Inspection
No deficiencies recorded in this report
FIL-AM HOME FOR SENIORS IV
359 W LANGSTON STREET, Upland CA 91786
6 bedsLatest official report Sep 10, 2024Licensed
Additional info
- Telephone
- (714) 408-8996
- Licensee
- STATESIDE MEDICAL LLC
- Administrator
- MICLAT, TOBY
- Contact
- MICLAT, TOBY
- License first date
- Aug 29, 2019
- License effective date
- Aug 29, 2019
- District office
- SAN BERNARDINO ASC · (951) 248-2222
- Regional office
- 56
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 1 Type B deficiency for this facility.
- Most recent inspection
- Sep 10, 2024
- Most recent deficiency
- Sep 21, 2022
1 later report, on Sep 10, 2024, recorded no deficiencies, though the records do not say whether they were follow-ups.
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 2 reports for this facility: 2 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 0 Type A and 1 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 2
- Recorded deficiencies
- 1
- Type A deficiencies
- 0
- Type B deficiencies
- 1
- Substantiated complaints
- 0
- Repeated topics
- 0
Fewer than the typical 4
0 in the last 12 months
About the same as most this size
0 in the last 12 months
Most this size also have none
0 in the last 12 months
About the same as most this size
0 in the last 12 months
Most this size also have none
0 in the last 12 months
Last 36 months
No inspection in the last 12 months, so a zero above means no record rather than a clean visit.
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.
No topic repeats in the last 36 months
No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(a)
- Regulation authority
- CCR
What the official deficiency says
87307. Personal Accommodations and Services. (a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility.. This requirement is not met as evidenced by: Deficient Practice Statement This requirement is not met as evidenced by observation, the licensee did not comply with the section cited above by allowing staff to reside and sleep in a hallway closet which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/24/2022 Plan of Correction The licensee has agreed to read regulation 87307 entirely and send LPA self certify letter that the regulation was read and understood. The licensee has agreed to vacate the staff, the bed, and their belongings out of the hallway closet. The licensee has agreed to send LPA pictures to show that the bed and staff belongings have been moved out of the hallway closet. POC is due by 9/24/22.
Plan of correction recorded
Correction not verified in available records
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