Fire safety and emergency preparedness
Cited in 2 reports, with 3 deficiencies in total.
MELROSE CARE HOME II
1627 MARL AVENUE, Chula Vista CA 91911
6 bedsLatest official report Jul 10, 2026Licensed
Additional info
- Telephone
- (619) 498-0911
- Licensee
- RENA, LILIA P. &FEDERICO D.
- Administrator
- LILIA P. RENA
- Contact
- LILIA P. RENA
- License first date
- Jul 28, 1999
- License effective date
- Jul 28, 1999
- District office
- SAN DIEGO RO · (619) 767-2300
- Regional office
- 08
- Clients served
- 935 - ELDERLY
Summary
The available records show 1 Type A and 9 Type B deficiencies for this facility.
- Most recent inspection
- Jul 10, 2026
- Most recent deficiency
- Jul 14, 2025
2 later reports, from Jul 10, 2026 through Jul 10, 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 444 San Diego County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 5 reports for this facility: 5 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 1 Type A and 9 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 5
- Recorded deficiencies
- 10
- Type A deficiencies
- 1
- Type B deficiencies
- 9
- Substantiated complaints
- 0
- Repeated topics
- 2
More than the typical 4
2 in the last 12 months
Well above the typical 1
0 in the last 12 months
Most this size have none
0 in the last 12 months
Well above the typical 1
0 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.
Medical and dental care
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
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(f)(1)
- Regulation authority
- CCR
What the official deficiency says
(f) Emergency care requirements shall include the following: (1) The name, address, and telephone number of each resident's physician and dentist shall be readily available to that resident, the licensee, and facility staff. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review and manager interview, licensee did not ensure that the name, address, and telephone number of each resident's dentist was readily aviable to that resident, the licnesee, and facility staff. This posed a potential health risk to 4 of 4 residents (R1 through R4) in care.
Official plan of correction
POC Due Date: 08/14/2025 Plan of Correction Licensee agreed to communicate with the responsible persons for R1 through R4, as needed, to identify the name, address, and telephone number of a preferred dentist for the resident. Licensee agreed to add this information to the LIC601”facesheets” for R1 through R4, and E-mail copies of such to LPA, by the POC due date.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 87203
- Regulation authority
- CCR
What the official deficiency says
87203 Fire Safety: “All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic.” This requirement was not met, as evidenced by: Deficient Practice Statement Based on LPA observation and manager interview, Licensee did not maintain the facility in continuous conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire. This posed an immediate safety risk to 4 of 4 residents (R1 through R4) in care.
Official plan of correction
POC Due Date: 07/14/2025 Plan of Correction During today’s visit, Licensee remedied the two (2) non-working smoke alarms and phoned a professional fire safety inspector/vendor to make an appointment for servicing of the facility’s manual fire alarm pull station and bell alarm. These actions resolve the immediate risk. Licensee agreed to send LPA proof of completion in the form of a paid invoice and/or updated service tag as soon as work is completed, but no later than 08/14/2025.
Plan of correction recorded
Correction not verified in available records
Inspection
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87466
- Regulation authority
- CCR
What the official deficiency says
The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review and manager interview: The Licensee did not ensure that 3 of 3 residents (R1, R2, and R3) were regularly observed for changes in physical functioning, specifically weight gain/loss. This posed a potential health risk to persons in care.
Official plan of correction
POC Due Date: 08/09/2024 Plan of Correction Licensee agreed to measure and log the body weights of R1, R2, and R3, and to E-mail copies of these logs to LPA, by the POC due date. Going forward, Licensee agreed to weigh each resident in care once per month, and to record/log the weight in writing in the resident's care binder.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87470(b)(2)(C)
- Regulation authority
- CCR
What the official deficiency says
(b) In addition to subsection (a), when one or more residents in the facility are diagnosed with a contagious disease, the following shall apply: (2) All staff and volunteers providing direct care to a resident who has a contagious disease shall wear appropriate Personal Protective Equipment (PPE) to prevent exposure to infectious agents or chemicals through the respiratory system, skin, or mucous membranes of the eyes, nose, or mouth. PPE may include gloves, gowns, masks, respirators, shoe coverings and eye protection. (C) The licensee shall ensure all staff and volunteers are trained in the proper use of all required PPE prior to being around residents and annually thereafter. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review and manager interview: Licensee did not ensure that 4 of 4 staff [S1 through S4] were trained in the proper use of all required PPE prior to being around residents and at least once per year (annually). This posed a potential health risk to 3 of 3 residents (R1, R2, and R3) in care.
Official plan of correction
POC Due Date: 08/09/2024 Plan of Correction Licensee agreed to arrange for all four (4) of its staff to receive training on how to property don and doff PPE (to include surgical masks, N-95 respirators, faceshields, gowns, and gloves), and to document such retraining on an in-service sign-in sheet. Licensee agreed to E-mail LPA the training sign-in sheet, by the POC due date.
Plan of correction recorded
Correction not verified in available records
Not classified in the sourceType B
- Official classification
- Type B
- Official code
- 1569.267(d)
- Regulation authority
- HSC
What the official deficiency says
(d) The licensee shall provide initial and ongoing training for all members of its staff to ensure that residents’ rights are fully respected and implemented. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review and manager interview: Licensee did not ensure that 4 of 4 staff [S1 through S4] were trained on Resident's Personal Rights, initially and ongoing. This posed a potential health risk to clients in care.
Official plan of correction
POC Due Date: 08/09/2024 Plan of Correction Licensee agreed to arrange for all four (4) of its staff to receive training on Resident's Personal Rights (as articulated in form LIC613C-2), and to E-mail LPA the training sign-in sheet, by the POC due date. Going forward, Licensee agreed to repeat this training on an ongoing basis.
Plan of correction recorded
Correction not verified in available records
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(d)(3)
- Regulation authority
- CCR
What the official deficiency says
(d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to 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) The date and time the PRN medication was taken, the dosage taken, and the resident's response shall be documented and maintained in the resident's facility record. This requirement is not met as evidenced by: Deficient Practice Statement Based on records and manager interview, for 1 of 3 residents (R1), Licensee did not record in the resident’s record the date, time, dosage, and client’s response to PRN dose(s) which were given to them. This posed a potential health and personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/09/2024 Plan of Correction Licensee agreed to immediately implement a form/log to document PRN medicines which staff give to residents. Licensee agreed to instruct/train all staff on the documenation requirements related to PRN medications, and to submit the training sign-in sheet and PRN log for R1 to LPA, by the POC due date.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(c)
- Regulation authority
- CCR
What the official deficiency says
(c) The licensee shall arrange a meeting with the resident, the resident's representative, if any, appropriate facility staff, and a representative of the resident's home health agency, if any, when there is significant change in the resident's condition, or once every 12 months, whichever occurs first, as specified in Section 87467, Resident Participation in Decision Making. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review and manager interview, for 3 of 3 residents (R1, R2, and R3), Licensee did not complete a care reappraisal of the resident and meet with their responsible person to review it, at least once every twelve (12) months. This posed a potential health and personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/09/2024 Plan of Correction Licensee agreed to complete an updated LIC625 Appraisal/Needs and Services Plan and LIC9172 Funcitonal Capability Assessment forms on R1, R2, and R3, to include meeting with each clients' respective responsible person (RP) to review the document and obtain the RP's signature on it. Licensee agreed to E-mail these signed updated LIC625 and LIC9172 forms to LPA, by the POC due date. Going forward, Licnesee agreed to update these two forms and meet with RPs to review them at least once per year.
Plan of correction recorded
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87467(a)(3)
- Regulation authority
- CCR
What the official deficiency says
(a) Prior to, or within two weeks of the resident's admission, the licensee shall arrange a meeting with the resident, the resident's representative, if any, appropriate facility staff, and a representative of the resident's home health agency, if any, and any other appropriate parties, to prepare a written record of the care the resident will receive in the facility, and the resident's preferences regarding the services provided at the facility. (3) The licensee shall arrange a meeting with the resident and appropriate individuals identified in Section 87467(a)(1) to review and revise the written record as specified, when there is a significant change in the resident's condition, or once every 12 months, whichever occurs first. Significant changes shall include, but not be limited to occurrences specified in Section 87463, Reappraisals. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review and manager interview, for 3 of 3 residents (R1, R2, and R3), Licensee did not prepare a written record of care the resident will receive in the facility, to include the resident's preferences regarding the services provided at the facility, and meet with the resident and/or their responsible person to review it, at least once every twelve (12) months. This posed a potential health and personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/09/2024 Plan of Correction Licensee agreed to complete an LIC625 Appraisal/Needs and Services Plan on R1, R2, and R3, to include meeting with each clients' respective responsible person (RP) to review the document and obtain the RP's signature. Licenseee agreed to E-mail the signed LIC625s to LPA, by the POC due date. Going forward, Licnesee agreed to this forms and meet with RPs to review them at least once per year.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(b)
- Regulation authority
- HSC
What the official deficiency says
(b) A facility shall provide training on the plan to each staff member upon hire and annually thereafter. The training shall include staff responsibilities during an emergency or disaster. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review and manager interview, Licensee did not ensure that 4 of 4 staff (S1 through S4) received training on the facility's emergency/disaster plan, to include their individual responsiblities during an emergency/disaster, upon hire and annually thereafter. This posed a potential safety risk to 3 of 3 residents (R1, R2, and R3) in care.
Official plan of correction
POC Due Date: 08/09/2024 Plan of Correction Licensee agreed to provide a copy of its LIC610D Emergency and Disaster Plan to each staff, and to train its four (4) current staff on the plan. Licensee agreed to E-mail a copy of the training sign-in sheet to LPA, 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(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 records review and manager interview: Licensee did not conduct an emergency/disaster drill at least quarterly for each shift and document them. This posed a potential safety risk to 4 of 4 staff (S1 through S4) and 3 of 3 residents (R1, R2, and R3) in care.
Official plan of correction
POC Due Date: 08/09/2024 Plan of Correction Licnesee agreed to perform three (3) diaster drills [one will occur during the AM/morning shift (6:00 AM to 2:00 PM), one will occur during the PM/afternoon shift (2:00 PM to 10:00 PM), and one will occur during the NOC/overnight shift (10:00 PM to 6:00 AM)] with its current staff and residents. Licensee agreed to E-mail LPA the documentation of such drills, by the POC due date. Going forward, Licensee agreed to drill (and doucment in writing) each shift, at least once per quarter.
Plan of correction recorded
Correction not verified in available records
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