Facility condition and maintenance
Cited in 6 reports, with 8 deficiencies in total.
Aug 7, 2026Mar 16, 2026Jul 3, 2025Oct 21, 2024Aug 23, 2024Aug 21, 2024
JASMIN TERRACE AT YUCCA VALLEY
55425 SANTA FE TRAIL, Yucca Valley CA 92284
85 bedsLatest official report Aug 18, 2026Licensed
Additional info
- Telephone
- (760) 365-0887
- Licensee
- VVS1, LLC
- Administrator
- MICHAEL GARCIA
- Contact
- MICHAEL GARCIA
- License first date
- Sep 8, 2020
- License effective date
- Sep 8, 2020
- District office
- SAN BERNARDINO ASC · (951) 248-2222
- Regional office
- 56
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 28 Type A and 40 Type B deficiencies for this facility.
- Most recent inspection
- Aug 18, 2026
- Most recent deficiency
- Aug 7, 2026
2 later reports, from Aug 18, 2026 through Aug 18, 2026, 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 37 San Bernardino County facilities licensed for 50 or more beds, except where too few exist to state one — those come from facilities with 7 or more beds.
In the available public five-year record, CCLD published 99 reports for this facility: 38 inspections, 61 complaint investigations, and 0 licensing or administrative records.
Those records contain 28 Type A and 40 Type B deficiencies.
3 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 38
- Recorded deficiencies
- 68
- Type A deficiencies
- 28
- Type B deficiencies
- 40
- Substantiated complaints
- 23
- Repeated topics
- 9
More than the typical 6
9 in the last 12 months
Well above the typical 7
12 in the last 12 months
Well above the typical 2
2 in the last 12 months
Well above the typical 4
10 in the last 12 months
Well above the typical 1
6 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.
Records and plan of operation
Cited in 6 reports, with 6 deficiencies in total.
Feb 12, 2026Feb 12, 2026May 9, 2025Feb 19, 2025Aug 23, 2024Mar 2, 2024
Resident rights
Cited in 4 reports, with 4 deficiencies in total.
Basic services and supervision
Cited in 3 reports, with 4 deficiencies in total.
Hazardous items and storage
Cited in 3 reports, with 3 deficiencies in total.
Medical and dental care
Cited in 2 reports, with 3 deficiencies in total.
Staffing, personnel, and training
Cited in 2 reports, with 3 deficiencies in total.
Admission, assessment, and eviction
Cited in 2 reports, with 2 deficiencies in total.
Incident reporting
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.
Complaint
Allegations1 substantiated · 4 unsubstantiated · 0 unfounded · 1 cited · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 6 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 5 unsubstantiated · 0 unfounded · 1 cited
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87413(a)(2)
- Regulation authority
- CCR
What the official deficiency says
87413 (a)(2) Personnel – Operations (a) In each facility: (2)Care and supervision of residents shall be provided without physical or verbal abuse, exploitation or prejudice. This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above. R1 was verbally abused by S1 while in care.
Official plan of correction
Licensee terminated and dissociated S1 from the facility
Deadline recorded: May 4, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 4, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 3 unsubstantiated · 0 unfounded · 1 cited
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(2)
- Regulation authority
- CCR
What the official deficiency says
87465(a)A plan for incidental medical and dental care shall be developed by each facility…(2)The licensee shall provide assistance in meeting necessary medical and dental needs. This includes transportation…to available medical or dental facility which will meet the resident's need…This requirement is not met at evidenced by: The Licensee did not comply with the section cited above, as staff #1(S1) did not ensure resident #1 (R1) was transported to their medical appointment as scheduled; which poses a potential health, safety, and personal rights risk to persons in care.
Official plan of correction
The Licensee/Administrator has agreed to provided staff inservice training on ensuring resident medical/transportation needs are met. Proof of training to be submitted to the licensing agency by POC due date.
Deadline recorded: Mar 31, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 31, 2026
Correction not verified in available records
Complaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303(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: The Licensee did not comply with the section cited above by not ensuring that resident bedroom carpets in rooms108, 109, and 123 were clean and the sink faucet in resident bedroom #109 was operating properly; which poses an potential health, safety, and personal rights risk to persons in care.
Official plan of correction
During today's visit, LPA observed the sink faucet in bedroom #109 was repaired. The Administrator stated that the carpets in bedrooms #108, 109, and 123 will be replaced by POC due date. Proof of correction shall be submitted to the licensing agency by POC due date.
Deadline recorded: Mar 31, 2026. A deadline is not proof that correction was completed.
Corrective action observedRecorded in report dated Mar 16, 2026
Plan of correction recorded
Correction deadline recordedDeadline Mar 31, 2026
Complaint
Allegations0 substantiated · 8 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(c)(1)
- Regulation authority
- CCR
What the official deficiency says
Title 22, Division 6 Chapter 8 Article 09. Resident Records(c) All information and records obtained from or regarding residents shall be confidential. (1) The licensee shall be responsible...for safeguarding the confidentiality of their contents. The licensee and all employees shall reveal or make available confidential information only upon the resident's written consent or that of his designated representative. This requirement is not met as evidence by: Based on interviews and file reviews, the licensee did not comply with the section cited above by not ensuring that the licensee and all employees shall reveal or make available confidential information only upon the resident's written consent or that of their designated representative which poses a potential health, safety or personal rights risk to residents in care.
Official plan of correction
Licensee agreed to read regulation 87506 in its entirety and submit a statement of understanding to follow the regulation above by plan of correction (POC) due date.
Deadline recorded: Feb 18, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 18, 2026
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(c)(1)
- Regulation authority
- CCR
What the official deficiency says
Title 22, Division 6 Chapter 8 Article 09. Resident Records(c) All information and records obtained from or regarding residents shall be confidential. (1) The licensee shall be responsible...for safeguarding the confidentiality of their contents. The licensee and all employees shall reveal or make available confidential information only upon the resident's written consent or that of his designated representative. This requirement is not met as evidence by: Based on interviews and file reviews, the licensee did not comply with the section cited above by not ensuring that the licensee and all employees shall reveal or make available confidential information only upon the resident's written consent or that of his designated representative which poses a potential health, safety or personal rights risk to residents in care.
Official plan of correction
Licensee agreed to read regulation 87506 in its entirety and submit a statement of understanding to follow the regulation above by plan of correction (POC) due date.
Deadline recorded: Feb 18, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 18, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 7 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 5 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 6 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(a)
- Regulation authority
- HSC
What the official deficiency says
87303Maintenance and Operation (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: Interviews with staff, residents, and document review reveal that the facility does have bed bugs and the Licensee is not utilizing effective measures to mitigate the spread of bed bugs. This poses/posed an immediate health, safety, and personal rights risk to persons in care.
Official plan of correction
The Administrator/Licensee has agreed to have an exterminator company conduct an inspect resident bedrooms, common areas, and treat rooms if bed bugs are observed & clean room 107's shower by POC due date.
Deadline recorded: Jul 9, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 9, 2025
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.2(a)(8)
- Regulation authority
- CCR
What the official deficiency says
87468.2Additional Personal Rights of Residents in Privately Operated Facilities(a)In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all the following personal rights: (8)To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical...abuse. This requirement is not met as evidenced by: The Licensee did not comply with the section cited above by facility staff financially exploiting R1 while in care; which poses an immediate health, safety and personal rights risk to persons in care.
Official plan of correction
The Licensee and Adminstrator has agreed to provide inservice training on financial abuse and a resident council meeting and provide documentation of training to the licensing agency by POC due date. Both S1 and S2 no longer work for the facility. .
Deadline recorded: May 22, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 22, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.2(a)(4)
- Regulation authority
- CCR
What the official deficiency says
Additional Personal Rights of Residents in Privately Operated Facilities 87468.2(a) In addition to...Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs...this requirement is not met as evidenced by: The Licensee did not comply with the section cited above by not ensuring resident had sufficient supervision to meet their care needs resulting in R1 eloping from the facility; which poses an immediate health, safety, and personal rights risk to persons in care.
Official plan of correction
The Licensee/Administrator shall conduct in-service training on resident eloping prevention and wandering behaviors and submit documentation of training to the Licensing Agency by POC due date.
Deadline recorded: Jan 21, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 21, 2025
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Aug 7, 2026 · Control 56-AS-20241108092028
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(4)
- Regulation authority
- CCR
What the official deficiency says
Additional Personal Rights of Residents in Privately Operated Facilities87468.2 (a) In addition to the rights listed in Section 87468.1...residential care facilities for the elderly shall have all of the following personal rights: (4)To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidenced by: The Licensee did not comply with the section cited above by staff unable to communicate with residents to meet their needs, which poses a potential heath, safety, or personal rights risks to persons in care.
Official plan of correction
The Licensee/Administrator shall submit to the Licensing Agency a statement of understanding on the regulation cited by plan of correction date.
Deadline recorded: Dec 3, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 3, 2024
Correction not verified in available records
Complaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(d)
- Regulation authority
- CCR
What the official deficiency says
87303 Maintenance and Operation(d) There shall be lamps or light appropriate for the use of each room and sufficient to ensure the comfort and safety of all persons in the facility; this requirement is not met as evidenced by: The licensee/Administrator did not comply with the section cited above by not maintaining sufficient lighting in bedroom #103's hallway; which poses a potentional health, safety, and/or personal rights risk to persons in care.
Official plan of correction
The lighting was fixed in bedroom #102 during LPA's visit. no further action required.
Deadline recorded: Aug 26, 2024. A deadline is not proof that correction was completed.
Official record says corrected or clearedOn or before Aug 21, 2024
Correction deadline recordedDeadline Aug 26, 2024
Complaint
Allegations1 substantiated · 2 unsubstantiated · 1 unfounded · 1 cited
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(a)
- Regulation authority
- CCR
What the official deficiency says
Resident Records.The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility…this requirement is not met as evidenced by: resident #1 (R1’s) last medical exam on file was conducted on 6/23/2022, due to R1’s cognitive condition an annual medical assessment is required. Resident #2 (R2) physician’s report was missing physician’s signature. Resident #5 (R5) did not have a complete physician's report or a medical assessment on file, which poses a potential health, safety, or personal rights risk to persons in care.
Official plan of correction
The Administrator stated that both R2 and R5 no longer reside at the facility. The Licensee/Administrator shall submit to the Licensing Agency a statement of understanding on the regulation cited by POC due date. The Licensee/Administrator shall submit to the Licensing agency proof of R1's current physician's report or medical assesment as per regulation 87458 medical assessments.
Deadline recorded: Mar 31, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 31, 2024
Correction not verified in available records
Complaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Basic services and supervisionType A
- Official classification
- Type A
- Official code
- 87464(f)(4)
- Regulation authority
- CCR
What the official deficiency says
87464 Basic Services(f) Basic services shall at a minimum include:(4)Personal assistance and care as needed by the resident...with those activities of daily living such as dressing, eating, bathing...this requirement has not been met as evidenced by: interviews with staff #1(S1) and staff #2 (S2) reveal they were told by resident #1 (R1) that they have not received their scheduled bath. review of daily care logs reveal no record of baths for R1 from 12/27/23 through 1/08/2024,which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
Licensee/Administrator shall conduct an in-service staff training regarding bath and shower care and submit proof of training to Licensing Agency by POC date.
Deadline recorded: Jan 26, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 26, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(e)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care For every prescription and nonprescription PRN medication for which the licensee provided assistance there shall be a signed, dated written order from the Physician, on a blank prescription, maintained in resident's file. This requirement is not met as evidence by the following: Records reveal that medications were prescribed to resident #1 and medication were not located and dispensed according to doctor's orders
Official plan of correction
Administrator is to train their staff on medication dispensing and storing of medication and a copy of that training to be sent to LPA by POC date.
Deadline recorded: Oct 6, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 6, 2023
Correction not verified in available records
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(1)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: This requirement is not met as Records revealed resident #1 had an appointment on 09/19/23, missed appt and later attended on 09/22/23
Official plan of correction
Administrator to send declaration to LPA on POC date indicating that staff will better communicate with residents or resident's responsible party.
Deadline recorded: Oct 9, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 9, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 2 unsubstantiated · 0 unfounded · 2 cited
Basic services and supervisionType A
- Official classification
- Type A
- Official code
- 87464(f)(2)
- Regulation authority
- CCR
What the official deficiency says
87464Basic Services(f)Basic services shall at a minimum include:(2) Safe and healthful living accommodations and services. This requirement is not met as evidenced by: medications for (2) residents were missing. Staff was unable to locate the medication; which poses an immediate health, safety, and personal rights risks to persons in care.
Official plan of correction
Administator shall read and submit a self-certification of understanding to the licensing agency by POC date.
Deadline recorded: Sep 20, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 20, 2023
Correction not verified in available records
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87464(f)(7)
- Regulation authority
- CCR
What the official deficiency says
87464Basic Services(f)Basic services shall at a minimum include:(7)A planned activities program which includes social and recreational activities appropriate...this requirement is not met as evidenced by: Facility staff assigned to activities are on medical leave. Four (4) out of (6) residents interviewed stated that the facility does not have activities for them.
Official plan of correction
Administator shall read and submit a self-certification of understanding to the licensing agency by POC date.
Deadline recorded: Sep 29, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 29, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 6 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited · investigated over 2 visits
Basic services and supervisionType A
- Official classification
- Type A
- Official code
- 87464(f)(6)
- Regulation authority
- CCR
What the official deficiency says
87464 Basic Services (f)Basic services shall at a minimum include:(6) Arrangements to meet health needs. This requirement is not met by: Facility did not refill resident's medication in a timely manner and did not follow-up on the delay of resident's medication.
Official plan of correction
Administator shall read and submit a self-certification of understanding to the licensing agency by POC date.
Deadline recorded: Aug 10, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 10, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 6 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Aug 9, 2023 · Control 56-AS-20230627101007
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(3)
- Regulation authority
- CCR
What the official deficiency says
87468.1Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have the following..(3)To be free from...actions of a punitive nature, such as withholding residents’ money. This requirement is not met as evidence by the following: Staff did not provide resident with the entire money requested which poses a potential health, safety and personal rights risk to resident in care.
Official plan of correction
Resident was provided with the entire funds requested. Administrator to submit to Licensing an updated resident ledger showing funds received and disbursed to resident by POC date.
Deadline recorded: Jul 7, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 7, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 5 unsubstantiated · 0 unfounded · 1 cited · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Jan 26, 2023 · Control 56-AS-20230120164232
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(a)(c)
- Regulation authority
- CCR
What the official deficiency says
87303 Maintenance and Operation (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... 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 applying the recommendation of the exterminator for the rodents/roaches at the facility which poses immediate health, safety and personal rights risks to residents in care.
Official plan of correction
Licensee will repair holes/gaps in walls throughout the facility as recommended by the exterminator company this includes kitchen,dining area. The outside west wing of the facility need to be cleaned and the screen needs to be placed on door/pannels on outside/inside of air conditioners. Proof of correction will be submittedd to LPA Allen by the plan of correction date of 1/27/2023 by pictures. The licensee with also provide a signed written statement confirming that they have read the regulation cited to its entirety and confiming understanding. The written statement must signed and emailed by 1/27/2023.
Deadline recorded: Jan 27, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 27, 2023
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1(a)(3)
- Regulation authority
- CCR
What the official deficiency says
87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the...(3) To be free from punishment, humiliation, intimidation, abuse...This requirement is not met as evidenced by: Based on interview and records review, the Licensee did not comply with the section cited above due to facility staff neglect to ensure R1 is free from abuse from R2 and resulted to R1’s injury which pose immediate health, safety and personal rights risk to resident in care.
Official plan of correction
Licensee stated to train all staff on CCR 87468.1(a)(3) and submit proof of Training Log to LPA Brown by POC due date. Licensee stated to submit signed Statement of Understanding on CCR 87468.1(a)(3) and submit to LPA Brown by POC due date.
Deadline recorded: Jan 13, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 13, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(2)
- Regulation authority
- CCR
What the official deficiency says
Personal Rights of Residents in All Facilities- Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded safe, healthful and comfortable accommodations To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Based on interviews conducted with residents and facility staff. The facilities air conditioning unit is not working in the main common areas and the kitchen. This poses a potential Health and Safety risk to the clients in care.
Official plan of correction
The administrator agreed to provide CCL with a work contract to replace or repair the air conditioning unit and provide CCL with a plan of options to have resident meals in their rooms and/or areas where the AC unit is working until the unit is working.This POC is due by 9/8/2022.
Deadline recorded: Sep 8, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 8, 2022
Correction not verified in available records
Complaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(c)(7)
- Regulation authority
- CCR
What the official deficiency says
87705 Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia ... (7) An activity program shall address the needs and limitations of residents with ... This requirement is not met as evidenced by: Based on observations, interviews and record review, the licensee did not provide activities for residents at the facility, which poses a potential Health, Safety, or Personal rights risk to persons in care.
Official plan of correction
Licensee will submit List of Activities and Activities Schedule for residents in care self-certified by the Activities Director and Administrator by POC due date to Community Care Licensing Department (CCLD) or LPA Brown. Licensee will submit Statement of Understanding for CCR 87705(c)(7) to LPA Brown by POC due date.
Deadline recorded: Sep 1, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 1, 2022
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(b)(1)
- Regulation authority
- CCR
What the official deficiency says
87705 Care of Persons with Dementia (b) In addition to the requirements as specified in Section 87208, Plan of Operation, the plan of operation shall address the needs of residents with dementia, including: (1) Procedures for notifying the resident's physician, family members ... Based on observation, interview and record review, the Licensee did not comply with the section cited above by not notifying Resident 1 (R1) responsible party of the incident last 01/09/2022 which poses a potential Health, Safety or Personal Rights risk to resident in care.
Official plan of correction
Licensee stated to train staff on CCR 87705(b)(1) and submit Training Log to LPA Brown by POC due date. Licensee stated to submit Statement of Understanding on CCR 87705(b)(1) to LPA Brown by POC due date.
Deadline recorded: Aug 4, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 4, 2022
Correction not verified in available records
Complaint
Allegations0 substantiated · 6 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 6 unsubstantiated · 0 unfounded
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(c)(4)
- Regulation authority
- CCR
What the official deficiency says
87705 Care of Persons with Dementia (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 ... This requirement is not met as evidenced by: Based on observations, interviews and record review, the Licensee do not have adequate number of direct care staff working at the facility to meet residents needs which poses an immediate risk to resident in care.
Official plan of correction
Licensee stated to have additional staff working on the floor available to assist residents that need help. Licensee will submit Staff Work Schedule that shows adequate number of direct care staff scheduled to work on each shift. Licensee will submit Statement of Understanding for CCR 87705(c)(4) to LPA Brown by POC due date.
Deadline recorded: Apr 26, 2022. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Apr 26, 2022
Deficiency Dismissed Type A 04/26/2022 Section Cited CCR 87705(c)(4)
Plan of correction recorded
Correction deadline recordedDeadline Apr 26, 2022
Correction not verified in available records
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include ... This requirement is not met as evidenced by: Based on observations, interviews and record review, the facility do not have working call button (rroom #116) near the residents bed to alert staff if residents need care which poses an immediate risk to resident in care.
Official plan of correction
Facility agreed to replace and/or repair call button near residents' bed (Room #116) by POC due date and submit proof to LPA Brown by POC due date. Also, Licensee stated to check all residents rooms that the call button near resident beds and bathroom are working and submit proof of correction to LPA Brown by POC due date.
Deadline recorded: Apr 26, 2022. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Apr 26, 2022
Deficiency Dismissed Type A 04/26/2022 Section Cited CCR 87303(a)
Plan of correction recorded
Correction deadline recordedDeadline Apr 26, 2022
Correction not verified in available records
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(c)(4)
- Regulation authority
- CCR
What the official deficiency says
87705 Care of Persons with Dementia (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 ... This requirement is not met as evidenced by: Based on observations, interviews and record review, the Licensee do not have adequate number of direct care staff working at the facility to respond to resident’s call button in a timely manner in which poses an immediate risk to resident in care.
Official plan of correction
Licensee stated to train all staff to make sure that they all respond to resident’s call button in a timely manner and will submit Training Log to LPA Brown by POC due date.
Deadline recorded: Apr 26, 2022. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Apr 26, 2022
Deficiency Dismissed Type A 04/26/2022 Section Cited CCR 87705(c)(4)
Plan of correction recorded
Correction deadline recordedDeadline Apr 26, 2022
Correction not verified in available records
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(c)(4)
- Regulation authority
- CCR
What the official deficiency says
87705 Care of Persons with Dementia (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 ... This requirement is not met as evidenced by: Based on observations, interviews and record review, the Licensee did not comply by not having adequate number of staff working at the facility to monitor residents and prevent unwitnessed falls which poses an immediate risk to resident in care.
Official plan of correction
Licensee stated to have additional staff to supervise residents and prevent unwitnessed falls. Licensee will submit Staff Work Schedule that shows adequate number of direct care staff scheduled to work on each shift by POC due date to LPA Brown. Licensee will have all staff complete a Resident Status Check Log every hour to appropriately supervise all residents and prevent unwitness fall. Licensee will also train all staff on the proper procedure and implementation of the Resident Status Check Log and will submit a copy of Resident Status Check Log and Training Log to LPA Brown by POC due date.
Deadline recorded: Apr 26, 2022. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Apr 26, 2022
Deficiency Dismissed Type A 04/26/2022 Section Cited CCR 87705(c)(4)
Plan of correction recorded
Correction deadline recordedDeadline Apr 26, 2022
Correction not verified in available records
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(b)(1)
- Regulation authority
- CCR
What the official deficiency says
87705 Care of Persons with Dementia (b) In addition to the requirements as specified in Section 87208, Plan of Operation, the plan of ...(1) Procedures for notifying the resident’s ... This requirement is not met as evidenced by: Based on observations, interviews and record review, the Licensee did not comply by not reporting incidents of unwitnessed fall of Resident 1 (R1) at the facility to Community Care Licensing Department (CCLD) which poses a potential risk to resident in care.
Official plan of correction
Licensee stated to report all incidents at the facility to CCLD and train staff on reporting requirements. Also, Licensee will submit Statement of Understanding for 87705(b)(1)and Staff Training Log to LPA Brown by POC due date.
Deadline recorded: May 2, 2022. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn May 2, 2022
Deficiency Dismissed Type B 05/02/2022 Section Cited CCR 87705(b)(1)
Plan of correction recorded
Correction deadline recordedDeadline May 2, 2022
Correction not verified in available records
Complaint
Allegations0 substantiated · 5 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(c)(7)
- Regulation authority
- CCR
What the official deficiency says
87705 Care of Persons with Dimentia (c) Licensees who accept and retain residents with dementia ... (7) An activity program shall address the needs and limitations of residents with dementia and include ... This requirement is not met as evidenced by: Based on observations, interviews and record review, the licensee did not provide activities for residents at the facility, which poses a potential Health, Safety, or Personal rights risk to persons in care.
Official plan of correction
Licensee will submit List of Activities and Activities Schedule for residents in care by POC due date to Community Care Licensing Department (CCLD) or LPA. Licensee will submit Statement of Understanding for CCR 87705(c)(7) to LPA Brown by POC due date.
Deadline recorded: Mar 4, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 4, 2022
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(k)(8)
- Regulation authority
- CCR
What the official deficiency says
87705 - Care of Persons with Dementia - Delayed egress devices shall not substitute for trained staff in sufficient numbers to meet the care and supervision needs of all residents and to escort residents who leave the facility. This requirement was not met as... evidenced by: Interviews, record reviews, and observation, the licensee did not ensuire that staff were able to provide adequate care and supervision for R1. R1 was found wandering outside the facility on 1/9/2022 without care and supervision. Interviews revealed that only two staff members were working that shift. This poses an immediate health & safety risk to the residents in care.
Official plan of correction
Licensee needs to hire additional care giviers and schedule additional staff per shift to adequately meet the needs of the residents in care. Licensee shall provide proof of hiring attempts by POC due date.
Deadline recorded: Jan 25, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 25, 2022
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this report1 complaint has no published investigation report
The official record holds these complaints, but no investigation report was published for them. Their outcome is shown as the source recorded it.
- Feb 25, 2025 · Control 56-AS-20240624083030
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
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