Fire safety and emergency preparedness
Cited in 2 reports, with 4 deficiencies in total.
11532 BUTTERFIELD ST, Loma Linda CA 92354
6 bedsLatest official report Mar 18, 2026Licensed
The available records show 2 Type A and 5 Type B deficiencies for this facility.
No later report is available, so the records do not show what happened afterward.
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 5 reports for this facility: 4 inspections, 1 complaint investigation, and 0 licensing or administrative records.
Those records contain 2 Type A and 5 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
5 in the last 12 months
Most this size have none
0 in the last 12 months
More than 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 4 deficiencies in total.
All preserved reports from the most recent to the oldest, sortable by report type.
(c) An Infection Control Plan shall be developed by the licensee and shall be included in the Plan of Operation required by Section 87208. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above by not having an infection control plan which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/01/2026 Plan of Correction Licensee has agreed to create and provide infection control plan to LPA by POC due date.
(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above by S2 not having a current CPR certififcate while at the facility which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/01/2026 Plan of Correction Licensee has agreed to provide proof of S2 CPR certificate to LPA by POC due date.
(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: (2) Plans for the facility to be self-reliant for a period of not less than 72 hours immediately following any emergency or disaster, including, but not limited to, a short-term or long-term power failure. If the facility plans to shelter in place and one or more utilities, including water, sewer, gas, or electricity, is not available, the facility shall have a plan and supplies available to provide alternative resources during an outage. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above by not having an emergency disaster plan which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/01/2026 Plan of Correction Licensee has agreed to create and provide proof of emergency disaster plan to LPA by POC due 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 observation, interview, record review, the licensee did not comply with the section cited above by not conducting quarterly disaster drills which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/01/2026 Plan of Correction Licensee has agreed to review regulation and conduct disaster drill with staff and provide proof to LPA by POC due date
(e) A facility shall have all of the following information readily available to facility staff during an emergency: (2) An appraisal of resident needs and services plan for each resident. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above by not having a needs and service plan for Resident #1 & #2 (R1 & 2) which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/01/2026 Plan of Correction Licensee has agreed to provide proof of needs and service plan for R1 & R2 to LPA by POC due date.
(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 record review, the licensee did not comply with the section cited above by storing residents am and pm medication in an unlabeled plastic cup; which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 02/16/2024 Plan of Correction The Licensee/Administrator shall submit to the licensing agency a statement of understanding on the above cited regulation by POC due date.
Fire Safety - facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and 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 The Administrator did not know how to test the fire alarm and does not have record of when the new alarm system was installed and/or tested; which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 02/16/2024 Plan of Correction The Licensee/Administrator shall submit proof of operating fire/carbon monoxide system by poc due date.
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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