Medication handling and storage
Cited in 2 reports, with 3 deficiencies in total.
817 S OAKS AVENUE, Ontario CA 91762
14 bedsLatest official report Jan 14, 2026Licensed
The available records show 5 Type A and 4 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 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 11 reports for this facility: 7 inspections, 4 complaint investigations, and 0 licensing or administrative records.
Those records contain 5 Type A and 4 Type B deficiencies.
1 deficiencies have explicit official correction or clearance evidence in the loaded records.
More than the typical 6
1 in the last 12 months
More than the typical 7
3 in the last 12 months
More than the typical 2
2 in the last 12 months
About the same as most this size
1 in the last 12 months
More than the typical 1
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 2 reports, with 3 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.
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. Based on observation and interviews, the licensee did not comply with section cited above by not ensuring Resident #1 (R1) was given appropriate medical services, which poses a potential health, safety or personal rights risk to persons in care.
Licensee confirmed to understand regulation cited and stated to ensure all residents are given appropriate medical treatment when needed. Plan of Correction (POC) will be cleared.
Deadline recorded: Jan 21, 2026. A deadline is not proof that correction was completed.
(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 Resident #5 (R5) and Resident #6 (R6) centrally stored medication logs were maintained and updated, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 11/24/2025 Plan of Correction Administrator stated to send photo documentation of updated centrally stored medication logs for R5 and R6 to LPA Hernandez by Plan of Correction (POC) due date.
(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: (3) A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken, and the resident's response. 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 the date, time, dosage taken, and residents response was properly documented for Resident #4 (R4) PRN medication administration, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 11/24/2025 Plan of Correction Administrator stated to speak with staff in regards to properly documenting PRN medication. POC will be cleared.
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
87203 Fire Safety All 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 panic. This requirement was not met as evidenced by: Based on observation and interviews, the Licensee did not comply with the regulation cited above by not ensuring to protect life and property against fire and panic. LPAs observed the side gate/perimeter fence gate that exits to the front yard with a locked pad lock. This poses an immediate health and safety risk to residents in care.
During the facility visit on 07/13/2021, the licensee agrees to remove the padlock observed on the side gate/perimeter fence gate and stated not to lock the side gate/perimeter fence gate without Licensing and Fire Marshall approval. Licensee immediately removed the padlock observed on the side gate/perimeter fence gate during visit on 07/13/2021. Plan of Correction (POC) cleared.
Deadline recorded: Feb 26, 2025. A deadline is not proof that correction was completed.
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this report(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 observation, interview and record review, the licensee did not comply with the section cited above by pre-pouring 12 out of 12 residents whole day medication in a small container which poses an immediate health, safety or personal rights risk to residents in care.
POC Due Date: 11/16/2023 Plan of Correction The Licensee stated to train all staff on CCR 87465(h)(5) and submit proof of Staff Training Log to LPA Brown at plan of correction (POC) due date.
(d) There shall be lamps or light appropriate for the use of each room and sufficient to ensure the comfort and safety of all persons in the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above by not having a lamp in Resident #1 (R1) bedroom which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/24/2023 Plan of Correction The Licensee stated to purchase lamp for R1's bedroom and submit proof to LPA Brown at POC due date.
(e) Water supplies and plumbing fixtures shall be maintained as follows: (5) Non-skid mats or strips shall be used in all bathtubs and showers. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above by not having non-skid mats or strips in Room #2, Room #3 and Room #8 which poses a potential health, safety or personal rights risk to residents in care.
POC Due Date: 11/24/2023 Plan of Correction The Licensee stated to purchase non-skid mats or strips for Room #2, Room #3 and Room #8 and submit prrof to LPA Brown at POC due date.
87203 Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshall for the protection of life and property against fire and panic. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above by securing the side gate in the backyard with a pad lock which poses potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/16/2023 Plan of Correction The Licensee unlocked/removed the pad lock that secured the side gate of the facility during the visit. POC Cleared. Licensee shall keep the side gate secured but not locked in any capacity. The LIcensee stated to train all staff on CCR 87203 and submit proof of Training Log to LPA Brown at POC due date.
87608 Postural Supports (a) Based on the individuals preadmission appraisal....(3) A written order from a physician indicating the need for the postural support shall be maintained in the residents record. The licensing agency... This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview andrecord review, the licensee did not comply with the section cited above by having Resident #12 (R12) half bed rail with no written order from R12's physician indicating the need for the postural support maintained in R12's facility record which poses a potential health, safety or personal rights risk to residents in care.
POC Due Date: 11/24/2023 Plan of Correction The Licensee stated to submit written order from R12's physician indicating the need for the postural support and submit letter to Community Care Licensing Division (CCLD) requesting approval for R12's half bedrail at the facility by plan of correction (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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