Fire safety and emergency preparedness
Cited in 2 reports, with 3 deficiencies in total.
GREEN TREE RESIDENCE LLC
13741 BURNING TREE DRIVE, Victorville CA 92395
6 bedsLatest official report Nov 4, 2025Licensed
Additional info
- Telephone
- (760) 245-2504
- Licensee
- GREEN TREE RESIDENCE LLC
- Administrator
- MARTIN VENTRESS JR
- Contact
- MARTIN VENTRESS JR
- License first date
- Nov 28, 2017
- License effective date
- Nov 28, 2017
- District office
- SAN BERNARDINO ASC · (951) 248-2222
- Regional office
- 56
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 2 Type A and 13 Type B deficiencies for this facility.
- Most recent inspection
- Nov 4, 2025
- Most recent deficiency
- Nov 4, 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: 4 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 2 Type A and 13 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 4
- Recorded deficiencies
- 15
- Type A deficiencies
- 2
- Type B deficiencies
- 13
- Substantiated complaints
- 0
- Repeated topics
- 3
About the same as most this size
1 in the last 12 months
Well above the typical 1
7 in the last 12 months
Most this size have none
2 in the last 12 months
Well above the typical 1
5 in the last 12 months
Most this size also have none
0 in the last 12 months
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.
Staffing, personnel, and training
Cited in 2 reports, with 3 deficiencies in total.
Records and plan of operation
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
Not classified in the sourceType A
- Official classification
- Type A
- Official code
- 1569.311
- Regulation authority
- HSC
What the official deficiency says
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 licensee did not comply with the section cited above by not ensuring that the facility has a carbon monoxide detector which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/05/2025 Plan of Correction Licensee will submit pictures of the installed carbon monoxide detector on plan of correction (POC) due date.
Plan of correction recorded
Correction not verified in available records
Hazardous items and storageType A
- Official classification
- Type A
- Official code
- 87309(a)
- Regulation authority
- CCR
What the official deficiency says
(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. 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 that the knives and any sharp object are inaccessible by the resident in care which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/04/2025 Plan of Correction Facility already put away the knives into a locked closet at the time of the visit.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- 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 observation, interview, record review, the licensee did not comply with the section cited above by not ensuring that staff#2 (S2)t have the chest x-ray results on the health screening report which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/07/2025 Plan of Correction Licensee will submit proof of the appointment date to get a chest x-ray appoinment for S2 on plan of correction (POC) due date.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(c)(1)
- Regulation authority
- CCR
What the official deficiency says
(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview, record review, the licensee did not comply with the section cited above by not ensuring that have the CPR/First Aid Certification, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/14/2025 Plan of Correction Licensee will submit a copy of S2 CPR/first aid training on POC due date.
Plan of correction recorded
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(b)(15)
- Regulation authority
- CCR
What the official deficiency says
(b) Each resident's record shall contain at least the following information: (15) The admission agreement and pre-admission appraisal, specified in Sections 87507, Admission Agreements and 87457, Pre-admission Appraisal. 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 by not ensuring that resident #1 (R1) has the pre-admission appraisal and needs and services plan which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/14/2025 Plan of Correction Licensee will submit a copy of the pre-admission appraisal and the needs and service plan for R1 on plan of correction (POC) due date.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87458(c)(1)
- Regulation authority
- CCR
What the official deficiency says
(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for 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 by not ensuring that resident #1 (R1) has the physicians report to show that R1 is free of infectious disease which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/14/2025 Plan of Correction Licensee will submit proof of R1 doctor's apointment to get the physician's report that showed R1 has negative result on tuberculosis (TB) test on POC due date.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- 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 by not ensuring that the facility has an emergency/disaster drill available for review which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/14/2025 Plan of Correction Licensee will submit the emergency/disater drill signed by all the staff on plan of correction (POC) due date.
Plan of correction recorded
Correction not verified in available records
Inspection
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87470(c)
- 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. 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 that the Infection Control Plan is available for review. which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/18/2024 Plan of Correction Licensee stated that he will submit proof of Infection Control Plan by the planc of correction (POC) due date.
Plan of correction recorded
Correction not verified in available records
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, the licensee did not comply with the section cited above by not having a copy of the liability insurance available for review. which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/04/2024 Plan of Correction Licensee stated that he will submit a copy of the liability insurance by the POC due date.
Plan of correction recorded
Correction not verified in available records
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 1569.618(c)(3)
- 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: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. 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 by not having in administrator's file an updated first aid/CPR certification. which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/04/2024 Plan of Correction Licenseee stated that he will submit the updated CPR/first aid certification by the plan of correction (POC) due date.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(d)
- Regulation authority
- CCR
What the official deficiency says
(d) The licensee shall maintain documentation that an administrator has met the certification requirements specified in Section 87406, Administrator Certification Requirements or the recertification requirements in Section 87407, Administrator Recertification Requirements. 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 by not having an updated Administrator's certificate which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/04/2024 Plan of Correction Licensee stated that he will submit an updated Administrator's certificate by the POC due date.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- 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 observation, the licensee did not comply with the section cited above by not having the Emergency Disaster Plan available for inspection/review, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/18/2024 Plan of Correction LIcensee stated that he will submit the required Emergency Disaster Plan by the plan of correction (POC) due date.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- 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 observation, the licensee did not comply with the section cited above by not conducting the required emergency disaster drill which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/18/2024 Plan of Correction Licensee stated that he will submit proof of the required Emergency Disaster Drill by the POC due date.
Plan of correction recorded
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87212(c)
- Regulation authority
- CCR
What the official deficiency says
(c) Emergency exiting plans and telephone numbers shall be posted. 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 having the required emergency exiting plans and telephone numbers posted at the facility which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/18/2024 Plan of Correction LIcensee stated that he will submit proof of the required emergency exiting plan and telephone numbers by the plan of correction (POC) due date.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(e)(6)
- Regulation authority
- CCR
What the official deficiency says
Water supplies and plumbing fixtures shall be maintained as follows: Grab bars shall be maintained for each toilet; bathtub and shower used by residents. 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 having the required grab bars for each toilet and bathtub which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/04/2024 Plan of Correction Licensee stated that he will submit proof of installation of the required grab bars by the plan of correction (POC) due date.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this 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