Incident reporting
Cited in 5 reports, with 5 deficiencies in total.
FOUNTAIN SQUARE OF LOMPOC
1420 W NORTH AVENUE, Lompoc CA 93436
130 bedsLatest official report Aug 20, 2026Licensed
Additional info
- Telephone
- (805) 736-1234
- Licensee
- THARON LOMPOC, LLC
- Administrator
- MESHELL RAMOS
- Contact
- MESHELL RAMOS
- License first date
- Dec 13, 2023
- License effective date
- Dec 13, 2023
- District office
- WOODLAND HILLS N.ASC · (818) 596-4334
- Regional office
- 29
- Clients served
- 983 - RCFE / DEMENTIA, 985 - RCFE / HOSPICE
Summary
The available records show 6 Type A and 16 Type B deficiencies for this facility.
- Most recent inspection
- Aug 20, 2026
- Most recent deficiency
- Aug 20, 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 22 reports for this facility: 8 inspections, 12 complaint investigations, and 2 licensing or administrative records.
Those records contain 6 Type A and 16 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 8
- Recorded deficiencies
- 22
- Type A deficiencies
- 6
- Type B deficiencies
- 16
- Substantiated complaints
- 8
- Repeated topics
- 5
More than the typical 7
2 in the last 12 months
Well above the typical 3
7 in the last 12 months
More than the typical 3
1 in the last 12 months
Well above the typical 2
6 in the last 12 months
Well above the typical 3
2 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.
Staffing, personnel, and training
Cited in 3 reports, with 3 deficiencies in total.
Facility condition and maintenance
Cited in 2 reports, with 3 deficiencies in total.
Hazardous items and storage
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
Allegations2 substantiated · 3 unsubstantiated · 0 unfounded · 2 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 residents’ needs. … This requirement was not met by the number of call response that resulting in call button times exceeding more than 10 minute response times as indicated in the complaint, which poses a potential danger to residents in care.
Official plan of correction
Administrator agrees to conduct a training will all staff on address call button calls, how recongnuze and write a procedue for staff to recognize, address, and clear call button calls in the facility. To be completed by 06/29/2025 and email LPA documentation.
Deadline recorded: Jun 29, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 29, 2026
Correction not verified in available records
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465
- Regulation authority
- CCR
What the official deficiency says
(a) A plan for incidental medical .. each facility. The plan shall encourage routine medical …such care, by compliance with the following: (6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement was not met by evidence of facility documentation failing to record dosage of medication provided on 03/16/2026 which poses a potential danger to residents in care.
Official plan of correction
Administrator agrees to have all medication technitions to complete a 1 hour additional training on documentation of medication. To be completed by 06/29/2025 and email LPA documentation.
Deadline recorded: Jun 29, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 29, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 4 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.2(a)(14)
- Regulation authority
- CCR
What the official deficiency says
87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a)… Personal Rights of Residents in All Facilities, residents… shall have all of the following personal rights: (14) To reasonable accommodation of their individual needs and preferences in all the health or aspects of life in the facility, except when accommodation would endanger safety of the individual resident or other residents. This requirement was not met by evidence of multipal prolonged times staff answering R1’s call buttons, which poses an imminent risk to residents in care.
Official plan of correction
Community Relations Director (CRD), agreed to conduct Personal RIghts training for all staff on All Staff meeting. CRD will notifiy LPA of specific personal rights training course and date when all staff will complete training by 11/07/2025.
Deadline recorded: Nov 7, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 7, 2025
Correction not verified in available records
Complaint
Allegations1 substantiated · 3 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 residents’ needs. … This requirement was not met by the number of call response that resulting in call button times exceeding 41 minutes, which poses a potential risk to residents in care.
Official plan of correction
PCC stated staff numbers are increased and all staff now has a walk-eTalke. PCC agrees to have a all staff training on call button response times, and clearing all calls in a timely manor. PCC will provide proof of training to LPA by 08/13/2025.
Deadline recorded: Aug 13, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 13, 2025
Correction not verified in available records
Complaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87218(a)(2)
- Regulation authority
- CCR
What the official deficiency says
87218 Theft and Loss (a) The licensee shall ensure an adequate theft and loss program...(2) A licensee who fails to make reasonable efforts to safeguard resident property,... The licensee shall be presumed to have made reasonable efforts to safeguard resident property if there is clear and convincing evidence of efforts to meet each requirement specified in Section 1569.153. This requirement was not met by evidence of lack of screening of uncleared staff and vendors, which puts residents in potential danger.
Official plan of correction
Administrator will start the recruting and hiering process for a front desk receptionist to help with screening residents, vendors, and visitors.
Deadline recorded: Jun 13, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 13, 2025
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
87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (25) To protection of their property from theft or loss according to Health and Safety Code ... This requirement was not met by evidence of several missing property items of Resident 1, which poses a potential risk to residents in care.
Official plan of correction
Administrator argrees to have a one hour training for all staff on personal rights and safeguarding residents property and information.
Deadline recorded: Jun 13, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 13, 2025
Correction not verified in available records
Complaint
Allegations4 substantiated · 0 unsubstantiated · 0 unfounded · 3 cited
Basic services and supervisionType A
- Official classification
- Type A
- Official code
- 87464(d)
- Regulation authority
- CCR
What the official deficiency says
Basic Services (d)...if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs as identified in the pre-admission appraisal…and providing the other basic services…either directly or through outside resources. This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above. Staff did not provide adequate care and supervision, residents sustaining falls resulting in injuries...
Official plan of correction
Licensee has hired additional staffing. Adminstrator will train staff on identifying changes in condition and communicating this to leadship to update resident appraisals. Administrator will email LPA the date of this training by 5/31/2025 and the completed training and signed roster after completed. which posed an immediate health and safety risk to residents in care.
Deadline recorded: May 31, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 31, 2025
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
Additional Personal Rights of Residents in Privately Operated Facilities (a) .., residents... 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...to meet their needs. 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 did not provide adequate staffing which resulted in residents needs not being met, including residents being left soiled for an extended period of time.
Official plan of correction
Licensee has hired additional staffing. Adminstrator will train staff on identifying changes in condition and communicating this to leadship to update resident appraisals. Administrator will email LPA the date of this training by 5/31/2025 and the completed training and signed roster after completed.
Deadline recorded: May 31, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 31, 2025
Correction not verified in available records
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)(B)
- Regulation authority
- CCR
What the official deficiency says
Reporting Requirements(a) ... (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.... (B) Any serious injury as determined by the attending physician and occurring while... the resident is under facility 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. The Licensee did not submit incident reports for numerous falls for R1 and R4,...
Official plan of correction
Administrator agrees to update their reporting protocol and conduct a staff training of the protocol. Administrator will email LPA documentation and a signed staff roster off all training participants on or before 6/13/2025. the resident is under facility supervision.
Deadline recorded: Jun 13, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 13, 2025
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(i)(1)(C)
- Regulation authority
- CCR
What the official deficiency says
87303(i)(1)(C)Facilities shall have signal systems which shall meet the following criteria:(1)All facilities licensed for 16 ...shall have a signal system which shall:(C)Identify the specific resident living unit..This requirement was not met by evidence of Administrator admitting and reporting signal system malfunction. Which poses a potential risk to resident in care
Official plan of correction
Administrator and Maintenance Supervisor are currently programming each pendant on 04/03/2025. 8 of 32 pendants are programmed at time of investigation visit. Administrator is to check and assure all pendants are reporting accurately and report back to LPA by email on or before 04/17/2025.
Deadline recorded: Apr 17, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 17, 2025
Correction not verified in available records
Complaint
Allegations1 substantiated · 3 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.2(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87468.2(a)(4) Add’tl Personal Rights of Residents…(a) …residents in...RCFE shall have all following personal rights: (4) To care, supervision, and services that meet individual needs delivered by staff sufficient in numbers, qualifications, and competency to meet needs. This requirement is not met based on interviews and record review, licensee did not comply with the section cited above when staff failed to provide appropriate supervision to Resident #1 resulting in multiple incidents which posed an immediate health and safety risk to residents in care.
Official plan of correction
The licensee will take appropriate measures to maintain and increase staffing in the facility. Licensee will also provide training to all staff on resident personal rights including supervision and neglect.
Deadline recorded: Nov 8, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 8, 2024
Correction not verified in available records
Complaint
Allegations4 substantiated · 1 unsubstantiated · 0 unfounded · 2 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-General. (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs... to ensure provision of personal assistance and care This requirement is not met as evidenced by: Based on interviews and records review, licensee did not comply with section cited above by failing to have sufficient staff to meet the needs of residents, which posed a potential health and safety risk to residents in care.
Official plan of correction
The licensee has shown LPA appropriate measures to maintain and increase staffing in the facility, including job advertisements observed by the LPA.
Deadline recorded: Oct 1, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 1, 2024
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
87211(a)(1)(D) Reporting Reqs. Licensee shall furnish to licensing agency...including...(1) Written report submitted to licensing agency and to person responsible for resident within 7 days… (D) Any incident which threatens the welfare, safety or health of any resident… This requirement is not met as evidenced by: Based on interviews and records review, licensee did not comply with section cited above by failing to report an incident and change of condition in R1 to licensing and responsible pary, which posed a potential health and safety risk to residents in care.
Official plan of correction
The licensee has submittted a plan describing how the facility will ensure reporting requirements are followed. Submit proof to Community Care Licensing Division (CCLD).
Deadline recorded: Oct 1, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 1, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportSource 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