CASA MAHAL

Official classification

Type B

Official code

87303(f)

Regulation authority

CCR

What the official deficiency says

Maintenance and Operation (f) All waste shall be located, stored, and disposed of in a manner that will not transmit...diseases or odors, pose a risk to health and safety... This requirement was not met as evidenced by: Per LPA observations and interview with staff, incontinence waste and was not being properly disposed of. This poses a potential health and safety risk to 5 of 5 residents in care.

Official plan of correction

Staff reported that they will no longer dump waste water in the backyard. Additionally, staff will complete a training on cleaning and disposing of incontinence waste and submit to LPA proof of training by POC due date.

Deadline recorded: Aug 3, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87608(a)(3)

Regulation authority

CCR

What the official deficiency says

Postural Supports(a)... Postural supports may be used under the following conditions. (3) A written order from a physician indicating the need...shall be maintained in the resident’s record... This requirement was not met as evidenced by: LPA observed R1 to be restrained to their wheelchair by postural supports wihout having a phsyician's order. This posed an immediate personal rights risk to 1 of 5 residents in care.

Official plan of correction

Staff removed postural support restraint from R1 and Licensee stated she would obtain a physician's order and send to LPA by POC due date.

Deadline recorded: Jul 24, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs... This requirement was not met as evidenced by: LPA observed only 1 staff on the facility premise which resulted in R1 attempted elopement. This posed an immediate health and safety risk to 5 of 5 residents in care.

Official plan of correction

Staff called for additional staff to come to the facility. Licensee will provide LPA with an updated staff schedule that includes at least two staff during the day by POC due date.

Deadline recorded: Jul 9, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87203

Regulation authority

CCR

What the official deficiency says

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: LPA observed a couch blocking the front door. This caused an immediate health and safety risk to 5 of 5 resdients in care.

Official plan of correction

Staff immediately removed the couch from blocking the front door and stated it would not be placed in front of the door again. Therefore, this deficiency has been cleared.

Deadline recorded: Jul 8, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468(b)(1)(A)

Regulation authority

CCR

What the official deficiency says

Personal Rights (b)...a resident...shall be personally advised of and given a copy of: (1) The personal rights (A)...and the signed copy shall be included in the resident's record. This requirement was not met as evidenced by: Records reviewed revealed 5 out of 5 residents did not have a signed copy of the Perosnal Rights in their records. This poses a potential personal rights risk to 5 out of 5 residents in care.

Official plan of correction

Licensee agreed to submit copies of all residents signed Personal Rights to LPA by POC due date.

Deadline recorded: Jul 24, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87506(e)

Regulation authority

CCR

What the official deficiency says

Resident Recordds (e) Original records or photographic reproductions shall be retained for a minimum of three (3) years following termination of service to the resident. This requirement is not met as evidenced by: Based on record review and interviews, the licensee did not maintain records for R1. This poses a potential health and safety risk to residents in care.

Official plan of correction

Licensee agreed to attend outside vendor training regarding Residents Records and provide proof of training to LPA by POC due date.

Deadline recorded: Jul 24, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87205(b)

Regulation authority

CCR

What the official deficiency says

(b) If the licensee is a corporation or an association, the governing body shall be active, and functioning in order to assure accountability. This requirement is not met as evidenced by: Deficient Practice Statement Based on a review of the Secretary of State Website, the licensee did not comply with the section cited above due to the Limited Liability Corporation (LLC) status if inactive as of February 2025 which posed a potential health, safety or personal rights risk to 5 out of 5 persons in care.

Official plan of correction

POC Due Date: 05/24/2026 Plan of Correction The Licensee agreed to pay the LLC's outstanding balance to bring the corporation back to active status and in good standing. The Licensee will provide proof of by the POC due date.

Official classification

Type B

Official code

87468.1(a)

Regulation authority

CCR

What the official deficiency says

Residents in all residential care facilities for the elderly shall have all the following personal rights: To be accorded dignity in their personal relationships with staff, residents, and other persons. This regulation was not met as evidenced by: Based on interviews and record reviews facility staff do not accord dignity to a resident in care [R1] by grabbing and shouting at them to force them out of a transport car. This posed a personal rights risk to 1:5 residents in care.

Official plan of correction

Caregiver Arcelao recommended and agreed to have staff attend a CCL approved vendorized training conducted on personal rights for residents in care. Caregiver Arcelao will provide proof of completion by POC due date.

Deadline recorded: Nov 28, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.15(d)

Regulation authority

CCR

What the official deficiency says

Licensee application; information required; change of information ; penalties(d): The information required...shall be provided to the department upon Initial... Licensure, and any change...shall be provided to the department within 30 calendar days of that change... This requirement is not met as evidenced by: Deficient Practice Statement Based on interviews and records reviews, in 2021 the Licensee underwent a change in corporate structure and did not comply with the section ciited above which poses an immediate health, safety, and personal rights risk in 6 out of 6 residents in care [R1-R6].

Official plan of correction

POC Due Date: 05/20/2025 Plan of Correction Licensee shall submit a change of Corporate Structure and Current Control of Property to the Department by the POC due date.

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. (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: Based on LPA's interviews, licensee did not provide residents with safe and healthful accommodations. This posed a potential health risk to 5 of 5 residents in care.

Official plan of correction

Administrator offered to conduct in-service training on universal precautionsls with all staff. Administrator offered to provide proof of training to Community Care Licensing by 5/4/2025

Deadline recorded: May 9, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87055(b)(2)

Regulation authority

CCR

What the official deficiency says

(2) For facilities..ensuring there is at least one night staff person awake and on duty if any resident with dementia is determined through a pre-admission appraisal,...addition to requirements specified in Section 87415, Night Supervision. This requirement was not met as evidence by: Based on LPA's interviews licensee did not provide residents with safe and healthful accommodations. This posed a potential health risk to 5 of 5 residents in care.

Official plan of correction

Administrator offered to conduct in-service training on night staff requirements with all staff. Administrator offered to provide proof of training to Community Care Licensing by 5/4/2025

Deadline recorded: May 9, 2025. A deadline is not proof that correction was completed.