Food service
Cited in 6 reports, with 7 deficiencies in total.
Jul 21, 2026Jul 10, 2026Nov 25, 2025Aug 28, 2024Aug 27, 2024Feb 8, 2024
OAKS AT NIPOMO, THE
177 MARY AVENUE, Nipomo CA 93444
122 bedsLatest official report Aug 12, 2026Licensed
Additional info
- Telephone
- (805) 723-5206
- Licensee
- NIPOMO OAKS,GP OF NIPOMO OAKS OPS LP;WESTMONT LVNG
- Administrator
- RONALD C. FREEMAN
- Contact
- RONALD C. FREEMAN
- License first date
- Jul 16, 2018
- License effective date
- Jul 16, 2018
- District office
- WOODLAND HILLS N.ASC · (818) 596-4334
- Regional office
- 29
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 12 Type A and 20 Type B deficiencies for this facility.
- Most recent inspection
- Aug 12, 2026
- Most recent deficiency
- Aug 12, 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 6 San Luis Obispo 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 39 reports for this facility: 12 inspections, 27 complaint investigations, and 0 licensing or administrative records.
Those records contain 12 Type A and 20 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 12
- Recorded deficiencies
- 32
- Type A deficiencies
- 12
- Type B deficiencies
- 20
- Substantiated complaints
- 18
- Repeated topics
- 5
More than the typical 5
5 in the last 12 months
Well above the typical 2
13 in the last 12 months
Well above the typical 1
3 in the last 12 months
Most this size have none
10 in the last 12 months
Most this size have none
9 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.
Resident rights
Cited in 4 reports, with 5 deficiencies in total.
Facility condition and maintenance
Cited in 2 reports, with 2 deficiencies in total.
Incident reporting
Cited in 2 reports, with 2 deficiencies in total.
Medical and dental care
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Complaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(18)
- Regulation authority
- CCR
What the official deficiency says
87555 (b)(18) General Food Service Requirements (b)The following food service requirements shall apply: (18) Sufficient food service personnel shall be employed, trained and their working hours scheduled to meet the needs of residents. This requirement is not met as evidenced by: Based on interviews, observations, and record review, the licensee did not comply with the section above when staff were unable to meet residents’ needs, as evidenced by staff interviews, resident council feedback, and two prior citations related to kitchen operations. Additionally, 11 culinary staff members either resigned or were terminated within a 60 day period. These conditions posed a potential health and safety risk to residents in care.
Official plan of correction
Facility has hired a new Culinary Director as of 7/21/26, the Regional Culinary Director will provide training. Facility has filled 7 culinary positions as of today. They are in the process of filling the remaining cook, server, and dishwasher positions to cover scheduled shifts. Facility will provide LPA with Culinary Director Onboarding Outline and updated culinary staff roster by 8/7/26.
Deadline recorded: Aug 7, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 7, 2026
Correction not verified in available records
Complaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(20)
- Regulation authority
- CCR
What the official deficiency says
87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1…residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (20) To be protected from involuntary transfers, discharges, and evictions. A licensee shall not involuntarily...evict residents for reasons other than those permitted by state law or regulations and shall comply with all eviction and relocation protections for residents. For purposes of this paragraph, " involuntary " means a transfer, discharge, or eviction that is initiated by the licensee, not by the resident.
Official plan of correction
This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited when they refused to allow Resident 1 (R1) to return to the facility for approximately 4 days, which posed an immediate health and safety risk to residents in care. As R1 no longer resides in the facility, administrator agreed to review regulations 87468.2 (a)(20) regarding involuntary transfers, discharges, and evictions and 87224 Eviction Procedures with the directors of the residential care units and provide statement of understanding to CCL by 7/31/26.
Deadline recorded: Jul 31, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 31, 2026
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
87411 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 is not met as evidenced by: Based on an interview, and record reviews, the licensee did not comply with the section cited above when a Night caregiver staff slept during their night shift which violates licensee’s policies and poses a potential health and safety risk to residents in care.
Official plan of correction
The facility on 7/12/26 took corrective action and terminated staff. Facility to issue a staff memo reminding staff of expectations and not being allowed to sleep on duty. Copy of memo to be submitted to LPA by 7/24/26.
Deadline recorded: Jul 24, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 24, 2026
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
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 observation, interview and record review, the licensee did not ensure the washing machines and a laundry room were clean, sanitary and in good repair which poses a potential health, safety, and personal rights risk to persons in care.
Official plan of correction
Administrator states they will create a new maintenance schedule to keep the gaskets clean, seek replacement parts, work with maintenance staff to schedule repair of the flooring and will email the schedules and status of replacement parts to the LPA on or before 5/6/2026.
Deadline recorded: May 6, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 6, 2026
Correction not verified in available records
Complaint
Allegations1 substantiated · 3 unsubstantiated · 0 unfounded · 1 cited
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)(D)(a)
- Regulation authority
- CCR
What the official deficiency says
Reporting Requirements 87211(a)(1)(D) (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1)A written report shall be submitted to the licensing agency…within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include…date and nature of event… and disposition of the case. (D) Any incident which threatens the welfare, safety or health of any resident, such as…unexplained absence of any resident. This requirement is not met as evidenced by: Based on observation, interviews, and record review, the licensee did not comply with the section cited above when the facility failed to accurately report the facts and nature of an elopement to Community Care Licensing (CCL). This failure to provide complete and accurate information poses a potential health and safety risk to residents in care.
Official plan of correction
Administrator agreed to assist in revising the LIC 624 for the events of 11/27/25 and read and provide a statement of understanding for regulations Reporting Requirements 87211 and provide training to facility staff, including the Resident Service Directors and, that prepare and/or report incident to CCL, send proof of training via agenda of topics reviewed and in service training sheet with staff signatures.
Deadline recorded: Apr 30, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 30, 2026
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)(D)
- Regulation authority
- CCR
What the official deficiency says
87211(a)(1)(D) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:…Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents… This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited when the Administrator/staff did not submit an SOC341 for abuse by R1, which posed a potential health, safety, and personal rights risk to residents in care.
Official plan of correction
The Administrator agrees to ensure that all facility staff receive comprehensive training on Mandated Reporting. The training will include topics related to harassing behaviors, psychological abuse, isolation, and contributing factors such as resident-on-resident abusive interactions. The training will emphasize staff responsibilities in recognizing, preventing, documenting, and reporting all forms of abuse in accordance with Title 22 regulations and Health & Safety Code requirements. Documentation of completed training, including sign-in sheets and training materials, will be maintained at the facility and submitted to CCL by 3/26/26.
Deadline recorded: Mar 26, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 26, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 3 unsubstantiated · 0 unfounded · 1 cited
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(28)
- Regulation authority
- CCR
What the official deficiency says
General Food Service Requirements 87555 (b)(28)All food shall be protected against contamination. Contaminated food shall be discarded immediately upon discovery. This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above when food items were discovered improperly stored, opened, and expired, which poses a potential health and safety risk or personal rights violation to residents in care.
Official plan of correction
Items were immediately removed from storage. Disaplinary action for the staff responsible for this area. Training will be conducted and a copy of the training will be supplied to LPA by 12/12/25.
Deadline recorded: Dec 12, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 12, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87470(b)(1)
- Regulation authority
- CCR
What the official deficiency says
87470 Infection Control Requirements (b) In addition to subsection (a), when one or more residents in the facility are diagnosed with a contagious disease, the following shall apply: (1) In addition to the requirements of subsection (a)(2), assigned staff …regardless of having direct contact with residents, shall be required to perform enhanced environmental cleaning and disinfection to maintain a safe and sanitary environment and to prevent, contain, and mitigate the transmission of the contagious disease. This requirement has not been met as evidenced by: Based on multiple interviews, 8 out of 10 staff and 7 out of 8 residents stated no addtional cleaning was observed or requested possing a potential health and safety risk to the residents in care.
Official plan of correction
Administrator agrees the Infection Control policies will be reviewed with all directors and supervisors within the facility. Administrator will provide LPA with a current copy of the Infection Control Policy for facility. Administrator will also provide LPA with a copy of the requirements reviewed with supervisors and directors of their expectation when an outbreak or potential outbreak occurs.
Deadline recorded: Oct 3, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 3, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 5 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1(a)(3)
- Regulation authority
- CCR
What the official deficiency says
(3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement was not met as evidenced by: Based on record review the Licensee did not comply with the regulation above, S1 handled R1 roughly causing skin tears and making R1 return to R1's room against R1's will which is an immediate health, saftey and personal rights risk to residents in care.
Official plan of correction
Administrator agreed to re-train S1 in facility policy and procedures for abuse, reporting, and personal rights of residents in care and provide proof of trianing to CCL.
Deadline recorded: Feb 28, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 28, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
(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 records the Licensee failed to comply with the regulation above, R1 was living in unsanitary living conditions which posed a potential health, safety and personal rights risk to residents in care.
Official plan of correction
Administrator agreed to give invoices for the clean up of the bio-hazard and any other invoices for cleaning and sanitizing R1’s apartment.
Deadline recorded: Sep 4, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 4, 2024
Correction not verified in available records
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(18)
- Regulation authority
- CCR
What the official deficiency says
(b)The following food service requirements shall apply:(18)Sufficient food service personnel shall be employed, trained and their working hours scheduled to meet the needs of residents. This requirement was not met as evidenced by: Based on interviews and record review the Licensee did not comply with the regulation above, Residents have longer wait times in dining room when the kitchen staff are shorthanded which poses a potential personal rights risk to residents in care.
Official plan of correction
Administrator agreed to provide LPA 1 month of schedules and the time clock hours actually worked for all kitchen staff for the month of August of 2024. Provide how many staff and positions for a fully staffed kitchen with a census of 100 residents and an up to date LIC 500.
Deadline recorded: Sep 4, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 4, 2024
Correction not verified in available records
Complaint
Allegations3 substantiated · 3 unsubstantiated · 0 unfounded · 3 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.2(a)(8)
- Regulation authority
- CCR
What the official deficiency says
(a)... (8)To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse.This requirement was not met as evidenced by: Based on interviews and record review the Licensee did not comply with the regulation above, S1 handled residents roughly and was terminated from employment due to abuse complaints which poses an immediate health and safety risk to residents in care.
Official plan of correction
Administrator agreed to hold a training on all Personal Rights and Mandated Reporting and Abuse for all staff, provide proof of training with staff signatures and an up-to-date LIC 500.
Deadline recorded: Aug 29, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 29, 2024
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)
- Regulation authority
- CCR
What the official deficiency says
(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. This requirement was not met as evidenced by: Based on interviews and record review the Licensee did not comply with the regulation above S1 used profanity talking about the residents with other staff and using profanity in the presence of the residents which poses a potential personal rights risk to residents in care.
Official plan of correction
Administrator agreed to re-train all staff on the facility’s policy and procedures for resident care. Provide proof of training with staff signatures and an up-to-date LIC 500.
Deadline recorded: Aug 27, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 27, 2024
Correction not verified in available records
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(15)
- Regulation authority
- CCR
What the official deficiency says
(b)The following food service requirements shall apply:(15)All persons engaged in food preparation and service shall observe personal hygiene and food services sanitation practices which protect the food from contamination. This requirement was not met as evidenced by: Based on interviews the Licensee did not comply with the above regulation, staff preparing food did not wear gloves which poses a potential health and safety risk to residents in care.
Official plan of correction
Administrator agreed to train all kitchen staff in AL/MC regulation 87555 Food Service, facility policy and procedures for food handling, preparing, cooking, and serving. Provide Proof of Training and an up-to-date LIC 500 to CCL.
Deadline recorded: Sep 3, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 3, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 2 unsubstantiated · 0 unfounded · 2 cited
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87464(f)(1)
- Regulation authority
- CCR
What the official deficiency says
(f)Basic services shall at a minimum include:(1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidenced by: Based on interviews and record review the Licensee did not comply with the regulation above several residents did not get showers according to the shower schedule which poses a potential health and safety risk to residents in care.
Official plan of correction
Administrator agreed to staff according to resident’s census and needs of the residents, provide staffing schedules, LIC 500, Resident Roster, all Care and Med-tech staff take a training course on grooming and hygiene, shower schedules, Continued below: and refusal process and provide proof of training with staff signatures to CCL. Provide refund to R1 for 25 missed showers and provide proof of refund to CCL.
Deadline recorded: Jun 26, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 26, 2024
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(4)
- Regulation authority
- CCR
What the official deficiency says
(a)...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 was not met as evidenced by: Based on interviews and record review the Licensee did not comply with the regulation 8 out of 11 residents waited over 11-30 minutes to get assistance from staff which posses a potential health and safety risk to residents in care.
Official plan of correction
Administrator agreed to provide training on Personal Rights 87468, 87468.1, 87468.2 and mandated reporting provide proof of training with staff signatures to CCL.
Deadline recorded: Jun 26, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 26, 2024
Correction not verified in available records
Complaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(23)
- Regulation authority
- CCR
What the official deficiency says
All readily perishable foods or beverages capable of supporting rapid and progressive growth of micro-organisms which can cause food infections or food intoxications shall be stored in covered containers at appropriate temperatures. This requirement was not met as evidence by Based on interview and observation, the licensee did not comply with the section cited above when Staff failed to properly store food in refrigerator and was left out for several hours, which posed a health risk to residents in care.
Official plan of correction
Administrator agrees to issue a written memo to all staff who oversee the food areas of the facility, explaining expectations regarding the food and food safety. Administrator will provide a list of signatures of staff acknowledging the memo.
Deadline recorded: Feb 12, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 12, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(18)
- Regulation authority
- CCR
What the official deficiency says
(b)...(18)Sufficient food service personnel shall be employed, trained and their working hours scheduled to meet the needs of residents.This requirement was not met as evidenced by: Based on interviews the licensee did not comply with the regulation above the facility is not employing sufficient staff to meet the food service requirement which posses a potential Health, safety and personal rights risk to residents in care.
Official plan of correction
Administrator agreed to review regulation 87555, hire, train and a schedule kitchen staff to meet the needs of the residents in care. Send proof of reviewed regulation, new hires, schedules for the month, menu for the month for Food Service/Kitchen.
Deadline recorded: Nov 24, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 24, 2022
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations4 substantiated · 1 unsubstantiated · 0 unfounded · 4 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1(a)(8)
- Regulation authority
- CCR
What the official deficiency says
(a)...(8)To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs. This requirement was not met as evidence by: Based on Interviews the Licensee did not comply with the regulation above 5/8 witnesses were not kept informed by the facility regarding resident’s care needs which is an immediate personal rights risk to residents in care.
Official plan of correction
Administrator agreed to read, review and train staff that notify residents responsible parties in personal rights regulations 87468.1 and 87468.2. Have a clear written procedure of whom and when to notify and the timeliness of these notifications as well as the documenting of these notifications. Provide proof of training and notification procedures to CCL
Deadline recorded: Nov 17, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 17, 2022
Correction not verified in available records
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87625(b)(3)
- Regulation authority
- CCR
What the official deficiency says
(b)...(3)Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement was not met as evidenced by: Based on staff and witness interviews the Licensee did not comply with the regulation above residents were left wet for longer periods of time due to staffing shortages which posses an immediate health and safety risk to residents in care
Official plan of correction
Administrator agreed to read, review and train all staff that perform resident care in regulation 87625, have written procedure and a schedule of incontinent residents and a tracking system of when and who has preformed the care. Provide proof of training, procedure and schedule to CCL.
Deadline recorded: Nov 17, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 17, 2022
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)...(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 was not met as evidenced by: Based on interviews the licensee did not comply with this regulation 5/6 witnesses 2/6 residents and 5/6 staff felt short staffing had led to missed showers and longer wait times, as well as some of the basic hygiene, teeth brushing, hair washing, and dressing is not being provided adequately to meet the residents needs which is an immediate personal rights risk to residents in care.
Official plan of correction
Administrator agreed to hire more staff, provide training to all staff on personal rights 87468.1, 87468.2 and Basic services 87464, have written procedures and a schedule for staff to provide shower and hygiene care. Provide proof of training, written procedure, shower schedules with columns to document refusals and completions.
Deadline recorded: Nov 17, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 17, 2022
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(b)(13)
- Regulation authority
- CCR
What the official deficiency says
(b)...(13)Continuing record of any illness, injury, or medical or dental care, when it impacts the resident’s ability to function or needed services. This requirement was not met as evidenced by: Based on 5/8 witness interviews the licensee did not comply with the regulation above records or documentation were not provided when requested which possess a potential health and safety risk to residents in care.
Official plan of correction
Administrator agreed to read, review, and train all staff working with residents in regulation 87506, have clear written procedures of when and how to document residents, charts, files, and records. Provide proof of training and written procedures to CCL
Deadline recorded: Nov 24, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 24, 2022
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
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
(a)Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs….facility require such additional staff for the provision of adequate services. This requirement was not met as evidenced by: Based on interviews with staff, witnesses and residents the licensee failed to comply with the regulation above Facility is insufficiently staffed to meet all the residents needs which poses and immediate Health, Safety and personal rights risk to residents in care.
Official plan of correction
Administrator agreed to hire additional staff, schedule adequate staffing everyday of the week, review and train staff on regulation 87411, provide an up to date LIC 500, staffing schedules, list of new hires with titles to CCL monthly for 3 consecutive months.
Deadline recorded: Nov 17, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 17, 2022
Correction not verified in available records
Basic services and supervisionType A
- Official classification
- Type A
- Official code
- 87464(f)(4)
- Regulation authority
- CCR
What the official deficiency says
(f)Basic services shall at a minimum include:(4)Personal assistance and care as needed by the resident…with those activities of daily living such as dressing, eating, bathing…This requirement was not met as evidenced by: Based on interviews with staff, witnesses and residents the licensee failed to comply with the regulation above residents are not getting bathing/showering needs met which poses and immediate Health, Safety and personal rights risk to residents in care.
Official plan of correction
Licensee agreed to review contracts for bathing/showering needs, make a shower schedule, follow that shower schedule, late/not completed due to staffing must be documented and refusals documented with a reason, facility must hire enough staff to meet the residents shower schedule and provide documentation to CCL.
Deadline recorded: Nov 24, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 24, 2022
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1(a)(2)
- Regulation authority
- CCR
What the official deficiency says
87468.1 Personal Rights of Residents...: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: Based on W1 the licensee did not comply with regulation above 1 staff was present in the facility kitchen without wearing the mask properly which poses an immediate Personal Rights risk to residents in care.
Official plan of correction
Administrator agreed to hold infectious control training with masks requirments in the faciliy and provide proof of training with staff signatures.
Deadline recorded: May 20, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 20, 2022
Correction not verified in available records
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