Facility condition and maintenance
Cited in 4 reports, with 4 deficiencies in total.
A1 DEL MONTE STOCKTON
517 E. FULTON STREET, Stockton CA 95204
158 bedsLatest official report Aug 4, 2026Licensed
Additional info
- Telephone
- (209) 910-5910
- Licensee
- A1 DEL MONTE INC.
- Administrator
- SANDEEP SAINI
- Contact
- SANDEEP SAINI
- License first date
- Jul 1, 2021
- License effective date
- Jul 1, 2021
- District office
- SACRAMENTO SOUTH ASC · (916) 263-4700
- Regional office
- 27
- Clients served
- 935 - ELDERLY
Summary
The available records show 18 Type A and 27 Type B deficiencies for this facility.
- Most recent inspection
- Aug 4, 2026
- Most recent deficiency
- Aug 4, 2026
No later report is available, so the records do not show what happened afterward.
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 22 San Joaquin County facilities licensed for 50 or more beds, except where too few exist to state one — those come from facilities with 7 or more beds.
In the available public five-year record, CCLD published 107 reports for this facility: 54 inspections, 48 complaint investigations, and 5 licensing or administrative records.
Those records contain 18 Type A and 27 Type B deficiencies.
1 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 54
- Recorded deficiencies
- 45
- Type A deficiencies
- 18
- Type B deficiencies
- 27
- Substantiated complaints
- 12
- Repeated topics
- 1
More than the typical 11
2 in the last 12 months
Well above the typical 8
2 in the last 12 months
Well above the typical 4
2 in the last 12 months
Well above the typical 4
0 in the last 12 months
Well above the typical 1
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.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Complaint
Allegations0 substantiated · 6 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 5 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
Maintenance and Operation. (a)The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Based on record reviews and interviews, Licensee is addressing the situation with a routine bed bug treatment service after an initial bed bug occurrence.
Official plan of correction
The facility is actively working with a local exterminator to remedy the incidents and to prevent reoccurrence.
Deadline recorded: Jun 14, 2024. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Jun 14, 2024
Deficiency Dismissed Type B 06/14/2024 Section Cited CCR 87303(a)
Plan of correction recorded
Correction deadline recordedDeadline Jun 14, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 3 unsubstantiated · 2 unfounded · 1 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(a)(2)(c)
- Regulation authority
- CCR
What the official deficiency says
87307 Personal Accommodations and Services (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: (C) No bedroom of a resident shall be used as a passageway to another room, bath or toilet. This requirement was not met as evidenced by based on touring the facility and interviews with the staff. R1's room was an access point for the shower and the bathroom.
Official plan of correction
The facility has addressed the room access point and has established an alternative enrty into the shower /bathroom area. POC cleared.
Deadline recorded: May 15, 2024. A deadline is not proof that correction was completed.
Official record says corrected or clearedOn or before May 1, 2024
Correction deadline recordedDeadline May 15, 2024
Complaint
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 6 unsubstantiated · 1 unfounded · 2 cited · investigated over 2 visits
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1
- Regulation authority
- CCR
What the official deficiency says
87468.1 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: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by the actions of S1 opening the door to the kitchen without regard causing an injury to R1. This is an immediate safety risk for residents in care.
Official plan of correction
Licensee is to ensure that all inservice trainings are documented and residents' personal rights are upheld at all times. Please submit a letter of understanding and a copy of the completed in-service training to include date and signatures of trainer and attendees by POC due date.
Deadline recorded: Jan 25, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 25, 2024
Correction not verified in available records
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.2(a)(4)
- Regulation authority
- CCR
What the official deficiency says
(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidenced by R1 sustaining an injury.
Official plan of correction
The facility has completed the in service training fro Personal rights. The plan of correction was completed on 1/25/2024.
Deadline recorded: Mar 6, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 6, 2024
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Jan 24, 2024 · Control 27-AS-20231005125740
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
Maintenance and Operation. (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidenced by: Based on interviews and record reviews, the facility maintained a presence of bed bugs between 8-24-23 and 8-30-23 with treatment for bed bugs initiated on 8-30-23. This posed a potential health, safety, and resident rights risk to residents in care.
Official plan of correction
Licensee designee has provided pest control service records to LPA indicating completed service. Licensee shall provide an updated plan of procedures for processes involving treatment of bed bugs and other pests in the event of reoccurrence. Update shall include evidence of a routine pest control service specifically targeting bed bugs in addition to general service. Plan to be submitted to LPA by POC due date.
Deadline recorded: Sep 20, 2023. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Sep 20, 2023
Deficiency Dismissed Type B 09/20/2023 Section Cited CCR 87303(a)
Plan of correction recorded
Correction deadline recordedDeadline Sep 20, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 5 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 6 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 2 unsubstantiated · 0 unfounded · 2 cited · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 3 unsubstantiated · 0 unfounded · 2 cited · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Apr 7, 2023 · Control 27-AS-20230303140934
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87625(b)(3)
- Regulation authority
- CCR
What the official deficiency says
87625(b)(3). Managed Incontinence. (b) ...the licensee shall be responsible for the following: (3) Ensuring that...facility remains free of odors from incontinence. This requirement was not as evidenced by: Based on observation, licensee did not comply with this regulation in that LPA observed a strong urine odor in and around room 107 on 3-24-23. This poses a potential health and safety risk to residents in care.
Official plan of correction
Licensee will submit a plan to ensure incontinent residents are kept clean and dry, and rooms, along with surrounding areas are kept odor free. Plan to be submitted to LPA by POC due date.
Deadline recorded: Apr 4, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 4, 2023
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
Maintenance and Operation. (a) The facility shall be clean, safe, sanitary and in good repair at all times...This requirement was not met as evidenced by: Based on observation, licensee did not comply with this regulation in that LPA observed a used adult diaper on the floor of room 107 near the foot of R1's bed. This posed a potential health and safety risk to residents in care.
Official plan of correction
Licensee will submit a plan to ensure rooms, common areas, and other areas used by residents remain clean and sanitary. Plan to be submitted to LPA by POC due date.
Deadline recorded: Apr 4, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 4, 2023
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Apr 7, 2023 · Control 27-AS-20230320082353
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
Maintenance and Operation. (a) The facility shall be clean, safe, sanitary and in good repair at all times...This requirement was not met as evidenced by: Based on observation and interview, window seal in room 107 contained damage for 2-3 weeks after occurrance. This poses a potential health and safety risk to residents in care.
Official plan of correction
Licensee has repaired damage to window seal and send photo proof of repair to LPA. Licensee will submit a plan outlining how future repair items will be addressed timely. Plan to submitted to LPA by POC due date.
Deadline recorded: Apr 4, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 4, 2023
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(2)
- Regulation authority
- CCR
What the official deficiency says
Additionial Personal rights...(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities...(2) To have their records and personal information remain confidential and to approve their release, except as authorized by law. This requirement was not met as evidenced by: Based on record review and interview, Licensee did not ensure confidential medical information for R2 in that a photograph of medication information was sent to the wrong receipient. This posed a potential health, safety and resident rights risk to residents in care.
Official plan of correction
Licensee will read regulation 87468.2(a)(2) and submit a signed declaration of understanding to LPA by POC due date. Licensee will submit plan outlining procedures for safely and effectively communicating private information to the appropriate parties. Plan to be submitted to LPA by POC due date.
Deadline recorded: Apr 4, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 4, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 8 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(11)
- Regulation authority
- CCR
What the official deficiency says
87468.1 (a)(11)Personal Rights of Residents in All Facilities: Residents in all residential care facilities for the elderly shall have all of the following personal rights: To have their visitors, including ombudspersons and advocacy representatives, permitted to visit privately during reasonable hours. This requirement was not met as evidence by:Based on interviews it was learned resident's visitors were not granted entry during reasonable hours. This posed a potential health and safety risk to residents in care.
Official plan of correction
The facility agrees to conduct Covid-19 and visitation training for all staff by POC Date 08/24/2022. Facility staff will email training documentation and sign in sheet to LPA Martinez by POC date 08/24/2022.
Deadline recorded: Aug 24, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 24, 2022
Correction not verified in available records
Complaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303 (a) Maintenance and Operation: The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidence by: based on observation and interview review, LPA Martinez observed R1 and R2 bedroom were unsanitary and not in good repair. This posed a potential health and safety risk to residents in care.
Official plan of correction
Facility staff agrees to conduct a housekeeping and facility maintenance and operation training for all housekeeping staff by POC date 08/24/2022. Facility will email LPA Martinez copies of training sign in sheet and training materials by POC date 08/24/2022. Facility has installed bug zappers in the facility.
Deadline recorded: Aug 24, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 24, 2022
Correction not verified in available records
Complaint
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 1 unfounded · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Jun 20, 2022 · Control 27-AS-20220608144500
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations4 substantiated · 0 unsubstantiated · 1 unfounded · 4 cited · investigated over 2 visits
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(e)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care. (e) For every prescription…medication for which the licensee provides assistance there shall be a signed, dated written order from a physician…This requirement is not met as evidenced by: Based on record reviews and interviews licensee did not ensure physician’s order for blood pressure medication was followed appropriately. Medication for R1 was held by facility staff and not given to R1 without a physician’s approved order to hold or stop medication. This poses an immediate health and safety risk to residents in care.
Official plan of correction
Licensee will ensure staff complete medication training on assisting residents with medication and following physician orders. Training date to be submitted to LPA by POC due date. Proof of training to be submitted to LPA by POC due date.
Deadline recorded: Apr 11, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 11, 2022
Correction not verified in available records
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(1)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care.A plan for incidental medical and dental care shall be developed by each facility (1)The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement is not met as evidenced by: Based on record reviews and interviews, licensee did not ensure physician was efficiently notified for medication order clarification for R1. This poses an immediate health and safety risk to residents in care.
Official plan of correction
Licensee will submit a plan which ensures physician’s are efficiently and effectively notified for any resident care needs. Plan to be submitted to LPA by POC due date.
Deadline recorded: Apr 11, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 11, 2022
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Apr 8, 2022 · Control 27-AS-20220222105340
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4)The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on interviews and record reviews, Licensee did not ensure R1 receive a prescribed blood pressure medication for a period of more than 3 weeks. This poses an immediate health and safety risk to residents in care.
Official plan of correction
Licensee will submit a plan to ensure residents are receiving medications as ordered. Plan to be submitted to LPA by POC due date Licensee will ensure staff training on medication regarding physician’s orders and working with pharmacies is completed. Proof of training to be sent to LPA by POC due date.
Deadline recorded: Mar 17, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 17, 2022
Correction not verified in available records
Administrator qualificationsType A
- Official classification
- Type A
- Official code
- 87405(h)(5)
- Regulation authority
- CCR
What the official deficiency says
Administrator-Qualifications and Duties. (h) The administrator shall have the responsibility to: (5) Provide or ensure the provision of services to the residents with appropriate regard for the residents' physical and mental well-being and needs…This requirement is not met as evidenced by: Based on interviews and record reviews, Licensee did not ensure Administrator communicate effectively with designee, other staff, and outside entities to resolve a medication order discrepancy for R1’s blood pressure medication resulting in R1 not receiving medication for a period longer than 3 weeks. This poses an immediate health and safety risk to residents in care.
Official plan of correction
Licensee will submit a plan to ensure Administrator staff effectively communicate to meet residents’ needs.
Deadline recorded: Mar 17, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 17, 2022
Correction not verified in available records
Complaint
Allegations1 substantiated · 1 unsubstantiated · 1 unfounded · 1 cited · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Mar 8, 2022 · Control 27-AS-20220203132627
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 1569.655(a)
- Regulation authority
- HSC
What the official deficiency says
Increase in fee rates for elderly residents...60 days' written notice..(a)If a licensee of a residential care facility for the elderly increases the rates of fees for residents...the licensee shall provide no less than 60 days' prior written notice to the residents or the residents' representatives setting forth the amount of the increase, the reason for the increase, and a general description of the additional costs. This requirement is not met as evidenced by: Based on record review and interviews Licensee did not ensure proper 60-day notification was given to R1 for a rate increase. This poses a potential resident rights risks to residents in care.
Official plan of correction
Licensee has re-issued a revised 60-day notice with proper contents to R1 on 2-18-22 to reflect the new rate change on 5-1-22. Licensee will read health and safety code 1569.655 and provide a signed certification of understanding to LPA by POC due date.
Deadline recorded: Feb 28, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 28, 2022
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations4 substantiated · 0 unsubstantiated · 0 unfounded · 4 cited
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
Ammended from original report dated 12-9-21: Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs... This requirement is not met as evidenced by: Based on record reviews, interviews, and observation, R1 sustained a fall with injury...Licensee did not ensure R1 received appropriate care and supervision due to inadequate staff coverage. This poses an immediate health, safety, and resident rights risk to residents in care.
Official plan of correction
Licensee will submit staffing schedule to indicate appropriate levels of coverage necessary to meet residents’ needs. Schedule to be submitted to LPA by POC due date. Licensee will conduct staff training on fall precautions and submit a scheduled training date to LPA by POC due date. Licensee will submit plan on providing adequate coverage to meet residents’ needs in the event of staff shortages. Plan to be submitted to LPA by POC due date.
Deadline recorded: Dec 10, 2021. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 10, 2021
Correction not verified in available records
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)(B)
- Regulation authority
- CCR
What the official deficiency says
Reporting Requirements (a) Each licensee shall furnish….reports as the Department may require…(1) A written report shall be submitted…to the person responsible for the resident within seven days of the occurrence…(B) Any serious injury….occurring while the resident is under facility supervision. This requirement is not met as evidenced by: Based on interviews and record review, responsible person for R1 was not notified in writing of fall that occurred on 10-27-21 at 5:00am within seven days of occurrence. This poses a potential health, safety, and resident rights risk to residents in care.
Official plan of correction
Licensee will read regulation 87211(a)(1) and submit a signed statement of understanding and agreeance to follow regulation. Licensee will submit a plan to ensure responsible parties are notified appropriately following incidents as noted in regulation 87211(a)(1)
Deadline recorded: Dec 20, 2021. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 20, 2021
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(a)
- Regulation authority
- CCR
What the official deficiency says
Reappraisals. (a) The pre-admission appraisal shall be updated in writing…as frequently as necessary to note significant changes and to keep the appraisal accurate. This requirement is not met as evidenced by: Based on records review and interviews, facility did not update an appraisal form for R1 to address fall precautions and a fall event of R1 which occurred on 10-27-21 at 5:00am. This poses a potential health and safety risk to residents in care.
Official plan of correction
Licensee will develop a plan to ensure all resident appraisals are updated as appropriate to meet the needs of residents in care. Plan to be submitted to LPA by POC due date.
Deadline recorded: Dec 20, 2021. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 20, 2021
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(9)
- 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…the following rights: (9) To have communications to the licensee from their representatives answered promptly and appropriately. This requirement is not met as evidenced by: Based on interviews, Licensee did not ensure responsible person for R1 was answered promptly when requesting documents relating to a fall event for R1. Documents were requested on 11-1-21 and not received until 11-19-21. This poses a potential health, safety, and resident rights risk to residents in care.
Official plan of correction
Licensee will read regulation 87468.1(a)(9) and submit a signed understand of regulation indicating agreeance to follow the regulation. Licensee will conduct staff training to ensure communications from responsible persons of resident in care are answered timely. Proof of training to be submitted to LPA by POC due date.
Deadline recorded: Dec 20, 2021. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 20, 2021
Correction not verified in available records
Complaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87413(a)(1)
- Regulation authority
- CCR
What the official deficiency says
Section 87413 Personnel-Operations (a) In each facility (1) When regular staff members are absent, there shall be coverage by personnel with qualifications adequate to perform the assigned tasks. This requirement is not met as evidenced by: Based on interviews and record review, One staff member was attending to memory care unit and left unit unattended. Licensee did not ensure qualified personnel coverage in the memory care unit when staff member left memory care unit unattended which poses an immediate health, safety, and resident rights risk to residents in care.
Official plan of correction
Licensee will submit a staffing plan to ensure residents are not left unattended by staffing personnel. Licensee will submit a staffing schedule ensuring adequate coverage to prevent lack of supervision of residents. Licensee to submit above POCs by due date.
Deadline recorded: Sep 9, 2021. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 9, 2021
Correction not verified in available records
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 80078(a)
- Regulation authority
- CCR
What the official deficiency says
80078 Responsibility for Providing Care and Supervision (a) The Licensee shall provide care and supervision as necessary to meet the client’s needs. This requirement is not met as evidenced by: Based on interviews and record reviews licensee did not ensure R1 received appropriate repositioning and lifting by staff on duty for purposes of promoting fall prevention. This poses a potential health and safety risk to residents in care.
Official plan of correction
Licensee will conduct staff training on lifting and repositioning procedures and submit proof of training to LPA by POC due date. Licensee will conduct staff training on 9-1-1 emergency protocols with emphasis on when to call 9-1-1 versus performing care procedures necessary for fall prevention.
Deadline recorded: Sep 17, 2021. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 17, 2021
Correction not verified in available records
1 complaint has no published investigation report
The official record holds these complaints, but no investigation report was published for them. Their outcome is shown as the source recorded it.
- Apr 9, 2024 · Control 27-AS-20240122141919
Allegations0 substantiated · 0 unsubstantiated · 2 unfounded
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