Records and plan of operation
Cited in 3 reports, with 3 deficiencies in total.
17892 SYCAMORE ST, Hesperia CA 92345
6 bedsLatest official report Aug 13, 2026Licensed
The available records show 13 Type A and 16 Type B deficiencies for this facility.
1 later report, on Aug 13, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.
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.
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 11 reports for this facility: 9 inspections, 2 complaint investigations, and 0 licensing or administrative records.
Those records contain 13 Type A and 16 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
More than the typical 4
4 in the last 12 months
Well above the typical 1
4 in the last 12 months
Most this size have none
2 in the last 12 months
Well above the typical 1
2 in the last 12 months
Most this size have none
1 in the last 12 months
Last 36 months
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.
Cited in 3 reports, with 3 deficiencies in total.
Cited in 2 reports, with 3 deficiencies in total.
Cited in 2 reports, with 3 deficiencies in total.
Cited in 2 reports, with 2 deficiencies in total.
Cited in 2 reports, with 2 deficiencies in total.
All preserved reports from the most recent to the oldest, sortable by report type.
Allegations5 substantiated · 0 unsubstantiated · 0 unfounded · 3 cited
(a) The administrator shall be on the premises a sufficient number of hours to permit adequate attention to the facility... When the administrator is not in the facility, there shall be coverage by a designated substitute...for management and administration of the facility... The Department may require that the administrator devote additional hours in the facility to fulfill [their] responsibilities... This requirement are not met as evidenced by: Based on interview and records review, licensee did not comply with section cited by not maintaining records of hours spent at facility to match facility's LIC 500, nor provide proof of proper filing for designation of facility responsibility LIC 308 to Licensing during Administrator's absence which poses/posed a potential health, safety or personal rights risk to persons in care. (h)(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: Based on interview and observation, licensee did not comply with section cited by pre-sorting residents' medications in clear cups labeled by resident name, encased in a clear storage containers, outside of their originally received container which poses/posed a potential health, safety or personal rights risk to persons in care.
Licensee and Administrator are to review regulation cited in full and provide Licensing with a written statements of understanding, via email, dated and signed by both parties, as well as provide an accurately updated LIC 500 by close of business(COB) on POC due date. Licensee is to review regulation cited in full and provide a signed and dated written statement of understanding of regulation and agreement to follow regulation, submitted to Licensing via email by close of business(COB) on POC due date.
Deadline recorded: Jun 19, 2026. A deadline is not proof that correction was completed.
(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: Based on interview and LPAs observation, the licensee did not comply with the section cited above by not maintaining current centrally stored medication list for 6 of 6 residents which poses/posed a potential health, safety or personal rights risk to persons in care.
Licensee to obtain Centrally Stored Medication lists for 6 of 6 residents per regulations requirements and maintain them at facility. Licensee to submit proof of documentation via email to Licensing by COB on POC due date.
Deadline recorded: Jun 17, 2026. A deadline is not proof that correction was completed.
(6) The licensee shall maintain documentation pertaining to staff training... as specified in Section 87412(c)(2). For on-the-job training, documentation shall consist of a statement or notation, made by the trainer, of the content covered in the training. Each item of documentation shall include a notation that... indicates which of the criteria of Section 87411(c)(3) is met by the trainer. This requirement is not met as evidenced by: Based on interview and record review, Licensee did not comply with the section cited above by not maintaining proper staff traninging documentation regarding medication management training for all staff which poses/posed a potential health, safety or personal rights risk to persons in care.
Licensee is to review regulation cited in full and provide a signed and dated written statement of understanding of regulation, provide annual training required by regulation for all staff and provide copies of statement and training records to Licensing by COB on POC due date.
Deadline recorded: Jun 17, 2026. A deadline is not proof that correction was completed.
Allegations2 substantiated · 5 unsubstantiated · 0 unfounded · 2 cited
87465 Incidental Medical and Dental Care (C) (2) (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met as evidenced by: Based on file review and interview, the licensee did not ensure that R1’s medication was given according to the physician’s direction.
The licensee shall provide training in the section cited to all staff. Licensee shall also submit a letter of understanding to the Regional Office (RO) with training records by the POC due date.
Deadline recorded: May 3, 2023. A deadline is not proof that correction was completed.
87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following... This requirement was not met as evidenced by: Based on file review and interview, the Licensee did not ensure to report unusual incident/injury to R1's responsible party.
The licensee shall provide training in the section cited to all staff. Licensee shall also submit a letter of understanding to the Regional Office (RO) with training records by the POC due date.
Deadline recorded: May 3, 2023. A deadline is not proof that correction was completed.
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