Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 87202(a)(2)
- 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: (2) Bedridden persons This requirement is not met as evidenced by: Deficient Practice Statement Based on records reviewed, the care home did not ensure to obtain approval for bedridden residents prior to admitting a resident who was medically assessed for be bedridden, which poses an immediate health, safety, and personal rights risk to the residents in care.
Official plan of correction
POC Due Date: 07/29/2026 Plan of Correction Facility is in the process of obtaining a fire clearance to accept and retain two (2) bedridden residents. LPA will follow up with facility regarding status of fire clearance.
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87507(h)(4)
- Regulation authority
- CCR
What the official deficiency says
87507 Admission Agreements (h) The admission agreement shall not contain the following: (4) Any provision that violates the rights of any residents including but not limited to those specified in Section 87468 and in Health and Safety Code section 1569 et seq. This requirement is not met as evidenced by: Deficient Practice Statement Based on records reviewed, the facility did not ensure that admission agreements for residents did not violate rights specified in Health and Safety Code section 1569 et seq. due to refund policies indicated for hospice residents, which poses a potential health, safety, and personal rights risk to the residents in care.
Official plan of correction
POC Due Date: 08/18/2026 Plan of Correction Facility will update all residents' admission agreements to remove any stipulations that violate rights specified in Section 87468 and in Health and Safety Code section 1569 et seq. Facility will provide copies of updated admission agreements to LPA by POC due date of August 18, 2026.
Records and plan of operationType B
- Official classification
- Type B
- 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: Deficient Practice Statement Based on records reviewed, the care home did not ensure resident records were complete with all necessary documentation per Title 22, which poses a potential health, safety, and personal rights risk to the residents in care.
Official plan of correction
POC Due Date: 08/18/2026 Plan of Correction Care home will complete all missing resident records and ensure documentation is maintained at the care home at all times. Care home will submit copies of missing records to LPA by POC due date of August 18, 2026.
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Deficient Practice Statement Based on observations and records reviewed, the care home did not ensure that medications on site aligned with doctor's orders and centrally stored medication forms for two (2) residents, which poses a potential health, safety, and personal rights risk to the residents in care.
Official plan of correction
POC Due Date: 08/18/2026 Plan of Correction Care home will audit all residents' medications and ensure that medication records align with medications centrally stored on site. LPA will clear deficiency during a future visit.
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 1569.625(b)(1)
- Regulation authority
- HSC
What the official deficiency says
§1569.625 Staff training; legislative findings; contents (b) (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 records reviewed, the care home did not ensure that one (1) of two (2) staff records reviewed included documentation of intial training completed per health and safety code, which poses a potential health, safety, and personal rights risk to the residents in care.
Official plan of correction
POC Due Date: 08/18/2026 Plan of Correction Care home will complete a statement of understanding regarding regulation §1569.625 and submit statement to LPA be POC due date August 18, 2026.