CASSANDRA'S CARE HOME

10175 GOLDEN YARROW LANE, Rancho Cucamonga CA 91701

Facility 365530146 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Nov 17, 2025Licensed

Additional info
Licensee
CASSANDRA'S CARE HOME, INC.
Administrator
ELLISON, CASSANDRA
Contact
ELLISON, CASSANDRA
License first date
Nov 14, 2023
License effective date
Nov 14, 2023
District office
SAN BERNARDINO ASC · (951) 248-2222
Regional office
56
Clients served
935 - ELDERLY

Summary

The available records show 3 Type A and 2 Type B deficiencies for this facility.

Most recent inspection
Nov 17, 2025
Most recent deficiency
Nov 17, 2025

No later report is available, so the records do not show what happened afterward.

What Type A and Type B mean
Type A
Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
Type B
Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.

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.

At a glance

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 4 reports for this facility: 2 inspections, 0 complaint investigations, and 2 licensing or administrative records.

Those records contain 3 Type A and 2 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
2

Fewer than the typical 4

1 in the last 12 months

Recorded deficiencies
5

More than the typical 1

3 in the last 12 months

Type A deficiencies
3

Most this size have none

1 in the last 12 months

Type B deficiencies
2

More than the typical 1

2 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
1

Last 36 months

Repeated topics

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.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Inspection
Medication handling and storageType A
Official classification
Type A
Official code
87465(c)(3)
Regulation authority
CCR

What the official deficiency says

(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 observation, interview, and record review, the licensee did not comply with the section cited above in 1 out of 2 residents in care by not ensuring the MARS was maintained with an initial and date the medication was dispensed prescription and nonprescription medication which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/18/2025 Plan of Correction Administrator agrees to conduct a training on medication logging and dispensing medication and submit a statement of understanding by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Licensing and administrationType B
Official classification
Type B
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, and record review, the licensee did not comply with the section cited above by not ensuring the facility maintained a current liability insurance policy which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/19/2025 Plan of Correction Administrator contacted the insurance company during the visits and agreed to ensure to have a policy within the next 48 hours. Administrator will submit proof by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87463(h)
Regulation authority
CCR

What the official deficiency says

(h) The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, and record review, the licensee did not comply with the section cited above in 1 out of 2 residents by not ensuring a annual physician report was maintained in the residents file which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/08/2025 Plan of Correction Administrator agrees to review all residents files and agrees update and maintain a current physicain report for all residents in care by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Medication handling and storageType A
Official classification
Type A
Official code
87465(h)(5)
Regulation authority
CCR

What the official deficiency says

(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, record review, the licensee did not comply with the section cited above in 1 out of 1 total residents which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/22/2024 Plan of Correction Licensee/Administrator shall maintain medication in its original container at all times. Licensee will provide the original prescription bottle.

Plan of correction recorded
Correction not verified in available records
View official report
Medication handling and storageType A
Official classification
Type A
Official code
87465(c)(3)
Regulation authority
CCR

What the official deficiency says

(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 in 2 out of 2 residents which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/19/2024 Plan of Correction Licensee/Administrator stated that she will maintain and complete a reviewed/updated resident MARs records in the facility and ensure all staff are properly trained on medication procedure. Licensee/Administrator will submit a training log of such procedure and statement of understanding to LPA via email by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report

Source and limits

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