Resident rights
Cited in 5 reports, with 7 deficiencies in total.
Aug 11, 2026Jan 27, 2026Jan 27, 2026Nov 19, 2025Jun 17, 2024
WESTMONT OF SANTA BARBARA
190 VIAJERO DR, Goleta CA 93117
99 bedsLatest official report Aug 11, 2026Licensed
Additional info
- Telephone
- (805) 265-4327
- Licensee
- MARIPOSA MGR GP OF MARIPOSA OPER; WESTMONT LIVING
- Administrator
- MESHELL RAMOS
- Contact
- MESHELL RAMOS
- License first date
- Aug 29, 2017
- License effective date
- Aug 29, 2017
- District office
- WOODLAND HILLS N.ASC · (818) 596-4334
- Regional office
- 29
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 20 Type A and 30 Type B deficiencies for this facility.
- Most recent inspection
- Aug 11, 2026
- Most recent deficiency
- Aug 11, 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 11 Santa Barbara 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 40 reports for this facility: 21 inspections, 19 complaint investigations, and 0 licensing or administrative records.
Those records contain 20 Type A and 30 Type B deficiencies.
2 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 21
- Recorded deficiencies
- 50
- Type A deficiencies
- 20
- Type B deficiencies
- 30
- Substantiated complaints
- 13
- Repeated topics
- 10
More than the typical 7
4 in the last 12 months
Well above the typical 3
16 in the last 12 months
Well above the typical 3
0 in the last 12 months
Well above the typical 2
16 in the last 12 months
Well above the typical 3
6 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.
Facility condition and maintenance
Cited in 5 reports, with 5 deficiencies in total.
Incident reporting
Cited in 4 reports, with 4 deficiencies in total.
Staffing, personnel, and training
Cited in 3 reports, with 4 deficiencies in total.
Basic services and supervision
Cited in 3 reports, with 3 deficiencies in total.
Medical and dental care
Cited in 3 reports, with 3 deficiencies in total.
Medication handling and storage
Cited in 3 reports, with 3 deficiencies in total.
Health conditions and treatments
Cited in 2 reports, with 2 deficiencies in total.
Licensing and administration
Cited in 2 reports, with 2 deficiencies in total.
Records and plan of operation
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
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87633(b)(6)(B)
- Regulation authority
- CCR
What the official deficiency says
(b)A current and complete hospice care plan shall be maintained in the facility for each hospice resident and include the following:(6)Identification of the training needed, which staff members need this training, and who will provide the training relating to the licensee’s responsibilities for implementation of the hospice care plan. (B)The hospice agency will provide training specific to the current and ongoing needs of the individual resident receiving hospice care and that training must be completed before hospice care to the resident begins. This requirement was not met as evidenced by: Based on record review the Licensee did not comply with the regulation above in 2 staff provided care to Hospice Resident (R1) without Hospice training and records specific to the individual R1’s Hospice Care Plan which poses an potential safety and personal rights risk to residents in care.
Official plan of correction
Administrator agreed to read and review 87633, provide a statement of understanding, have hospice agency nurse train a facility lead staff on proper repositioning and transferring for residents on hospice services, then the lead staff can train all wellness staff -Cont. below- working with Hospice residents, provide proof of trainings and materials used with staff signatures and an up to date LIC 500 to CCL.
Deadline recorded: May 20, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 20, 2026
Correction not verified in available records
Complaint
Allegations5 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(9)
- 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: (9)To have communications to the licensee from their representatives answered promptly and appropriately. This requirement was not met as evidenced by: Based on staff turnover and interviews the Licensee did not comply with the regulation above, residents responsible parties did not get responses from Administrator/Licensee which posses a potential health, safety and personal rights risk to residents in care.
Official plan of correction
Administrator agreed to make a statement of understanding regulation, and how turnover of staffing as directors/Administrator will no longer affect communications, and will timely answers residents and family’s questions, and provide statement to CCL.
Deadline recorded: Feb 3, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 3, 2026
Correction not verified in available records
Complaint
Allegations6 substantiated · 0 unsubstantiated · 0 unfounded · 5 cited
Resident rightsType B
- Official classification
- Type B
- 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 and records the Licensee did not comply with the regulation above, Residents that pushed call buttons for care needs waited prolonged periods of time for assistance which possess a potential health, safety and personal rights risk to residents in care.
Official plan of correction
Administrator agreed to higher enough staffing for current residents’ care needs to be met in a timely matter. Provide proof of staffing with an LIC 500 and Call button logs over 15 minutes for the month of February 2026 showing a decrease in wait times for resident care compared to prior months logs.
Deadline recorded: Feb 3, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 3, 2026
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- 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 LPA observation and interviews the Licensee did not comply with the regulations above, R1’s room was not kept clean and free from odors from incontinence which possess a potential health, safety and personal rights risk to residents in care.
Official plan of correction
Administrator agreed to make sure all current residents have care plans updated to reflect the current needs and services for those residents, have adequate staffing to keep residents and rooms clean and free from odors of incontinence, See below: send LIC 500, list of incontinent residents and a statement of how the facility will ensure the facility is free from odors of incontinence.
Deadline recorded: Mar 3, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 3, 2026
Correction not verified in available records
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87219(f)
- Regulation authority
- CCR
What the official deficiency says
(f)...one staff member shall have full-time responsibility to organize, conduct and evaluate planned activities,...staff assistance as necessary in order for all residents to participate in accordance with their interests and abilities....,This requirement was not met as evidenced by: Based on staff and resident interviews, the Activity Director quit, and it took several months to fill the position, activities were not being conducted as the calendar indicated which poses a potential health, safety and personal rights risk to residents in care.
Official plan of correction
Administrator agreed to provide LIC 500 with Activity Director name, hours working, and activity calendars for January and February 2026.
Deadline recorded: Feb 3, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 3, 2026
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(25)
- Regulation authority
- CCR
What the official deficiency says
(a)... (25)To protection of their property from theft or loss according to Health and Safety Code sections 1569.152, 1569.153, and 1569.154. This requirement was not met as evidenced by: Based on interview Licensee did not comply with the regulation above, R1’s package was not found after carrier delivered to the facility which possess a potential personal rights risk to residents in care.
Official plan of correction
Administrator agreed to safeguard resident’s packages delivered to the facility and log the incoming packages at the front desk when received and name of staff delivered to residents’ room. Provide a copy of the log for resident’s packages delivered to the facility for January 2026.
Deadline recorded: Feb 3, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 3, 2026
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(a)(3)(C)
- Regulation authority
- CCR
What the official deficiency says
(a)…(3)…(C)Clean linen, including... The quantity shall be sufficient to permit changing at least once per week or more often when indicated to ensure that clean linen is in use by residents at all times...The requirement was not met as evidenced by: Based on LPA observation and interviews, the Licensee did not comply with the regulation above, R1’s linens were not being changed more often to ensure R1 had clean linen to always use which possess a potential health, safety and person rights risk to residents in care.
Official plan of correction
Administrator agreed to keep enough housekeeping & maintenance staff hired to always maintain the cleanliness and sanitary conditions of the facility, resident’s rooms and bedding, make sure the housekeepers schedule Continued below: accommodated all residents bedding and maintenance, housekeeping and care staff are trained in regulation 87307, provide proof and an up to date LIC 500 to CCL.
Deadline recorded: Feb 3, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 3, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
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
(a)Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs...Additional staff shall be employed as necessary to perform..., cooking, house cleaning, laundering, and maintenance...This requirement was not met as evidenced by: Based on interviews and records the License did not comply with the regulation above due to insufficient staffing did not perform timely care, activities, food service and housekeeping to residents in care which possess a potential health & safety risk to residents in care.
Official plan of correction
Administrator agreed to update care plans and higher enough staff in each department to meet the needs of the residents. Provide an up-to-date LIC 500 with a list of vacancies and staff schedules for January and Februaryto CCL, continued below. after each month is completed send an up to date schedule of staff actually worked.
Deadline recorded: Dec 30, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 30, 2025
Correction not verified in available records
Complaint
Allegations3 substantiated · 1 unsubstantiated · 0 unfounded · 3 cited
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(i)
- Regulation authority
- CCR
What the official deficiency says
(i)When there is significant change in condition,...or once every 12 months,...the licensee shall arrange an in-person or virtual meeting or conference call to share the reappraisal with the resident, the resident's rep,... facility staff,...,Resident Participation.... This requirement was not met as evidenced by: Based on records and interviews the licensee did not comply with the regulation above Staff conducted a reappraisal Service Plan and did not make contact with R1’s RP to go over or have a meeting to discuss, letting R1 sign and putting the new fees in effect which poses a potential health, safety and personal rights risk to residents in care.
Official plan of correction
Administrator agreed to read, review and train staff doing pre-appraisals, re-appraisals, generating new LIC 602A to the doctor and updating Service plans on Regulation 87463, provide proof of training with a list of staff to CCL.
Deadline recorded: Dec 2, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 2, 2025
Correction not verified in available records
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87466
- Regulation authority
- CCR
What the official deficiency says
...residents are regularly observed for changes in physical,...social ...functioning...assistance is provided...observation reveals unmet needs.... attention of the resident's physician and the resident's person responsible,... This requirement was not met as evidenced by: Based on interview and record review the Licensee did not comply with the regulation above Staff did not report to R1’s RP several dates and incidents that were faxed to the physician which possess a potential health, safety and personal rights risk to residents in care.
Official plan of correction
Administrator agreed to train the staff that notifies doctors and RP’s in regulation 87466 and the facility policy and procedures for notifications, send proof of training and provide a current list of those staff to CCL.
Deadline recorded: Dec 2, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 2, 2025
Correction not verified in available records
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 1569.655(a)
- Regulation authority
- HSC
What the official deficiency says
(a) ...increases the rates of fees for residents or makes increases in any of its rate structures for services,...90 days’ prior written notice to the residents or the residents’ representatives...amount of the increase and the reason or reasons for the increase,,...This requirement was not met as evidenced by: Based on interview and record review the Licensee did not comply with the H & S code above. Facility mailed out notices, not all notives were received by the RP’s and some notices were not a full 60days notice which possess a potential health, safety and personal rights risk to residents in care.
Official plan of correction
Administrator agreed to train staff that handle rent and care increases in H & S code 1569.655, provide proof of training and list of staff who do the increases at the facility.
Deadline recorded: Dec 2, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 2, 2025
Correction not verified in available records
Complaint
Allegations3 substantiated · 0 unsubstantiated · 0 unfounded · 3 cited
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.69(a)(1)
- Regulation authority
- HSC
What the official deficiency says
(a)...:(1)...the employee shall complete 24 hours of initial training. This training shall consist of 16 hours of hands-on shadowing training,...and 8 hours of other training or instruction,...which shall be completed within the first four weeks of employment. This requirement was not met as evidenced by: Based on record review the Licensee did not comply with the regulation above staff did not take initial /or annual medication training which possess a potential health, safety and personal rights risk to residents in care.
Official plan of correction
Administrator agreed to hold training for all staff on H & S code 1569.69 and provide staff missing any of these requirements with medication training, provide proof of training and an up to date LIC 500 with all staff and positions listed to CCL.
Deadline recorded: Nov 26, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 26, 2025
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)...(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 records the Licensee did not comply with the regulation above, staff were not competent in handling the centrally stored medications and assistance to residents, without errors which possess a potential health, safety and personal rights risk to residents in care.
Official plan of correction
Administrator agreed to hold personal rights training with all staff to include regulations 87468.1 and 87468.2. Provide proof of training and an up-to-date LIC. 500 for all staff to CCL.
Deadline recorded: Nov 26, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 26, 2025
Correction not verified in available records
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)(D)
- Regulation authority
- CCR
What the official deficiency says
(a)...(1)...(D)Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidenced by: Based on incident reporting the Licensee did not comply with the regulation above The facility did not report any medication errors or discrepancies for R1 which possess a potential Health, safety and personal rights risk to residents in care.
Official plan of correction
Administrator agreed to train all staff in reporting requirements 87211 and send proof of training with an up to date LIC 500 will all staff to CCL.
Deadline recorded: Nov 26, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 26, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations4 substantiated · 8 unsubstantiated · 0 unfounded · 3 cited
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
87411(a) Personnel Requirements. Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. Additional staff shall be employed as necessary to perform…cooking… This requirement was not met as evidenced by: Based on interviews, the licensee did not comply with the section cited when they did not employ sufficient dining staff, which posted a potential health and safety risk to residents in care.
Official plan of correction
Administrator agrees to submit a plan to ensure sufficient dining staff and decrease resident wait times for food. Administrator will submit by 6/24/2024.
Deadline recorded: Jun 24, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 24, 2024
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(i)
- Regulation authority
- CCR
What the official deficiency says
87303(i) Maintenance and Operation. Facilities shall have signal systems which shall meet the following criteria… This requirement was not met as evidenced by: Based on records review, the licensee did not comply with the section cited above when staff did not answer calls timely, which posed a potential health and safety risk to residents in care.
Official plan of correction
Administrator agrees to provide training to all staff of call button response time expectations. Administrator will submit by 6/24/2024.
Deadline recorded: Jun 24, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 24, 2024
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(c)
- Regulation authority
- CCR
What the official deficiency says
87411(c) Personnel Requirements. All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625… This requirement was not met as evidenced by: Based on record reviews, the licensee did not comply with the section cited above when staff did not have adequate training in 2022, which posed a potential health and safety risk to residents in care.
Official plan of correction
Administrator agrees to provide a plan to ensure all staff receive adequate training going forward. Administrator will submit plan by 6/24/2024.
Deadline recorded: Jun 24, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 24, 2024
Correction not verified in available records
Complaint
Allegations4 substantiated · 2 unsubstantiated · 0 unfounded · 3 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(19)
- Regulation authority
- CCR
What the official deficiency says
87468.2(a)(19) Personal Rights. To have prompt access to review all of their records and to purchase photocopies of their records. Photocopied records shall be provided within two (2) business days…This requirement was not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above when they did not provide R1’s responsible party access to all of R1’s records, which posed a potential personal rights risk to residents in care.
Official plan of correction
Administrator agrees to provide R1’s responsible party a complete copy of R1’s records by 6/24/2024.
Deadline recorded: Jun 24, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 24, 2024
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
87303(a) Maintenance and Operation. The facility shall be clean, safe, sanitary and in good repair at all times. This requirement was not met as evidenced by: Based on interview and observation, the licensee did not comply with the section cited above when the facility had a mal odor and feces on R1’s wall, which posed a potential health risk to residents in care.
Official plan of correction
R1’s wall has been cleaned. Administrator agrees to provide proof of deep cleaning in memory care by 6/24/2024.
Deadline recorded: Jun 24, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 24, 2024
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87218(a)(2)
- Regulation authority
- CCR
What the official deficiency says
87218(a)(2) Theft and Loss: A licensee who fails to make reasonable efforts to safeguard resident property, shall reimburse a resident for or replace stolen or lost resident property at its current value. This requirement was not met as evidenced by: Based on interview, the licensee did not comply with the section cited above, as they were unable to properly safeguard resident property, which poses a potential personal rights risk to residents in care.
Official plan of correction
Administrator agrees to reimburse residents for damaged items. Administrator agrees to submit a written statement of understanding of 87218 to CCL by 6/24/2024.
Deadline recorded: Jun 24, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 24, 2024
Correction not verified in available records
Complaint
Allegations2 substantiated · 3 unsubstantiated · 0 unfounded · 1 cited
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(2)
- Regulation authority
- CCR
What the official deficiency says
87465(a)(2) Incidental and Medical Care: A plan for incidental medical and dental care shall be developed by each facility. The licensee shall provide assistance in meeting necessary medical and dental needs. This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above when not asking for R1’s refills timely, which posed an immediate health and safety risk to residents in care.
Official plan of correction
Administrator agrees to develop a written procedure/plan for staff to ensure refills are obtained timely. Administrator will submit plan to CCL by 6/19/2024.
Deadline recorded: Jun 19, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 19, 2024
Correction not verified in available records
Complaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
Not classified in the sourceType B
- Official classification
- Type B
- Official code
- 878468.1(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87468.1(a)(1) Personal Rights. Residents…have all of the following personal rights: 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 section cited above when staff spoke inappropriately to residents, which posed a potential personal rights risk to residents in care.
Official plan of correction
Administrator agrees to conduct personal rights training with all staff and provide proof of training by 6/20/2024. Administrator agrees to submit proof of training via email including description of training, first and last name(s) of trainer(s) and trainees. Trainee signatures required.
Deadline recorded: Jun 20, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 20, 2024
Correction not verified in available records
Complaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Licensing and administrationType A
- Official classification
- Type A
- Official code
- 1569.312(a)
- Regulation authority
- HSC
What the official deficiency says
Every facility required to be licensed under this chapter shall provide at least the following basic services: (a) Care and supervision as defined in Section 1569.2. This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above when they failed to respond to R1’s call button for assistance, which posed an immediate health and safety risk to residents in care.
Official plan of correction
Administrator agrees to provide staff training on call button response expectations. Administrator will provide proof training is scheduled by 6/14/2024, and administrator will provide proof of training by 6/21/2024.
Deadline recorded: Jun 14, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 14, 2024
Correction not verified in available records
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87211(a)(1) Reporting requirements. A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This requirement was not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above when they did not notify R1’s RP of a fall in writing, which posed a potential health, safety and personal rights risk to residents in care.
Official plan of correction
Administrator agrees to provide R1’s responsible party a copy of the incident report. Administrator stated a copy of the report will be sent via USPS Certified Mail with Return Receipt.
Deadline recorded: Jun 17, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 17, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 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 · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
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 as evidenced by: Based on interviews, the licensee failed to ensure that R1’s door was functioning, which posed a potential health and safety risk to persons in care.
Official plan of correction
Administrator stated that the door was fixed in January 2022. The POC was cleared during the visit.
Deadline recorded: Aug 4, 2022. A deadline is not proof that correction was completed.
Official record says corrected or clearedRecorded in report dated Aug 4, 2022
Correction deadline recordedDeadline Aug 4, 2022
Complaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded
Basic services and supervisionType A
- Official classification
- Type A
- Official code
- 87464(f)(1)
- Regulation authority
- CCR
What the official deficiency says
87464(f)(1) Basic Services. (f) Basic services shall at a minimum include: (1) Care and supervision... This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above. (R1) was not provided the proper supervision to ensure R1’s safety. R1 had a history of falls, which led to multiple falls causing R1 to sustain injuries requiring hospitalization, which posed an immediate health and safety risk to residents in care.
Official plan of correction
Licensee will submit a written action plan regarding proper resident care and supervision to CCL by 4/1/22
Deadline recorded: Apr 1, 2022. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Apr 1, 2022
Deficiency Dismissed Type A 04/01/2022 Section Cited CCR 87464(f)(1)
Plan of correction recorded
Correction deadline recordedDeadline Apr 1, 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