Medical and dental care
Cited in 2 reports, with 2 deficiencies in total.
SKYLINE VILLA
20276 MAJESTIC DR, Apple Valley CA 92308
8 bedsLatest official report Mar 13, 2026Licensed
Additional info
- Telephone
- (760) 240-0730
- Licensee
- YOLANDA ALKAWASS
- Administrator
- MARTHA RAMOS
- Contact
- MARTHA RAMOS
- License first date
- Apr 13, 2018
- License effective date
- Apr 13, 2018
- District office
- SAN BERNARDINO ASC · (951) 248-2222
- Regional office
- 56
- Clients served
- 935 - ELDERLY
Summary
The available records show 1 Type A and 13 Type B deficiencies for this facility.
- Most recent inspection
- Mar 13, 2026
- Most recent deficiency
- Mar 13, 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 4 reports for this facility: 4 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 1 Type A and 13 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 4
- Recorded deficiencies
- 14
- Type A deficiencies
- 1
- Type B deficiencies
- 13
- Substantiated complaints
- 0
- Repeated topics
- 1
Fewer than the typical 6
1 in the last 12 months
Well above the typical 7
8 in the last 12 months
Fewer than the typical 2
0 in the last 12 months
Well above the typical 4
8 in the last 12 months
Fewer than the typical 1
0 in the last 12 months
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.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 1569.605
- Regulation authority
- HSC
What the official deficiency says
On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. 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 not maintaining current liability insurance for review; which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/25/2026 Plan of Correction The Licensee/Administrator shall provide to the licensing agency a copy of facility's current insurance by POC due date.
Plan of correction recorded
Correction not verified in available records
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(c)(1)
- Regulation authority
- CCR
What the official deficiency says
(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can 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: (1)There is written direction from a physician, on a prescription blank, specifying the name of the resident, the name of the medication, all of the information in Section 87465(e), instructions regarding a time or circumstance (if any) when it should be discontinued, and an indication when the physician should be contacted for a medication reevaluation. 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 staff administering expired (November 2025) over the counter medication to resident #2 (R2) which was listed on resident medication list as current medication; which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/25/2026 Plan of Correction The Licensee shall provide medication administration training to all staff assisting/administering resident medications and submit documentation of training to the licensing agency by POC due date
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.696(a)(2)
- Regulation authority
- HSC
What the official deficiency says
(a) All residential care facilities for the elderly shall provide training to direct care staff on postural supports, restricted conditions or health services, and hospice care as a component of the training requirements specified in Section 1569.625. The training shall include all of the following: (2) Four hours of training thereafter of in-service training per year on the subject of serving those residents. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review, the licensee did not comply by not maintaining record of staff#1 (S1) and staff#2 (S2) Hospice Care training on file for review. The facility has residents receiving hospice care; which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/25/2026 Plan of Correction The Licensee/Administrator shall provide documentation of staff hospice training to the licensing agency by POC due date.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.69(b)
- Regulation authority
- HSC
What the official deficiency says
(b) Each employee who received training and passed the examination required in paragraph (5) of subdivision (a), and who continues to assist with the self-administration of medicines, shall also complete eight hours of in-service training on medication-related issues in each succeeding 12-month period. 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 staff #1 (S1) assisting with administering resident medication and not having documentation of medication administration training 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: 03/25/2026 Plan of Correction The Licensee/Administrator shall provide documentation of S1's medication management training to the licensing agency by POC due date.
Plan of correction recorded
Correction not verified in available records
Medication handling and storageType B
- Official classification
- Type B
- 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 #2 (R2s) pain medication in a plastic bag; which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/25/2026 Plan of Correction The Licensee shall provide medication administration training to all staff assisting/administering resident medications and submit documentation of training to the licensing agency by POC due date.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. 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 documentation of current emergency drill staff training for review; which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/25/2026 Plan of Correction The Licensee/Administrator shall provide to the licensing agency documentation of emergency drill staff training by POC due date.
Plan of correction recorded
Correction not verified in available records
Medication handling and storageType B
- Official classification
- Type B
- 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. 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 and not properly disposing of resident expired medications. Expired over the counter medication supplement was stored with resident #2 (R2) current medication; which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/25/2026 Plan of Correction The Licensee shall provide medication administration training to all staff assisting/administering resident medications and submit documentation of training to the licensing agency by POC due date.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87633(b)(4)
- 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: (4) A description of the licensee's area of responsibility for implementing the plan including, but not limited to, facility staff duties; record keeping; and communication with the hospice agency, resident's physician, and the resident's responsible person(s), if any. This description shall include the type and frequency of the tasks to be performed by the facility. 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 not maintaining a current and complete hospice care plan for resident #1 (R1) for review; which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/25/2026 Plan of Correction The Licensee/Administrator shall provide to the licensing agency documentation of R1's hospice care plan by POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
Admission, assessment, and evictionType A
- Official classification
- Type A
- Official code
- 87458(c)(5)
- Regulation authority
- CCR
What the official deficiency says
(c) The medical assessment shall include, but not be limited to: (5) The determination whether the person is ambulatory or nonambulatory as defined in Section 87101, Definitions, or bedridden as defined in Health and Safety Code section 1569.72. The assessment shall indicate whether nonambulatory status is based upon the resident's physical condition, mental condition, or both. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, the licensee did not comply with the section cited above by not maintaining a completed physician's report for resident #1 (R1) on file review; which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/14/2025 Plan of Correction The licensee shall submit a statement of understanding of regulation cited to the licensing agency by POC due date.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(c)
- Regulation authority
- CCR
What the official deficiency says
(c) Licensees shall maintain in the personnel records verification of required staff training and orientation. 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 not maintaining record of Staff #1 (S1's) job relating trainings for review; which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/14/2025 Plan of Correction The Licensee shall submit a statement of understanding of regulation cited to the licensing agency by POC due date.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87458(c)(1)(A)
- Regulation authority
- CCR
What the official deficiency says
(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following: (A) Communicable tuberculosis. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, the licensee did not comply with the section cited above by not maintaining a completed physician's report for Resident #1 (R1) with Tuberculosis results on file review; which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/14/2025 Plan of Correction The licensee shall submit a statement of understanding of regulation cited to the licensing agency by POC due date.
Plan of correction recorded
Correction not verified in available records
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(6)
- Regulation authority
- CCR
What the official deficiency says
(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: (6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility 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 not maintaining record of current resident's medications for LPA review; which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/14/2025 Plan of Correction The Licensee shall submit a statement of understanding on the regulation cited to the licensing agency by POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(d)(3)
- Regulation authority
- CCR
What the official deficiency says
(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 LPA Bueno's observation and interview with Administrator Jerez, the licensee did not comply with the section cited above as two resident (R1 and R2) files have Physician's reports from 2022, which poses/posed a potential health, safety or personal rights risk to persons in care. LPA did not observe a current physician's report for wither residents.
Official plan of correction
POC Due Date: 04/15/2024 Plan of Correction Licensee shall provide an updated physician's report no later than end of POC date. Licensee shall submit proof of correction to the DEpartment no later than POC date.
Plan of correction recorded
Correction not verified in available records
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(c)(5)(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: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care needs. (A) When any medical assessment, appraisal, or observation indicates that the resident's dementia care needs have changed, corresponding changes shall be made in the care and supervision provided to that resident. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observations and Administrator interview, the licensee did not comply with the section cited above LPA did not find a PRN/as needed medication record for R1 and R2, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/18/2024 Plan of Correction Licensee shall maintain a PRN administration log for residents who are unable to determine their need for PRN/as needed medications. Licensee shall provide proof of correction no later than POC date.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this 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