Licensing and administrationType A
- Official classification
- Type A
- 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 observation], the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/09/2026 Plan of Correction LIcensee to provide proof of liability to LPA via email by POC date.
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by not having a current fire extinguisher. which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/09/2026 Plan of Correction Licensee to service fire extinguisher by POC date and provide proof via email to LPA.
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87470(c)
- Regulation authority
- CCR
What the official deficiency says
(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 record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/06/2026 Plan of Correction Licensee to update infection control plan and provide a copy to CCL by POC date via email
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(d)
- Regulation authority
- CCR
What the official deficiency says
(d) All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance: This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by not having any training completed in S1 file which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/06/2026 Plan of Correction Licensee to provide training to S1 and provide a copy to CCL by POC date via email.
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. 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 record review, the licensee did not comply with the section cited above by not ensuring R1 had a current medication list of prescription which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/06/2026 Plan of Correction Licensee to update R1 prescription medication and maitian in file. Provide a copy to CCL via email by POC date.
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(b)(15)
- Regulation authority
- CCR
What the official deficiency says
(b) Each resident's record shall contain at least the following information: (15) The admission agreement and pre-admission appraisal, specified in Sections 87507, Admission Agreements and 87457, Pre-admission Appraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by not having updated/completed forms in R1 file which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/06/2026 Plan of Correction Licensee to complete R1 file with required documentain and maintain it. Provide a copy of the completed documentation to to CCL by POC date via email.
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(a)
- Regulation authority
- HSC
What the official deficiency says
(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: This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by not having a current emergency disaster plan or drill conducted which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/06/2026 Plan of Correction Licensee to update the plans and conduct a drill for the month of April and provide a copy to CCL by POC date via email.