Admission, assessment, and eviction
Cited in 2 reports, with 4 deficiencies in total.
349 E KENWOOD ST., Upland CA 91784
6 bedsLatest official report May 18, 2026Licensed
The available records show 5 Type A and 12 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 4 reports for this facility: 4 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 5 Type A and 12 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
6 in the last 12 months
Most this size have none
2 in the last 12 months
Well above the typical 1
4 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.
Cited in 2 reports, with 3 deficiencies in total.
Cited in 2 reports, with 2 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.
(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. 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 there is an active order for full bed rails for Resident #4 (R4), which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 05/19/2026 Plan of Correction Administrator stated to remove bed rails during LPAs visit. Deficiency will be cleared.
(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 and record review, the licensee did not comply with the section cited above by not ensuring Resident # (R2) PRN medication was properly documented/administered, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 05/19/2026 Plan of Correction Administrator stated to submit to LPA the active/updated order for R2's PRN medication by POC due date.
(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 ensuring resident's bedside commode located in resident's bathroom was maintained, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/25/2026 Plan of Correction Administrator stated to purchase new bedside commode and submit proof to LPA by Plan of Correction (POC) due date.
(c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of their individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations. 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 Resident #1 (R1) and Resident #2 (R2) had a pre-placement appraisal conducted prior to moving in, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/25/2026 Plan of Correction Administrator stated to submit to LPA pre-placement apprasials for R1 and R2 by POC due date.
(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. 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 all (3) residents audited had a reappraisal completed, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/25/2026 Plan of Correction Administrator stated to submit to LPA completed reapprasials for all (3) residents audited 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 and record review, the licensee did not comply with the section cited above by not ensuring all (3) residents audited had a completed needs and services plan which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/25/2026 Plan of Correction Administrator stated to submit to LPA Hernandez a completed needs and services plan for all (3) residents audited by POC due date.
(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 observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that Staff #2 (S2), Staff #3 (S3) and Staff #4 (S4) complete their Health Screening Report with their Physician which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 04/30/2024 Plan of Correction Licensee stated to submit proof of S2, S3 and S4 Doctor's Appointment Schedule to complete their Health Screening Report to LPA Brown on Plan of Correction (POC) due date.
(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (4) There is an adequate number of direct care staff to support each resident's physical, social, emotional, safety and health care needs as identified in his/her current appraisal. (A) In addition to requirements specified in Section 87415, Night Supervision, a facility with fewer than 16 residents shall have at least one night staff person awake and on duty if any resident with dementia is determined through a pre-admission appraisal, reappraisal or observation to require awake night supervision. 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 not having at least one (1) night staff person awake and on duty at the facility as they have dementia residents which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 04/30/2024 Plan of Correction Licensee stated to schedule a staff to work night shift and submit proof of new staff schedule and updated Personnel Report (LIC500) to LPA Brown on Plan of Correction (POC) due date.
(f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. 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 not locking the two (2) over the counter ointments found in the kitchen cabinet making it accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 04/30/2024 Plan of Correction Staff locked and removed the two (2) over the counter ointments in the unlocked kitchen cabinet and immediately transferred it to a locked cabinet. LIcensee stated to train all staff on CCR 87705(f)(2) and submit proof of all staff Training Log to LPA Brown on Plan of Correction (POC) due date,
(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 and record review, the licensee did not comply with the section cited above by not having the required Infection Control Plan at the facility which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/06/2024 Plan of Correction Licensee stated to submit a copy of the required Infection Control Plan to LPA Brown on Plan of Correction (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, interview and record review, the licensee did not comply with the section cited above by not having the required skid mat in the residents shared bathroom shower which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/06/2024 Plan of Correction Licensee stated to put non-skid mat is the resdients' shared bathroom shower and submit proof to LPA Brown on Plan of Correction (POC) due date.
(a) Residents shall be encouraged to maintain and develop their fullest potential for independent living through participation in planned activities. The activities made available shall include: (1) Socialization, achieved through activities such as group discussion and conversation, recreation, arts, crafts, music, and care of pets. 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 not having planned activities for the residents which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/06/2024 Plan of Correction Licensee stated to submit a copy of the facility's May 2024 Planned Activities to LPA Brown on Plan of Correction (POC) due date. Licensee stated to train all staff on CCR 87219(a)(1) and submit proof of all staff training log to LPA Brown on Plan of Correction (POC) due date.
(a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment. 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 not having a complete Physician Report (LIC602) for Resident #1 (R1) as it's missing two (2) pages without R2's Physician signature which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/06/2024 Plan of Correction Licensee stated to submit a copy of R1's completed form LIC602 to LPA Brown on Plan of Correction (POC) due date.
(c) Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident's representative, if any, and the licensee or the licensee's designated representative no later than seven days following admission. Attachments to the agreement may be utilized as long as they are also signed and dated as prescribed above. 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 not ensuring that Resident #2 (R2) Admission Agreement was signed and dated by R2 or R2's Representative and the Licensee/Administrator which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/06/2024 Plan of Correction Licensee stated to submit a copy of R2's Signed Admission Agreement by R2 or R2's Representative and Licensee/Administrator to LPA Brown on Plan of Correction (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 and record review, the licensee did not comply with the section cited above by not completing the required Needs and Services Plan for Resident #1 (R1), Resident #2 (R2) and Rsident #3 (R3) which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/06/2024 Plan of Correction LIcensee stated to submit Signed Statement of Understanding on CCR 87507(C) to LPA Brown on PLan of Correction (POC) due date.
(A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed. 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 allowing Resident #1 (R1) to have a half bed rail without written order from R1's physician indicating the need for half bed rail for mobility which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/10/2024 Plan of Correction Licensee stated to submit a copy of R1's written order indicating the need for half bed rail for mobiity to LPA Brown on Plan of Correction (POC) due date.
(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care needs. 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 not ensuring that Resident #3 (R3) has updated Physician Report (LIC602) due to dementia diagnosis which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/10/2024 Plan of Correction LIcensee stated to submit a copy of R3's updated form LIC602 to LPA Brown on 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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