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, as hot water temperature tested at 124 degrees F in main client bathroom, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/24/2026 Plan of Correction Plan/proof of correction to be sent to CCLD BY DUE DATE
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87307(d)(6)
- Regulation authority
- CCR
What the official deficiency says
(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above, as rear exit door cannot be accessed, as it is blocked by boxes and furnishings, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/23/2026 Plan of Correction Items were removed from area of rear exit door in LPA's presence and is unobstructed. Deficiency corrected and cleared.
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 absence of training records, the licensee did not comply with the section cited above, as there is no evidence that staff #2, who was employed 2 months ago, has completed required initial training, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/07/2026 Plan of Correction Proof/plan of correction to be sent to CCLD BY DUE DATE
Dementia careType B
- Official classification
- Type B
- Official code
- 1569.626(a)(1)
- Regulation authority
- HSC
What the official deficiency says
(a) All residential care facilities for the elderly shall meet the following training requirements, as described in Section 1569.625, for all direct care staff: (1) Twelve hours of dementia care training, six of which shall be completed before a staff member begins working independently with residents, and the remaining six hours of which shall be completed within the first four weeks of employment. All 12 hours shall be devoted to the care of persons with dementia. The facility may utilize various methods of instruction, including, but not limited to, preceptorship, mentoring, and other forms of observation and demonstration. The orientation time shall be exclusive of any administrative instruction. This requirement is not met as evidenced by: Deficient Practice Statement Based on absence of training records, the licensee did not comply with the section cited above, as there is no evidence that staff #2, who was employed 2 months ago, has received any dementia training. This poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/07/2026 Plan of Correction Proof/plan of correction to be sent to CCLD BY DUE DATE
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on review of client records, the licensee did not comply with the section cited above in 1 out of 4 client records reviewed, which poses a potential health, safety or personal rights risk to persons in care - appraisal for client #1 is dated in 2022
Official plan of correction
POC Due Date: 07/07/2026 Plan of Correction Updated, completed and signed appraisal for client #1 to be sent to CCLD BY DUE DATE
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(h)
- Regulation authority
- CCR
What the official deficiency says
(h) The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment. This requirement is not met as evidenced by: Deficient Practice Statement Based on review of client records, the licensee did not comply with the section cited above in 1 out of 4 client records rviewed, which poses a potential health, safety or personal rights risk to persons in care. - Medical assessment for client #1 is over 4 years old
Official plan of correction
POC Due Date: 07/07/2026 Plan of Correction Medical assessment for client #1 will be updated and copy will be sent to CCLD BY DUE DATE
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87507(c)
- Regulation authority
- CCR
What the official deficiency says
(c) Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident's representative, if any, and the licensee or the licensee's designated representative no later than seven days following admission. Attachments to the agreement may be utilized as long as they are also signed and dated as prescribed above. This requirement is not met as evidenced by: Deficient Practice Statement Based on client records review, the licensee did not comply with the section cited above in 1 out of 4 records reviewed, which poses a potential health, safety or personal rights risk to persons in care. - Admission agreement for client #2 is incomplete, as there is no monthly rate
Official plan of correction
POC Due Date: 07/07/2026 Plan of Correction Copy of complete and signed admission agreement for client #2 to be sent to CCLD BY DUE DATE
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87456(a)(2)
- Regulation authority
- CCR
What the official deficiency says
EVALUATION OF SUITABILITY FOR ADMISSION Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall, as specified in this article 8: Perform a pre-admission appraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on review of client records, the licensee did not comply with the section cited above in 1 out of 4 records reviewed, which poses a potential health, safety or personal rights risk to persons in care. - There is no pre admission appraisal for client #4, who was admitted 4 months ago.
Official plan of correction
POC Due Date: 07/07/2026 Plan of Correction Copy of complete and signed appraisal for client #4 will be sent to CCLD BY DUE DATE
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468(b)(1)(A)
- Regulation authority
- CCR
What the official deficiency says
PERSONAL RIGHTS 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 the personal rights of residents specified in Sections 87468.1, Personal Rights of Residents in All Facilities or and 87468.2, Additional Personal Rights of Residents in Privately Operated Facilities, as applicable to the facility. (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 is not met as evidenced by: Deficient Practice Statement Based on review of client records, the licensee did not comply with the section cited above in 1 out of 4 records reviewed, which poses a potential health, safety or personal rights risk to persons in care. - Personal Rights forms are incomplete or not maintained for clients #1, #3, #4
Official plan of correction
POC Due Date: 07/07/2026 Plan of Correction Copies of completed and signed Personal Rights forms for 3 clients will be sent to CCLD BY DUE DATE