CRYSTAL GARDEN RCFE

13224 IROQUOIS RD, Apple Valley CA 92308

Facility 366426126 · RESIDENTIAL CARE ELDERLY (740)

10 bedsLatest official report Apr 30, 2026Licensed

Additional info

Telephone: (760) 503-9180
Licensee: CRYSTAL GARDEN RCFE, LLC
Administrator: EBADPOUR, KAMAL
Contact: EBADPOUR, KAMAL
License first date: Mar 6, 2014
License effective date: Mar 6, 2014
District office: SAN BERNARDINO ASC · (951) 248-2222
Regional office: 56
Clients served: 935 - ELDERLY

Summary

The available records show 4 Type A and 3 Type B deficiencies for this facility.

Most recent inspection: Apr 30, 2026
Most recent deficiency: Apr 30, 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 26 San Bernardino County facilities licensed for 7 to 15 beds, except where too few exist to state one — those come from facilities with 7 or more beds.

In the available public five-year record, CCLD published 8 reports for this facility: 5 inspections, 3 complaint investigations, and 0 licensing or administrative records.

Those records contain 4 Type A and 3 Type B deficiencies.

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

Official inspections: 5
Recorded deficiencies: 7
Type A deficiencies: 4
Type B deficiencies: 3
Substantiated complaints: 0
Repeated topics: 0

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.

Apr 30, 2026Inspection

Medical and dental careType A

Official classification: Type A
Official code: 87465(a)(5)
Regulation authority: CCR

What the official deficiency says

(5) Facility staff, except those authorized by law, shall not administer injections, but staff designated by the licensee may assist persons with self-administration as needed. Assistance with self-administered medications shall be limited to the following: This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observations and interviews, the licensee did not comply with the section cited above by caregivers who are not medically skilled professionals are administering injections to two (2) residents in care; which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/08/2026 Plan of Correction The Licensee/Administrator stated that they have contacted a skilled medical professional to provide administration of injections and will provide documentation of contact by POC due date.

Plan of correction recorded

Correction not verified in available records

View official report

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 LPA record review, the licensee did not comply with the section cited above by not maintaining a health screening for staff#1 (S1) on file for review; which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/08/2026 Plan of Correction The Licensee/Administrator has agreed to provide documentation of S1's health screening by POC due date.

Plan of correction recorded

Correction not verified in available records

View official report

View official source

Mar 20, 2025Inspection

Facility condition and maintenanceType A

Official classification: Type A
Official code: 87303(e)(2)
Regulation authority: CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observations, the licensee did not comply with the section cited above in by hot water temperature measured 125 degrees; which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/21/2025 Plan of Correction During today's visit, Administrator adjusted the water temperature. After adjustment, water temperature was observed to be 110.5 degrees F. No further action required.

Official record says corrected or clearedOn or before Mar 20, 2025

Plan of correction recorded

View official report

Medication handling and storageType A

Official classification: Type A
Official code: 87465(h)(4)
Regulation authority: CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (4) All centrally stored medications shall be labeled and maintained in compliance with state and federal laws. No persons other than the dispensing pharmacist shall alter a prescription label. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observations, the licensee did not comply with the section cited above by R1's had medication with an illegible label stored in their medication caddy; which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/21/2025 Plan of Correction During today's visit, Administrator disposed of the medication. No further action required.

Official record says corrected or clearedOn or before Mar 20, 2025

Plan of correction recorded

View official report

Medication handling and storageType A

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 LPA observations, the licensee did not comply with the section cited above by storing Resident #1 (R1's) medication in a plastic cup; which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/21/2025 Plan of Correction During today's visit, Administrator stored resident's the medication in its' proper container. No further action required.

Official record says corrected or clearedOn or before Mar 20, 2025

Plan of correction recorded

View official report

View official source

Mar 28, 2024Inspection

Health conditions and treatmentsType B

Official classification: Type B
Official code: 87633(b)(6)(B)
Regulation authority: CCR

What the official deficiency says

(b) A current and complete hospice care plan shall be maintained in the facility for each hospice resident and include the following: (6) Identification of the training needed, which staff members need this training, and who will provide the training relating to the licensee's responsibilities for implementation of the hospice care plan. (B) The hospice agency will provide training specific to the current and ongoing needs of the individual resident receiving hospice care and that training must be completed before hospice care to the resident begins. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observations and records review, the licensee did not comply with the section cited as LPA did not observe staff training related hospice care needs which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/22/2024 Plan of Correction Licensee shall conduct training for hospice related care for all staff providing care. Licensee shall provide proof of training no later than end of POC date.

Plan of correction recorded

Correction not verified in available records

View official report

Dementia careType B

Official classification: Type B
Official code: 87705(c)(3)(A)
Regulation authority: CCR

What the official deficiency says

(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (3) In addition to the on-the-job training requirements in Section 87411(d), staff who provide direct care to residents with dementia shall receive the following training as appropriate for the job assigned and as evidenced by safe and effective job performance: (A) Dementia care including, but not limited to, knowledge about hydration, skin care, communication, therapeutic activities, behavioral challenges, the environment, and assisting with activities of daily living; This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observations and records review, the licensee did not comply with the section cited as LPA did not observe staff training related hospice care needs which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/22/2024 Plan of Correction Licensee shall conduct Dementia care training for all staff providing care. Licensee shall provide proof of training no later than end of POC date.

Plan of correction recorded

Correction not verified in available records

View official report

View official source

Apr 6, 2023Inspection

No deficiencies recorded in this report

View official source

Apr 6, 2022Inspection

No deficiencies recorded in this report

View official source

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