ST JOSEPH CAREGIVING

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 LPA observation, interview, and record review, the licensee did not comply with the section cited above in 2 out of 2 persons in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/13/2026 Plan of Correction On this day the Licensee was served with a TSO and the facility is closed.

Official classification

Type A

Official code

1569.618(c)

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: This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, interview, and record review, the licensee did not comply with the section cited above in 2 out of 2 persons in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/13/2026 Plan of Correction On this day the Licensee was served with a TSO and the facility is closed.

Official classification

Type A

Official code

87412(a)(13)

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: (13) For employees that are required to be fingerprinted pursuant to Section 87355, Criminal Record Clearance: This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, interview, and record review, the licensee did not comply with the section cited above in 2 out of 2 persons in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/13/2026 Plan of Correction On this day the Licensee was served with a TSO and the facility is closed.

Official classification

Type A

Official code

87355(e)

Regulation authority

CCR

What the official deficiency says

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, interview, and record review, the licensee did not comply with the section cited above in 2 out of 2 persons in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/13/2026 Plan of Correction On this day the Licensee was served with a TSO and the facility is closed.

Official classification

Type A

Official code

1569.625(b)(1)

Regulation authority

HSC

What the official deficiency says

(1) The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. A staff member shall complete 20 hours, including six hours specific to dementia care, as required by subdivision (a) of Section 1569.626 and four hours specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696, before working independently with residents. The remaining 20 hours shall include six hours specific to dementia care and shall be completed within the first four weeks of employment. The training coursework may utilize various methods of instruction, including, but not limited to, lectures, instructional videos, and interactive online courses. The additional 16 hours shall be hands-on training. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, interview, and record review, the licensee did not comply with the section cited above in 2 out of 2 persons in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/13/2026 Plan of Correction On this day the Licensee was served with a TSO and the facility is closed.

Official classification

Type A

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 LPA observation, interview, and record review, the licensee did not comply with the section cited above in 2 out of 2 persons in care which poses/posed a potential health, safety or personal rights risk to persons in care. On this day the Licensee was served with a TSO and the facility is closed.

Official plan of correction

POC Due Date: 08/13/2026 Plan of Correction On this day the Licensee was served with a TSO and the facility is closed.

Official classification

Type A

Official code

87506(a)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, interview, and record review, the licensee did not comply with the section cited above in 2 out of 2 persons in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/13/2026 Plan of Correction On this day the Licensee was served with a TSO and the facility is closed.

Official classification

Type A

Official code

87633(a)(4)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall be permitted to accept or retain residents who have been diagnosed as terminally ill by his or her physician and surgeon and who may or may not have restrictive and/or prohibited health conditions, to reside in the facility and receive hospice services from a hospice agency in the facility, when all of the following conditions are met: (4) A written hospice care plan which specifies the care, services, and necessary medical intervention related to the terminal illness as necessary to supplement the care and supervision provided by the facility is developed for each terminally ill resident or prospective resident by that resident's hospice agency and agreed to by the licensee and the resident, or prospective resident, or the resident's or prospective resident's Health Care Surrogate Decision Maker, if any, prior to the initiation of hospice services in the facility for that resident, and all hospice care plans are fully implemented by the licensee and by the hospice(s). This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, interview, and record review, the licensee did not comply with the section cited above in 1 out of 2 persons in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/13/2026 Plan of Correction On this day the Licensee was served with a TSO and the facility is closed.

Official classification

Type B

Official code

87303(f)

Regulation authority

CCR

What the official deficiency says

(f) All waste shall be located, stored, and disposed of in a manner that will not transmit communicable diseases or odors, pose a risk to health and safety, or provide a breeding place or food source for insects or rodents. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, interview, and record review, the licensee did not comply with the section cited above in 2 out of 2 persons in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/13/2026 Plan of Correction On this day the Licensee was served with a TSO and the facility is closed.

Official classification

Type B

Official code

87307(a)(2)(B)

Regulation authority

CCR

What the official deficiency says

(a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply: (2) Resident bedrooms shall be provided which meet, at a minimum, the following requirements: (B) No room commonly used for other purposes shall be used as a sleeping room for any resident. This includes any hall, stairway, unfinished attic, garage, storage area, shed or similar detached building. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, interview, and record review, the licensee did not comply with the section cited above in 1 out of 2 persons in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/13/2026 Plan of Correction On this day the Licensee was served with a TSO and the facility is closed.

Official classification

Type B

Official code

87307(e)

Regulation authority

CCR

What the official deficiency says

(e) The licensee shall supervise residents as needed and as determined by the resident's appraisal pursuant to Section 87457, Pre-Admission Appraisal or Section 87463, Reappraisals, when residents are in proximity to or when there is use of the following items: This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, interview, and record review, the licensee did not comply with the section cited above in 2 out of 2 persons in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/13/2026 Plan of Correction On this day the Licensee was served with a TSO and the facility is closed.

Official classification

Type B

Official code

87309(a)(2)

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. (2) Any items in subsection (a)(1) that are transferred from their original container to another container shall have a legible label that indicates: This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, interview, and record review, the licensee did not comply with the section cited above in 2 out of 2 persons in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/13/2026 Plan of Correction On this day the Licensee was served with a TSO and the facility is closed.

Official classification

Type B

Official code

87311

Regulation authority

CCR

What the official deficiency says

All facilities shall have telephone service on the premises. Facilities with a capacity of sixteen (16) or more persons shall be listed in the telephone directory under the name of the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, interview, and record review, the licensee did not comply with the section cited above in 2 out of 2 persons in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/13/2026 Plan of Correction On this day the facility was served with a TSO and the facility is closed.

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 LPA observation, interview, and record review, the licensee did not comply with the section cited above in 2 out of 2 persons in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/13/2026 Plan of Correction On this day the Licensee was served with a TSO and the facility is closed.

Official classification

Type B

Official code

87412(f)

Regulation authority

CCR

What the official deficiency says

(f) All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements: This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, interview, and record review, the licensee did not comply with the section cited above in 2 out of 2 persons in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/13/2026 Plan of Correction On this day the facility was served with a TSO and the facility is closed.

Official classification

Type B

Official code

87411(d)

Regulation authority

CCR

What the official deficiency says

(d) All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance: This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, interview, and record review, the licensee did not comply with the section cited above in 2 out of 2 persons in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/13/2026 Plan of Correction On this day the facility was served with a TSO and the facility is closed.

Official classification

Type B

Official code

87412(c)

Regulation authority

CCR

What the official deficiency says

(c) Licensees shall maintain in the personnel records verification of required staff training and orientation. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, interview, and record review, the licensee did not comply with the section cited above in 2 out of 2 persons in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/13/2026 Plan of Correction On this day the facility was served with a TSO and the facility is closed.

Official classification

Type B

Official code

87411(c)(6)

Regulation authority

CCR

What the official deficiency says

(6) The licensee shall maintain documentation pertaining to staff training in the personnel records, as specified in Section 87412(c)(2). For on-the-job training, documentation shall consist of a statement or notation, made by the trainer, of the content covered in the training. Each item of documentation shall include a notation that indicates which of the criteria of Section 87411(c)(3) is met by the trainer. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, interview, and record review, the licensee did not comply with the section cited above in 2 out of 2 persons in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/13/2026 Plan of Correction On this day the facility was served with a TSO and the facility is closed.

Official classification

Type B

Official code

1569.626(a)

Regulation authority

HSC

What the official deficiency says

(a) All residential care facilities for the elderly shall meet the following training requirements, as described in Section 1569.625, for all direct care staff: This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, interview, and record review, the licensee did not comply with the section cited above in 2 out of 2 persons in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/13/2026 Plan of Correction On this day the facility was served with a TSO and the facility is closed.

Official classification

Type B

Official code

87555(b)(8)

Regulation authority

CCR

What the official deficiency says

(8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, interview, and record review, the licensee did not comply with the section cited above in 2 out of 2 persons in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/13/2026 Plan of Correction On this day the facility was served with a TSO and the facility is closed.

Official classification

Type B

Official code

87555(b)(26)

Regulation authority

CCR

What the official deficiency says

(26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, interview, and record review, the licensee did not comply with the section cited above in 2 out of 2 persons in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/13/2026 Plan of Correction The licensee was served with a TSO, the facility is closed.

Official classification

Type B

Official code

87457(c)

Regulation authority

CCR

What the official deficiency says

(c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of their individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, interview, and record review, the licensee did not comply with the section cited above in 2 out of 2 persons in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/13/2026 Plan of Correction The licensee was served with a TSO, the facility is closed.

Official classification

Type B

Official code

87458(a)

Regulation authority

CCR

What the official deficiency says

(a) Prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment, signed by a licensed medical professional acting within the scope of their practice and made within the last year, to be kept in the resident's record. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, interview, and record review, the licensee did not comply with the section cited above in 2 out of 2 persons in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/13/2026 Plan of Correction On this day the facility was served with a TSO and the facility is closed.

Official classification

Type B

Official code

87633(h)(5)

Regulation authority

CCR

What the official deficiency says

(h) For each terminally ill resident receiving hospice services in the facility, the licensee shall maintain the following in the resident's record: (5) A statement signed by the resident's roommate, if any, or any resident who will share a room with a person who is terminally ill to be accepted or retained as a resident, indicating his or her acknowledgment that the resident intends to receive hospice care in the facility for the remainder of the resident's life, and the roommate's voluntary agreement to grant access to the shared living space to hospice caregivers, and the resident's support network of family members, friends, clergy, and others. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, interview, and record review, the licensee did not comply with the section cited above in 1 out of 2 persons in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/13/2026 Plan of Correction On this day the Licensee was served with a TSO and the facility is closed.

Official classification

Type B

Official code

87705(b)

Regulation authority

CCR

What the official deficiency says

(b) Licensees shall be responsible for the following: This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, interview, and record review, the licensee did not comply with the section cited above in 1 out of 2 persons in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/13/2026 Plan of Correction On this day the facility was served with a TSO and the facility is closed.

Official classification

Type A

Official code

87355(e)(2)

Regulation authority

CCR

What the official deficiency says

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review... shall prior to working, residing or volunteering in a licensed facility.(2) Obtain a California clearance or a criminal record exemption as required by the Department or This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in 2 out of 4 staff did not have criminal record clearance, which poses an immediate safety risk to 3 out of 3 persons in care.

Official plan of correction

Immediately, Licensee has restricted non-cleared staff from returning to the facility. Licensee will provide documentation of cleared and associated staff to CCLD Offices by 08/21/2026

Deadline recorded: Aug 21, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87506(a)

Regulation authority

CCR

What the official deficiency says

87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff Based on record review, the licensee did not comply with the section cited above in that resident records were incomplete, which poses an immediate safety risk to 3 out of 3 persons in care.

Official plan of correction

Within 24 hours, licensee provide deadline reagarding procuring resident documents. Licensee will procure all required resident records for current residents (3 of 3) and show roof of documentation will be sent by 08/21/2026

Deadline recorded: Jul 30, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87553(e)(3)

Regulation authority

CCR

What the official deficiency says

87553 Criminal Record Clearance (e) All individuals subject to a criminal record review ... shall prior to working, residing or volunteering in a licensed facility: (3)Request a transfer of a criminal record clearance as specified in Section 87355(c) Based on record review, the licensee did not comply with the section cited above in 1 out of 4 staff had clearance but were not associated,which poses an immediate safety risk to 3 out of 3 persons in care.

Official plan of correction

Licensee will contact the CPMB to associate Staff 1 within 24 hours. Licensee agreed to restrict other unassociated staff members to the facility until they were associated. Proof of Association is to be submitted to CCLD Offices by 08/21/2026

Deadline recorded: Jul 29, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87412(a)

Regulation authority

CCR

What the official deficiency says

87412 Personnel Records (a)The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Based on record review, the licensee did not comply with the section cited above in 4 out of 4 personnel records were incomplete which poses an potential safety risk to 3 out of 3 persons in care.

Official plan of correction

Licensee will procure all required personnel records for current staff (4 of 4) and proof of documentation will be sent to CCLD Offcies by 08/21/2026

Deadline recorded: Jul 29, 2026. A deadline is not proof that correction was completed.