Admission, assessment, and eviction
Cited in 2 reports, with 2 deficiencies in total.
116 LAUSANNE DRIVE, San Diego CA 92114
6 bedsLatest official report Mar 26, 2026Licensed
The available records show 2 Type A and 9 Type B deficiencies for this facility.
No later report is available, so the records do not show what happened afterward.
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.
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 4 reports for this facility: 4 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 2 Type A and 9 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
About the same as most this size
1 in the last 12 months
Well above the typical 1
3 in the last 12 months
Most this size have none
1 in the last 12 months
Well above the typical 1
2 in the last 12 months
Most this size also have none
0 in the last 12 months
Last 36 months
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.
Cited in 2 reports, with 2 deficiencies in total.
All preserved reports from the most recent to the oldest, sortable by report type.
(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in 1 out of 1 knives were kept in an unlocked cabinet which posed an immediate safety risk to persons in care.
POC Due Date: 03/26/2026 Plan of Correction This was cleared during the inspection. The knives and scissors were placed in the locked cabinet.
(b) Each resident's record shall contain at least the following information: (10) Reports of the medical assessment specified in Section 87458 Medical Assessment, and of any special problems or precautions. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in 2 [R1 and R2] out of 5 residents did not have an updated medical assessment which posed a potential health risk to persons in care.
POC Due Date: 04/27/2026 Plan of Correction Facility will submit an updated medical assessment to LPA via email by POC due date, 04/27/2026.
(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following: (A) Communicable tuberculosis. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in 1 [R2] out of 5 residents did not have a TB test on file which posed a potential health risk to persons in care.
POC Due Date: 04/27/2026 Plan of Correction Facility will submit an updated LIC602 for R2 which will have R2s updated TB by POC due date, 04/27/2026.
(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 record review and manager interview, Licensee did not have proof that 4 of 4 current staff (S1 through S4) received training on PPE withing the last year, as required. This posed a potential health risk to 3 of 3 residents (R1 through R3) in care.
POC Due Date: 04/28/2025 Plan of Correction Licensee agreed to train all current staff on PPE. The training will include hands-on practice and will cover: a) handwashing, b) how and how often to disinfect commonly touched surfaces, c) how to correctly don and doff surgical masks, N-95 respirators, face shields, gowns, and gloves, d) how perform an N-95 seal check, and e) how to correctly set up a COVID-19 isolation bedroom. Licensee agreed to E-mail the training sign-in sheet to LPA, by the POC due date.
(a) A licensee of a facility that has internet service shall provide at least one internet access device, such as a computer, smart phone, tablet, or other device, that can support real-time interactive applications, is equipped with videoconferencing technology, including microphone and camera functions, and is dedicated for resident use. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation and manager interview, the facility had internet service but Licensee did not ensure there was at least one internect access device, equipped with videoconferencing technology and microphone and camera functions, present at the facility and dedicated for resident use.
POC Due Date: 04/28/2025 Plan of Correction Licensee agreed to purchase and configure a device meeting the requirements of HSC 1569.319(a), and to continously keep it at the facility where residents can borrow it, as needed. Licensee agreed to E-mail a copy of the purchase receipt to LPA, by the POC due date.
(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 records review and manager interview, Licensee did not obtain and maintain documentation of a medical assessment signed by a licensed professional for 2 of 3 residents (R1 and R2). This posed a potential health and safety risk to persons in care.
POC Due Date: 04/28/2025 Plan of Correction Licensee agreed to coordinate with the primary care physician for R1 and R2 to ensure that they complete and signed an LIC602 Physician's Report form for R1, and that they sign the existing LIC602 for R2. Licensee agreed to E-mail completed and signed copies of both to LPA, by the POC due date.
(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 disaster drills at least quarterly for each shift, document the time and date of each drill, and vary the type of emergency covered in the drills. This posed a potential safety risk to 4 of 4 active staff (S1 through S4) and 3 of 3 residents (R1 through R3) in care.
POC Due Date: 04/28/2025 Plan of Correction Licensee agreed to create a form with speace to record the date and time of each drill, the type of emergency rehearsed, and the names of the participants. Licensee agreed to then conduct three (3) drills (one for AM shift, one for PM shift, and one for NOC shift), and to E-mail documentation of such to LPA, by the POC due date. Going forward, Licensee agreed to drill each shift at least once per quarter, and to vary the type of emergency covered from quarter to quarter.
(b) A current and complete hospice care plan shall be maintained in the facility for each hospice resident and include the following: This requirement is not met as evidenced by: Deficient Practice Statement Based on records review and manager interview, for 1 of 2 residents (R2) currently under hospice care, Licensee did not maintain a current and complete hospice care plan for them at the facility. This posed a potential health risk to persons in care.
POC Due Date: 04/28/2025 Plan of Correction Licensee agreed to contact the assigned hospice agency and request a copy of R2's hospice care plan from them. Licensee agreed to add this plan to R2's hospice binder at the facility, and to E-mail a copy of it to LPA, by the POC due date.
(b) A current and complete hospice care plan shall be maintained in the facility for each hospice resident and include the following: (6) Identification of the training needed, which staff members need this training, and who will provide the training relating to the licensee's responsibilities for implementation of the hospice care plan. (B) The hospice agency will provide training specific to the current and ongoing needs of the individual resident receiving hospice care and that training must be completed before hospice care to the resident begins. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review and manager interview, Licensee did not ensure that the hospice agency trained 4 of 4 facility staff (S1 through S4) on 1 of 2 hospice residents' (R1's) current and ongoing individual care needs. This posed a potential health risk to persons in care.
POC Due Date: 04/28/2025 Plan of Correction Licensee agreed to coordinate with the hospice agency for one of their nurses to lead an in-service training for S1 through S4, covering both the hospice care plans and the current and ongoing care needs of both R1 and R2, respectively. Licensee agreed to E-mail the training sign-in sheets to LPA, by the POC due date.
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 active staff [S1 through Staff #4 (S4)] and 3 of 3 clients [C1 through Client #3 (C3)] in care.
POC Due Date: 03/28/2025 Plan of Correction During today’s visit, Licensee phoned a professional fire safety inspector/vendor, who came to service both the fire extinguisher and the manual fire alarm pull station. This action resolved the deficiency. The Plan of Correction is Satisfied.
87303 Maintenance and Operation: “(h) Emergency lighting shall be maintained. At a minimum this shall include flashlights, or other battery powered lighting, readily available in appropriate areas accessible to residents and staff.” This requirement was not met, as evidenced by: Deficient Practice Statement Based on LPA observation and manager interview, Licensee did not maintain flashlights in a state of ready availability to residents and staff. This posed a potential safety risk to 4 of 4 active staff [S1 through Staff #4 (S4)] and 3 of 3 clients [C1 through Client #3 (C3)] in care.
POC Due Date: 04/28/2025 Plan of Correction License agreed to purchase and install new batteries in the four (4) non-working flashlights, replacing the flashlights still not working. Licensee agreed to take a video of these flashlights working, and to send the video to LPA, by the POC due date.
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.
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