Staffing, personnel, and training
Cited in 2 reports, with 3 deficiencies in total.
9736 11TH AVE., Hesperia CA 92345
6 bedsLatest official report Nov 17, 2025Licensed
The available records show 1 Type A and 9 Type B deficiencies for this facility.
1 later report, on Nov 17, 2025, 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 6 reports for this facility: 4 inspections, 2 complaint investigations, and 0 licensing or administrative records.
Those records contain 1 Type A and 9 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
About the same as most this size
1 in the last 12 months
Well above the typical 1
6 in the last 12 months
Most this size have none
1 in the last 12 months
Well above the typical 1
5 in the last 12 months
Most this size also have none
0 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 2 reports, with 3 deficiencies in total.
All preserved reports from the most recent to the oldest, sortable by report type.
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this report(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. 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 chemicals kept unlocked and unattended in two (2) resident bathrooms, garage, hallway table. Sharp knives were observed in a cabinet were stored unlocked and lock was not working properly; which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 09/18/2025 Plan of Correction The Licensee has removed the items and placed them in a locked cabinet.
(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 record review, the licensee did not comply with the section cited above by not maintaining record of Staff #1 & Staff# 2 annual dementia and hospice care training, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/01/2025 Plan of Correction The Licensee shall submit documentation of training to the Licensing agency by POC due date.
(d) The licensee shall retain in the resident's file the original signed and dated admission agreement and all subsequent signed and dated modifications. This does not apply to rate increases which have specific notification requirements as specified in Health and Safety Code section 1569.655. 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 retaining All five resident's admission's agreement in their file for review; which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/01/2025 Plan of Correction The Licensee/Administrator shall submit self-certify that they read and understand the regulation cited.
(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident's record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. 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 resident#1 (R1) utilizing a bed with half bed rails without staff obtaining a physician's order; which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/01/2025 Plan of Correction The Licensee/Administrator shall submit a physician's order for use of half bed rails or rails shall be removed.
(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. 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 resident #2 and resident #3 utilizing full bed rails without being on Hospice;which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/01/2025 Plan of Correction The Licensee shall provide documentation to the licensing agency that the full bedrails have been removed by POC due date.
(b) A current and complete hospice care plan shall be maintained in the facility for each hospice resident and include the following: 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 by not maintaining a hospice care plan for review for resident# 4 and resident# 5 receiving hospice care;which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/01/2025 Plan of Correction The Licensee shall obtain a copy of the two residents hospice plan which contains services provided and frequency. A copy of the plan shall be submitted to the licensing agency by POC due date.
(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 record review, the licensee did not comply with the section cited above by not maintaining record of care staff annual training; which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/30/2024 Plan of Correction The Licensee/Administrator shall submit proof of training by POC due date
(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. 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 working had expired first aid/CPR certifications; which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/30/2024 Plan of Correction The Licensee/Administrator shall submit proof of current first aid/CPR training by POC date.
(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 observations, the licensee did not comply with the section cited above by not having a current emergency drill training conducted with staff on file for review; which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/30/2024 Plan of Correction The Licensee/Administrator shall submit to the licensing agency proof of current drill by POC date.
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: (1) The licensee shall arrange or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement is not met as evidenced by: The Licensee failed to take the necessary steps for a proper medical assessment for R1. Posed a potential health risk to persons in care.
The Licensee agrees to conduct an inservice on body checks and sign breakdown. Proof of completed POC is to be submitted to to the department by 5pm on the due date indicated.
Deadline recorded: Sep 26, 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.
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