Fire safety and emergency preparedness
Cited in 3 reports, with 5 deficiencies in total.
12625 BALSAM RD., Victorville CA 92392
6 bedsLatest official report Oct 2, 2025Licensed
The available records show 1 Type A and 10 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 1 Type A and 10 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
4 in the last 12 months
Most this size have none
0 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 3 reports, with 5 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.
(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 and record review, the licensee did not comply with the section cited above by not having an infection control plan available which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/10/2025 Plan of Correction Licensee stated that she will create an infection control plan and submit proof to LPA via email by POC due date.
(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 observation and record review, the licensee did not comply with the section cited above by not conducting emergency drills quarterly which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/10/2025 Plan of Correction Licensee stated that she will conduct an emergency drill and submit proof to LPA via email by POC due date.
(d) A facility shall review the plan annually and make updates as necessary, including changes in floor plans and the population served. The licensee or administrator shall sign and date documentation to indicate that the plan has been reviewed and updated as necessary. 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 reviewing/updating the emergency disaster plan annually which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/10/2025 Plan of Correction Licensee stated that she will review/update the emergency disaster plan and send proof to LPA via email by POC due date.
(e) A facility shall have all of the following information readily available to facility staff during an emergency: 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 emergency kits available which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/10/2025 Plan of Correction Licensee stated that she will arrange emergency kits and send proof to LPA via email by POC due date.
Every residential care facility for the elderly shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the admininistrator did not comply with the section cited above by providing a functioning carbon monoxide alarm which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 10/19/2024 Plan of Correction Administrator stated that she will purchase and install a functioning carbon monoxide alarm and submit video proof to LPA via text by the end of the day on POC due date.
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, interview and record review, the administrator did not comply with the section cited above by renewing the liability insurance in June 2024 which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/26/2024 Plan of Correction Administrator stated that she will renew the liability insurance and submit proof to LPA via photo text message 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: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the administrator did not comply with the section cited above in providing 2 complete staff health screenings which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/26/2024 Plan of Correction Administrator stated that she will have the 2 staff health screenings completed and submit proof to LPA via photo text message by POC due date.
(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 observation, interview and record review, the administrator did not comply with the section cited above by performing quarterly disaster drills which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/26/2024 Plan of Correction Administrator stated that she will conduct a disaster drill and review the regulation cited and submit a statement of understanding to LPA via email by POC due date.
(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in maintaining detergent in the laundry room inside the garage inaccessible to residents which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/24/2023 Plan of Correction Licensee removed detergent. Licensee states that she will have the kitchen-garage door lock repaired and submit a video as proof to LPA via text 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 and record review, the licensee did not comply with the section cited above in obtaining a complete TB response for staff which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/24/2023 Plan of Correction Licensee states that staff will obtain a complete TB response and submit proof to LPA via email by POC due date.
(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 observation and record review, the licensee did not comply with the section cited above in conducting a quarterly emergency drill which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/24/2023 Plan of Correction Licensee states that she will create, conduct and train a quarterly emergency disaster drill with staff. Licensee states that she will submit a statement of understanding on regulation cited along with a copy of drill performed to LPA via email by 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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