SOUTHLAND HOME

804 SOUTHLAND ST, Nipomo CA 93444

Facility 405802555 · RESIDENTIAL CARE ELDERLY (740)

4 bedsLatest official report May 12, 2026Licensed

Additional info
Licensee
RSCR CALIFORNIA INC
Administrator
ANA MARTINEZ
Contact
ANA MARTINEZ
License first date
May 31, 2016
License effective date
May 31, 2016
District office
WOODLAND HILLS N.ASC · (818) 596-4334
Regional office
29
Clients served
935 - ELDERLY

Summary

The available records show 4 Type A and 13 Type B deficiencies for this facility.

Most recent inspection
May 12, 2026
Most recent deficiency
May 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 72 San Luis Obispo County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 18 reports for this facility: 9 inspections, 9 complaint investigations, and 0 licensing or administrative records.

Those records contain 4 Type A and 13 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
9

More than the typical 5

1 in the last 12 months

Recorded deficiencies
17

Well above the typical 1

2 in the last 12 months

Type A deficiencies
4

Most this size have none

0 in the last 12 months

Type B deficiencies
13

Well above the typical 1

2 in the last 12 months

Substantiated complaints
6

Most this size have none

0 in the last 12 months

Repeated topics
2

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

Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited

Food serviceType B
Official classification
Type B
Official code
87555(a)
Regulation authority
CCR

What the official deficiency says

87555 General Food Service Requirements (a) The total daily diet shall be of the quality... necessary to meet the needs of the residents... All food shall be selected, stored, prepared, and served in a safe and healthful manner. This requirement is not met as evidenced by: Based on interviews, and observation, the licensee did not comply in the section cited above as spoiled/expired food was found which poses a health and safety risk to residents in care.

Official plan of correction

Licensee agrees to provide training. Facility will provide document with staff signatures of those who attended. Additionally, Administrator agrees to conduct weekly food check to ensure food management is being upheld. Documentation will be submitted to LPA via email no later than 10/18/2024.

Deadline recorded: Oct 18, 2024. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Oct 18, 2024
Correction not verified in available records
View official report
Complaint

Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited · investigated over 2 visits

Food serviceType B
Official classification
Type B
Official code
87555
Regulation authority
CCR

What the official deficiency says

Type B 87555 (a) The total daily diet shall be of the quality... necessary to meet the needs of the residents... All food shall be selected, stored, prepared and served in a safe and healthful manner. This requirement is not met as evidenced by: Based on interviews, and observation, the licensee did not comply in the section cited above as spoiled/expired food was found which poses a health and safety risk to residents in care.

Official plan of correction

Licensee agrees to provide a written statement to CCLD acknowledging regulation 87555 and how the facility will regulate food compliance going forward. Plan will be submitted to LPA via email no later than 7/8/2024.

Deadline recorded: Jul 8, 2024. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Jul 8, 2024
Correction not verified in available records
View official report
Complaint

Part of the complaint whose outcome is recorded on Jul 1, 2024 · Control 29-AS-20240624153403

No deficiencies recorded in this report
Complaint

Allegations0 substantiated · 1 unsubstantiated · 0 unfounded

No deficiencies recorded in this report
Complaint

Allegations2 substantiated · 5 unsubstantiated · 0 unfounded · 1 cited

Resident rightsType B
Official classification
Type B
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...This requirement was not met as evidenced by: Based on interviews and record review the licensee did not comply with the regulation above R1’s POA W1 was not notified prior to W2 and W1 was not notified of a new medication which possess a potential Personal Rights risk to residents in care.

Official plan of correction

Licensee agreed to train all staff in Personal Rights of Residents regulation 87468, 87468.1 and 87468.2, send up to date LIC 500 and all staff signatures for training to CCL.

Deadline recorded: Oct 21, 2022. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Oct 21, 2022
Correction not verified in available records
View official report
Complaint

Allegations3 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited

Health conditions and treatmentsType A
Official classification
Type A
Official code
87608(a)(3)
Regulation authority
CCR

What the official deficiency says

(a)...(3)A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record...This requirement was not met as evidenced by: Based on interviews and record review the licensee did not comply with the regulation above R1 did not have any doctors orders for the postural supports and the postural supports were being used by staff to limit R1’s abilities which poses an immediate health, safety and personal rights risk to residents in care.

Official plan of correction

Licensee/Administrator agreed to review all residents’ records and update any records for current LIC 602’s, Doctor’s orders and complete an exception request for each resident to the department if needed. Review and train all staff on regulation 87608. Send proof of record review, training and all staff signatures to CCL.

Deadline recorded: Jul 18, 2022. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Jul 18, 2022
Correction not verified in available records
View official report
Complaint

Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited

Records and plan of operationType A
Official classification
Type A
Official code
87506(a)
Regulation authority
CCR

What the official deficiency says

(a)The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility...readily available to facility staff and to licensing agency staff. This requirement was not met as evidenced by: Based on observation and record review the licensee did not comply with the above regulation. Resident files were not complete and current which poses a immediate health and safety risk to residents in care.

Official plan of correction

Licensee/Administrator agree to review all resident files and make sure they have all required forms/documents, review regulation 87506 and have all staff trained, provide proof of training and all staff signatures to CCL.

Deadline recorded: Jul 18, 2022. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Jul 18, 2022
Correction not verified in available records
View official report
Complaint

Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited

Dementia careType A
Official classification
Type A
Official code
87707(a)(2)(A)(1-6)
Regulation authority
CCR

What the official deficiency says

(a)...(2)...(A)...training topics shall be covered annually, and all topics shall be covered within a three-year period (1-6)...: This requirement was not met as evidenced by: Based on interviews and record review the licensee did not comply with the above regulation as staff did not have dementia training which poses an immediate health,Personal rights risk to residents in care

Official plan of correction

Licensee/Administrator agree to review regulation 87707 and provide required dementia training on all topics that have not been covered in the past 3 years to all staff as required by regulation, proof of training and all staff signatures required to clear POC.

Deadline recorded: Jul 18, 2022. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Jul 18, 2022
Correction not verified in available records
View official report
Complaint

Allegations0 substantiated · 2 unsubstantiated · 0 unfounded

No deficiencies recorded in this report

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