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14186 CUYAMACA RD, Apple Valley CA 92307

Facility 361881127 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Jul 2, 2026Licensed

Additional info
Licensee
ESCOBEDO, ADDY
Administrator
ESCOBEDO, ADDY
Contact
ESCOBEDO, ADDY
License first date
Aug 13, 2021
License effective date
Aug 13, 2021
District office
SAN BERNARDINO ASC · (951) 248-2222
Regional office
56
Clients served
935 - ELDERLY, 983 - RCFE / DEMENTIA, 985 - RCFE / HOSPICE

Summary

The available records show 3 Type A and 1 Type B deficiencies for this facility.

Most recent inspection
Jul 2, 2026
Most recent deficiency
Jun 29, 2022

3 later reports, from Aug 23, 2023 through Jul 2, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.

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 229 San Bernardino County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 4 reports for this facility: 4 inspections, 0 complaint investigations, and 0 licensing or administrative records.

Those records contain 3 Type A and 1 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
4

About the same as most this size

1 in the last 12 months

Recorded deficiencies
4

More than the typical 1

0 in the last 12 months

Type A deficiencies
3

Most this size have none

0 in the last 12 months

Type B deficiencies
1

About the same as most this size

0 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
0

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.

No topic repeats in the last 36 months

No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Inspection
Background checksType A
Official classification
Type A
Official code
87355(e)
Regulation authority
CCR

What the official deficiency says

87355 Criminal Record Clearance (e) (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... 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 ensuring that S1 and S2 had a criminal records clearance. Which poses an immediate health, safety risk to persons in care. A civil penalty of $1,000 was assessed on 06/29/2022.

Official plan of correction

POC Due Date: 06/30/2022 Plan of Correction Licensee shall ensure S1 & S2 requests a live scan (LIC9163). The licensee is also advised that S1 & S2 cannot work at the facility until he/she has had a criminal records clearance and associated. Proof of the live scan will be submitted to the Department by 06/30/2022.

Plan of correction recorded
Correction not verified in available records
View official report
Background checksType A
Official classification
Type A
Official code
87355(e)
Regulation authority
CCR

What the official deficiency says

87355 Criminal Record Clearance (e) (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... 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 not ensuring that S3 was associated to the facility prior to working. Which poses an immediate health, safety risk to persons in care. A civil penalty of $500.00 was assessed on 06/29/2022.

Official plan of correction

POC Due Date: 06/30/2022 Plan of Correction Licensee shall submit an LIC 9182 + a copy of valid photo ID for S3 or associate S3 on guardian. Licensee shall submit proof of correction to the department by 06/30/2022.

Plan of correction recorded
Correction not verified in available records
View official report
Records and plan of operationType B
Official classification
Type B
Official code
87212(a)
Regulation authority
CCR

What the official deficiency says

87212 Emergency Disaster Plan (a) (a) Each facility shall have a disaster and mass casualty plan of action. The plan shall be in writing and shall be readily available. 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 with making the Emergency Diaster Plan readily available at the facility, which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/22/2022 Plan of Correction Licensee shall update and post the updated Emergency Diaster Plan at the facility. Licensee shall send a copy of the updated Emergency Diaster Plan to the department. Licensee shall submit proof of the correction to the department on 07/22/2022.

Plan of correction recorded
Correction not verified in available records
View official report
Not classified in the sourceType A
Official classification
Type A
Official code
80087(g)(1)
Regulation authority
CCR

What the official deficiency says

80087 Buildings and Grounds (g)(1) (g) Disinfectants, cleaning solutions, poisons, firearms and other items that could pose a danger if readily available to clients shall be stored where inaccessible to clients. (1) Storage areas for poisons, and firearms and other dangerous weapons shall be locked. This requirement is not met as evidenced by Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in ensuring that knives are locked and inaccessible to clients in care.Which poses an immediate health, safety risk to persons in care.

Official plan of correction

POC Due Date: 06/30/2022 Plan of Correction Licensee shall ensure that knives are locked and inaccessible to clients in care. Licensee shall submit proof of correction to the department on 06/30/2022.

Plan of correction recorded
Correction not verified in available records
View official 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