Fire safety and emergency preparedness
Cited in 2 reports, with 2 deficiencies in total.
HACIENDA DEL MAR CARE HOME
505 HACIENDA LANE, Suisun City CA 94585
6 bedsLatest official report Aug 12, 2025Licensed
Additional info
- Telephone
- (707) 434-1577
- Licensee
- BALBUENA, LOURDES S. & AL Q.
- Administrator
- BALBUENA, AL Q.
- Contact
- BALBUENA, AL Q.
- License first date
- Sep 12, 2014
- License effective date
- Sep 12, 2014
- District office
- SANTA ROSA RO · (707) 588-5026
- Regional office
- 21
- Clients served
- 945 - ADULTS / ELDERLY
Summary
The available records show 2 Type A and 5 Type B deficiencies for this facility.
- Most recent inspection
- Aug 12, 2025
- Most recent deficiency
- Aug 12, 2025
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 147 Solano County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 7 reports for this facility: 4 inspections, 3 complaint investigations, and 0 licensing or administrative records.
Those records contain 2 Type A and 5 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 4
- Recorded deficiencies
- 7
- Type A deficiencies
- 2
- Type B deficiencies
- 5
- Substantiated complaints
- 1
- Repeated topics
- 1
Fewer than the typical 5
0 in the last 12 months
Well above the typical 1
0 in the last 12 months
Most this size have none
0 in the last 12 months
More than the typical 1
0 in the last 12 months
Most this size have none
0 in the last 12 months
Last 36 months
No inspection in the last 12 months, so a zero above means no record rather than a clean visit.
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.
Inspection
Hazardous items and storageType A
- Official classification
- Type A
- Official code
- 87309(a)
- Regulation authority
- CCR
What the official deficiency says
(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, the licensee did not comply with the section cited above in that tKnife drawer did not have lock. Chemicals under sink observed to be unlocked, Lysol spray and disinfectant wipes observed to be in living room accessble to residents. Gallon bottle of Clorax Bleach and gallon bottle of Multi-Purpose Cleaner Solution on floor in walkway of backyard which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/13/2025 Plan of Correction Licensee to submit LIC9098 self certifying that all chemicals must be kept locked and inaccessible to residents by Plan of Correction due date 8/13/2025 to CCL.
Plan of correction recorded
Correction not verified in available records
Licensing and administrationType A
- Official classification
- Type A
- Official code
- 1569.618(c)(3)
- Regulation authority
- HSC
What the official deficiency says
(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA and admin record review, the licensee did not comply with the section cited above in that S2 and S3 does not have First Aid Certification which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/13/2025 Plan of Correction Licensee to submit self certification that staff are signed up to take First Aid Cerification Course by Plan of Correction Due date 8/13/2025. Licensee to submit First Aid/CPR Certification for S2 and S3 by 8/29/2025 to CCL.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation and record review the licensee did not comply with the section cited above in that there is No LIC503, LIC501 and TB Clearance for S1 and S2 which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/01/2025 Plan of Correction Licensee to submit LIC503,LIC501 and TB Clearance for S1 and S2 to CCL by Plan of Correction due date 9/01/2025.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based onLPA observation and record review, the licensee did not comply with the section cited above in that disaster drills are not being conducted quarterly which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/01/2025 Plan of Correction Administrator will conduct a disaster drill and will send a self-certification form (LIC9098) to CCL ensuring that the facility is within compliance by Plan of Correction due date 9/01/2025
Plan of correction recorded
Correction not verified in available records
Inspection
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's/Administreator observation, interview and record review, the licensee did not comply with the section cited above in having a disaster drill conducted within the last quarter, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/23/2024 Plan of Correction Administrator will conduct a disaster drill and will send a self-certification form (LIC9098) to CCL ensuring that the facility is within compliance by POC due date (8/23/24) to clear the citation.
Plan of correction recorded
Correction not verified in available records
Inspection
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(h)(6)
- Regulation authority
- CCR
What the official deficiency says
The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes: This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 3 out of 3 resident records. Facility failed to properly input prescription medicaiton information on the Centrally Stored Medication Records which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/15/2023 Plan of Correction Licensee agrees to reconsile all prescription medication to be properly input on the Centrally Stored Medicaiton Records for 3 out of 3 residents. Copies of the Centrally Stored Medicaiton Records of residents' current medicaitons are to be submitted to CCLD by POC date 9/15/2023.
Plan of correction recorded
Correction not verified in available records
Inspection
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