CASA DEL SOL

Official classification

Type A

Official code

87204(a)

Regulation authority

CCR

What the official deficiency says

(a) A licensee shall not operate a facility beyond the conditions and limitations specified on the license, including specification of the maximum number of persons who may receive services at any one time. An exception may be made in the case of catastrophic emergency when the licensing agency may make temporary exceptions to the approved capacity. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in two out of three clients, which poses an immediate health and safety risk to three persons in care.

Official plan of correction

POC Due Date: 06/23/2026 Plan of Correction Licensee will request a change in the number of bedridden residents at the facility (LIC200) and notify the fire department of the two bedridden residents on the facility.

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 observation, the licensee did not comply with the section cited above in two out oftwo sharp objects, which poses an immediate health and safety risk to three persons in care.

Official plan of correction

POC Due Date: 06/23/2026 Plan of Correction Sharps are to be stored in the locked drawer purposed to store sharps.

Official classification

Type B

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in three out of three water faucets, which posed a potential health and safety risk to three persons in care.

Official plan of correction

POC Due Date: 06/26/2026 Plan of Correction Licensee lowered the temperature on the water heather, LPA witnessed and measured the same day.

Official classification

Type B

Official code

87506(b)(15)

Regulation authority

CCR

What the official deficiency says

(b) Each resident's record shall contain at least the following information: (15) The admission agreement and pre-admission appraisal, specified in Sections 87507, Admission Agreements and 87457, Pre-admission Appraisal. 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 three out of three residents which poses a potential personal rights risk to three persons in care.

Official plan of correction

POC Due Date: 07/03/2026 Plan of Correction Licensee will send copies of the admissions agreements and assessments of the three residents in care.

Official classification

Type B

Official code

87458(c)

Regulation authority

CCR

What the official deficiency says

(c) The medical assessment shall include, but not be limited to: 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 one out of three residents in care, which poses a potential health, safety and personal rights risk to one out of three persons in care.

Official plan of correction

POC Due Date: 07/10/2026 Plan of Correction Licensee shall send the copy of the complete physician's assessment records or resident Norma Garcia.

Official classification

Type B

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

87309(a) Except as specified in subsection (b), the licensee shall ensure that ... poisonous substances, knives... are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Based on observation, the licensee did not ensure sharps and poisonous substances are stored in a locked drawer/ cabinet, as well as access to a camper with poisonous substances located in the facility.

Official plan of correction

Licensee and staff should ensure that sharp objects and poisonous substances are locked, and access to the backyard camper is locked.

Deadline recorded: Feb 27, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)(A)

Regulation authority

CCR

What the official deficiency says

87211(a)(1)(A) Each licensee... A written report shall be submitted to the licensing agency ... Death of any resident from any cause regardless... Based on observation and record review, the licensee did not ensure to send the death report of a resident to CCDS, Licensing Division.

Official plan of correction

Licensee shall personally send reports to the department. Send the death report of R2 by due date.

Deadline recorded: Feb 20, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)(D)

Regulation authority

CCR

What the official deficiency says

(a) Each licensee shall furnish to the licensing agency...and to the person responsible for the resident within seven days of the occurrence …any incident which threatens the welfare, safety, or health of any resident… This requirement was not met as evidence by: Based on observations, interviews and records review, licensee did not report two (2) incidents that occurred at the facility for two (2) residents (R1 and R2), which posed a potential health risk to 2 of 3 residents in care.

Official plan of correction

Licensee agreed to submitt to CCL the LIC624 for the incidents that required reporting. In addition licensee agreed to conduct in service training on reporting requirments with staff. The training will be delivered by an independent contractor for all staff including licensee. Documentation of completion of training should be submitted to CCL by POC date of 8/21/2025.

Deadline recorded: Aug 21, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.317

Regulation authority

HSC

What the official deficiency says

1569.317 Absentee Notification Plan for Missing Residents: “Every residential care facility for the elderly…shall, for the purpose of addressing issues that arise when a resident is missing from the facility, develop and comply with an absentee notification plan…” This requirement was not met, as evidenced by: Based on records and interviews, licensee did not develop an absentee notification plan for 6 of 6 residents (R1, R2, R3, R4, R5, and R6), which posed a potential safety risk to persons in care.

Official plan of correction

Licensee agreed to write an Absentee Notification Plan (meeting the requirements of Heath and Safety Code Section 1569.317), and to place a copy of it in the resident files of R2, R3, R4, R5, and R6, respectively. Licensee agreed to train its current direct care staff on this Absentee Notification Plan. Licensee agreed to E-mail LPA a copy of the Absentee Notification Plan, and the training sign-in sheet, by the POC due date.

Deadline recorded: Aug 2, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87458(a)

Regulation authority

CCR

What the official deficiency says

87458 Medical Assessment: “(a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment.” This requirement was not met, as evidenced by: Based on records and interviews, for 4 of 6 residents (R1, R3, R4, and R5), prior to their acceptance as a resident, licensee did not obtain and keep on file, documentation of a medical assessment, signed by a physician, which posed a potential health, safety, and personal rights risk to persons in care.

Official plan of correction

Licensee agreed to coordinate with physicians, responsible parties, and/or case managers, as needed, to obtain a completed and signed LIC602 Physician’s Reports for R3, R4, and R5, and to place them in their respective resident files. Licensee agreed to update its internal admission policies/procedures to make this document a pre-requisite for move in. Licensee agreed to E-mail LPA a copy of the LIC602’s for R3, R4, and R5, by the POC due date.

Deadline recorded: Aug 2, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87705(c)(5)

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: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs.” This requirement was not met, as evidenced by: Based on records and interviews, licensee did not ensure that 1 of 6 residents (R6), who was diagnosed with dementia, had a medical assessment performed within the last year, which posed a potential health, safety, and personal rights risk to persons in care.

Official plan of correction

Licensee agreed to coordinate with R6’s physician, responsible party, and/or case manager, as needed, to obtain a new/updated LIC602 Physician’s Report for R6, and to place in R6’s resident file. Licensee agreed to mark their internal calendar to remind them that for every resident diagnosed with dementia, Licensee will need to facilitate a new LIC602 within the next 12 months. Licensee agreed to E-mail LPA a copy of R6’s new/updated LIC602, by the POC due date.

Deadline recorded: Aug 2, 2023. 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

87468 Personal Rights: “(b) At the time the admission agreement is signed, a resident and the resident's representative shall be personally advised of and given a copy of: (1) The personal rights of residents specified in Sections 87468.1…and 87468.2…(A) The licensee shall have each resident and the resident's representative sign a copy of these rights, and the signed copy shall be included in the resident's record.” This requirement was not met, as evidenced by: Based on records and interviews, for 6 of 6 residents (R1, R2, R3, R4, R5, and R6), Licensee did not ensure that a signed copy of the resident rights was included in the residents’ records, which posed a potential personal rights risk to persons in care.

Official plan of correction

Licensee agreed to coordinate with residents and/or responsible parties (where applicable), to complete signed LIC613C forms (“Personal Rights of Residents in Privately Operated Residential Care Facilities for the Elderly”) for R2, R3, R4, R5, and R6, and to place them in their respective resident files. Licensee agreed to update its internal admission policies/procedures to ensure the LIC613C is completed at or before time of move-in. Licensee agreed to E-mail LPA a copy of the LIC613C signature pages for R2, R3, R4, R5, and R6, by the POC due date.

Deadline recorded: Aug 2, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87218(a)(1)

Regulation authority

CCR

What the official deficiency says

87218 Theft and Loss: “(a) The licensee shall ensure an adequate theft and loss program as specified in Health and Safety Code Section 1569.153. (1) The initial personal property inventory shall be completed by the licensee, and the resident, or the resident’s representative.” This requirement was not met, as evidenced by: Based on records and interviews, for 6 of 6 residents (R1, R2, R3, R4, R5, and R6), Licensee did not maintain a personal property inventory, completed by the licensee and the resident and/or their representative, which posed a potential personal rights risk to persons in care.

Official plan of correction

Licensee agreed to coordinate with residents and/or responsible parties (where applicable), to complete LIC621 forms (“Client/Resident Personal Property and Valuables”) for R2, R3, R4, R5, and R6, and to place them in their respective resident files. Licensee agreed to update its internal admission policies/procedures to ensure the LIC621 is completed at or before time of move-in. Licensee agreed to E-mail LPA a copy of the signed LIC621s for R2, R3, R4, R5, and R6, by the POC due date.

Deadline recorded: Aug 2, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(a)(1)

Regulation authority

CCR

What the official deficiency says

87465(a)(1) Incidental Medical and Dental Care. The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidence by: Based on observations, interviews and records review, the licensee did not arrange for medical care as appropriate to treat R1’s observed medical condition, which posed a potential health risk to 1 of 5 persons in care.

Official plan of correction

Licensee agreed to conduct in service training to ensure medical care is arranged as appropriate to all residents in care. The training will be delivered by an independent contractor for all staff including licensee. Documentation of completion of training should be submitted to CCL by POC date of 5/22/2023.

Deadline recorded: May 22, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(C)(2)

Regulation authority

CCR

What the official deficiency says

87633(d) Hospice Care of Terminally Ill Residents. The licensee shall ensure that the hospice care plan is current, accurately matches the services actually being provided, and that the client’s care needs are being met at all times. This requirement was not met as evidence by: Based on observations, interviews and records review, the licensee did not coordinate medical care as the care plan required for R1, which posed a potential health risk to 1 of 5 persons in care.

Official plan of correction

Licensee agreed to conduct in service training to ensure the needs of all residents are being followed as specified in the care plan. The training will be delivered by an independent contractor for all staff including licensee. Documentation of completion of training should be submitted to CCL by POC date of 5/22/2023.

Deadline recorded: May 22, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(C)(2)

Regulation authority

CCR

What the official deficiency says

87465(C)(2) Incidental Medical and Dental Care. Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met as evidence by: Based on observations, interviews and records review, facility staff did not administer medications in accordance with physician’s orders for R1, which posed a potential health risk to 1 of 5 persons in care.

Official plan of correction

Licensee agreed to conduct in service training on medication administration, storage and record keeping. The training will be delivered by an independent contractor for all staff including licensee. Documentation of completion of training should be submitted to CCL by POC date of 5/22/2023.

Deadline recorded: May 22, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87466

Regulation authority

CCR

What the official deficiency says

87466 Observation of the Resident. The licensee shall ensure that residents are regularly observed for changes in physical,... 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. This requirement was not met as evidence by: Based on observations, interviews and records review, licensee did not notify R1’s responsible party of change in condition, which posed a potential health risk to 1 of 5 persons in care.

Official plan of correction

Licensee agreed to conduct in service training on reporting requirements. The training will be delivered by an independent contractor for all staff including licensee. Documentation of completion of training should be submitted to CCL by POC date of 5/22/2023.

Deadline recorded: May 22, 2023. A deadline is not proof that correction was completed.