/2023 Plan of Correction Licensee to associate E1 to the facility number by POC due date and submit proof to CCL.

Official classification

Type A

Official code

87468.2(a)(6)

Regulation authority

CCR

What the official deficiency says

Personal Rights: To make choices concerning their daily lives in the facility. The facility failed to meet this requirement as evidenced by the facility refusing residents that smoke access to cigarettes.

Official plan of correction

Licensee to provide LIC 9098 verifying review and understanding of the regulation section cited by POC due date.

Deadline recorded: Feb 1, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.2(a)(12)

Regulation authority

CCR

What the official deficiency says

Personal Rights:To wear their own clothes; to keep and use their own personal possessions, including their toilet articles; and to keep and be allowed to spend their own money. The facility failed to meet this requirement ass evidenced by failure to provide residents access to the cigarettes they purchased.

Official plan of correction

Licensee to provide LIC 9098 verifying review and understanding of the regulation section cited by POC due date.

Deadline recorded: Feb 1, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468(12)(c)

Regulation authority

CCR

What the official deficiency says

A facility may assess a separate charge for an item or service only if that separate charge is authorized by the admission agreement...Review of admission agreements do not include documentation of additional service charge of purchasing cigaretts for the residnets.

Official plan of correction

Licensee to provide LIC 9098 verifying review and understanding of the regulation section cited by POC due date.

Deadline recorded: Feb 1, 2023. A deadline is not proof that correction was completed.