Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(e)(2)
- Regulation authority
- CCR
What the official deficiency says
(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 the facility main restroom water tempearture was tested and measured 152.2 F which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/27/2026 Plan of Correction Administrator adjusted the water heater at visit, will retest water tomorrow and make any needed adjustments and provide a 7 day log to CCL of water tempeatures with in requirements of regualtion 105-120 degress Farnheit. Provide log to CCL.
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(a)(13)(B)
- 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: (B) Documentation of either a criminal record clearance or a criminal record exemption as required by Section 87355(e). 1. For Certified Administrators, a copy their current and valid Administrative Certification meets this requirement. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review the licensee did not comply with the section cited above in 2 Administrator did not have a current file at the facility and niether administrator ceritifcate was valid on visit which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/01/2026 Plan of Correction Administrator agreed to get files for all administrator and staff present at the facility and will call the administrator ceritircate bearu to follow up on the pending application and submitting a renewal applciation. Send a photo of files and valid certificates.
Staffing, personnel, and trainingType B
- Official classification
- Type B
- 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 record review, the licensee did not comply with the section cited above in 4 out of 4 files reviewed did not meet the requirement of hours or subjuect matter for 2025-2026 annual which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/01/2026 Plan of Correction Administrator agreed to have all staff take initials 40 hours or annual 20 hours for the 2026 annual training year. Provide proof of trianing for 4 staff with required hours and subjects to CCL.
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
(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 record review, the licensee did not comply with the section cited above in the facility did not have any records of quarterly disaster drills for the 2 quaters in 2026, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/01/2026 Plan of Correction Administrator agreed to do 2 quarterly disaster drills for 2026 and provide proof of those drills to CCL.