HILLS OF SOUTH LANE II, THE

Official classification

Type A

Official code

1569.38(f)

Regulation authority

HSC

What the official deficiency says

Health and Safety Code (HSC) 1569.38 Posting of licensing reports; disclosure ... (f)The notice required to be posted pursuant to subdivision (e) shall remain posted until the deficiencies that gave rise to the notice are resolved. This requirement was not met as evidenced by: Based on observation, interview and record review, the Licensee did not comply with the section cited above by not ensuring that the written notice and the accusation notice received were posted in a conspicuous location in the facility and shall remain posted until the deficiencies that gave rise to the accusations notice are resolved which poses potential health, safety, and personal rights risks to resident in care.

Official plan of correction

Licensee will post the accusation notice in the conspicuous location and will send a written notice and provide proof regarding the accusation to the resident, residents responsible party if any and long term care ombudsman (LTCO) on plan of correction (POC) due date.

Deadline recorded: Jun 16, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87224

Regulation authority

CCR

What the official deficiency says

Eviction Procedures: 87224 licensee may evict a resident one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required except as otherwise specified in paragraph Based on observation, interviews and record review, the Licensee did not comply with the section cited above by not ensuring a written notices and procedures were provided to the residents or residents responsible parties in three (3) out of three (3) residents in care which poses potential health, safety, and personal rights risks to resident in care.

Official plan of correction

Licensee will follow title 22 regulation regarding the eviction procedures provide proof of notice and assistance with relocation and any other regulatory procedures regarding the eviction process.

Deadline recorded: Jun 16, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.618(c)

Regulation authority

HSC

What the official deficiency says

(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: This requirement is not met as evidenced by: Deficient Practice Statement Based on interview, 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: 04/06/2026 Plan of Correction Licensee to provide relief staff for staff 1 and staf 2.

Official classification

Type A

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview, the licensee did not comply with the section cited above in which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/06/2026 Plan of Correction Licensee to hire additional staff to provide relief services to current staff to care for residents.

Official classification

Type B

Official code

87470(c)(1)(D)

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. (1) The Infection Control Plan shall include all of the following: (D) The licensee shall review the use of infection control procedures in the facility at least annually, if local government public health determines an epidemic outbreak has occurred, or if the review is requested by the local licensing agency. 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: 04/30/2026 Plan of Correction Licensee to provide an updated or reviewed plan signed with date by POC

Official classification

Type B

Official code

87706(a)(1)(C)

Regulation authority

CCR

What the official deficiency says

(a) In addition to the requirements in Section 87705, Care of Persons with Dementia, licensees who advertise, promote, or otherwise hold themselves out as providing special care, programming, and/or environments for residents with dementia or related disorders shall meet the following requirements: (1) In addition to the requirements specified in Sections 87208, Plan of Operation, the licensee shall include in the plan of operation a brief narrative description addressing the following additional information: (C) Staff training describing the required training for direct care staff who provide dementia special care. At a minimum, the description shall include information on training to be provided, as specified in Health and Safety Code sections 1569.625 and 1569.626. 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: 04/30/2026 Plan of Correction Licensee to provide the staff training completed according to the special care for residents related disorders.

Official classification

Type B

Official code

87412(a)(11)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (11) A health screening as specified in Section 87411, Personnel Requirements - General. 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: 04/30/2026 Plan of Correction Licensee to update all personnel records with updated required health screenings.

Official classification

Type B

Official code

87412(c)(2)

Regulation authority

CCR

What the official deficiency says

(c) Licensees shall maintain in the personnel records verification of required staff training and orientation. (2) Documentation of staff training shall include: 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: 04/30/2026 Plan of Correction Licensee to ensure all staff have completed annual training required for residents in care and maintain the docuementations in their file.

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 which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/30/2026 Plan of Correction Licensee to update or review and sign the Emergency plan and provide copy to LPA by POC date.

Official classification

Type B

Official code

1569.695(c)

Regulation authority

HSC

What the official deficiency says

(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 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: 04/30/2026 Plan of Correction Licensee to conduct drills according to regualations and maintain documentaion. Licensee to conduct a drill for the month of April and provide a copy to LPA of the staff who conducted it, signed, and dated.

Official classification

Type A

Official code

87213

Regulation authority

CCR

What the official deficiency says

The licensee shall have a financial plan that conforms to the requirements of Section 87155, Application for License, and that assures sufficient resources to meet operating costs for care of residents; shall maintain adequate financial records; and shall submit such financial reports as may be required upon the written request of the licensing agency. Such request shall explain the need for disclosure. The licensing agency reserves the right to reject any financial report and to request additional information or examination including interim financial statements. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview, the licensee did not ensure employees are receving their paychecks timely which poses an immediate health and safety risk for persons in care.

Official plan of correction

POC Due Date: 04/06/2026 Plan of Correction Licensee to pay staff back pay for the hours worked.

Official classification

Type A

Official code

87213

Regulation authority

CCR

What the official deficiency says

87213The licensee shall have a financial plan that...assures sufficient resources to meet operating costs for careof residents;shall maintain adequatefinancial records; and shall submit such financial reports as may be required upon the written request of the licensing agency. This requirement is not evidence by; Based on interviews, the licensee did not ensure employees are receving their paychecks timely. Two staff interviews conducted confirmed that the two staff have not been paid, and have received partial pay. This poses an immediate health and safety risk for persons in care.

Official plan of correction

The licensee to pay staff and submit a financial plan on how they will ensure the staff receive there pay that is due, and for all pay periods moving forward. Financial plan to be submitted via email or Fax by POC

Deadline recorded: Mar 17, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

87411Personnel Requirementsl(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs ...The physical arrangement of the facility require such additional staff for the provision of adequate services. This is not met by; Based on interviews, the licensee did not ensure suffiicent staff are available to relieve care staff from their duties. Two staff interviews reveal staff have not had a day off in the past two weeks. This poses an immediate health and safety risk for persons in care.

Official plan of correction

Administrator will schedule relieve staff immediatly. And willl provide the monthly staff schedule of all staff including the covering staff by POC date and to be submitted via email.

Deadline recorded: Mar 17, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.605

Regulation authority

HSC

What the official deficiency says

1569.605 Liability insurance;coverage requirements...On ($1,000,000) per occurrence and three million dollars ($3,000,000)in the total annual aggregate caused by the negligent act or omissions to act of, or neglect by,the licensee or its employees.This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above by not providing proof during visit poses an potential health and safety risk to persons in care.

Official plan of correction

Licensee/ administrator was not here to discuss POC. LPA requesting a current copy to be provided by or before 3/24/2026 via email.

Deadline recorded: Mar 24, 2026. A deadline is not proof that correction was completed.