Staffing, personnel, and training
Cited in 2 reports, with 3 deficiencies in total.
431 EBBETS PASS ROAD, Vallejo CA 94589
10 bedsLatest official report May 15, 2026Licensed
The available records show 1 Type A and 8 Type B deficiencies for this facility.
No later report is available, so the records do not show what happened afterward.
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.
Counts cover the five-year public record. Typical figures are the median for the 2 Solano County facilities licensed for 7 to 15 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 6 reports for this facility: 6 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 1 Type A and 8 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
Fewer than the typical 8
1 in the last 12 months
About the same as most this size
2 in the last 12 months
Fewer than the typical 2
0 in the last 12 months
More than the typical 4
2 in the last 12 months
Fewer than the typical 2
0 in the last 12 months
Last 36 months
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.
Cited in 2 reports, with 3 deficiencies in total.
All preserved reports from the most recent to the oldest, sortable by report type.
(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 record review, the licensee did not comply with the section cited above in two of four staff did not have medical assessments or TB testing on file and four of four staff did not have personnel records or resume on file which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/15/2026 Plan of Correction Licensee shall submit updated training and personnel records or resume for staff by Plan of Correction due date of 6/15/2026 by 5:00PM.
(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. 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 two of four staff did not have TB testing or medical assessments on file which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/15/2026 Plan of Correction Licensee shall submit TB testing for staff by Plan of Correction due date of 6/15/2026 by 5:00PM.
(a) 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 is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in One (1) of two (2) gates in backyard was in need of repair with the top boards falling off when LPA attempted to open it which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/05/2025 Plan of Correction Licensee to submit photo proof that gate has been repaired by Plan of Correction due date 6/5/2025
(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. 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 staff training record files. Staff are in need of updated annual RCFE training, First Aid, Dementia, and Medication Administration which poses/posed a potential health & safety risk to persons in care.
POC Due Date: 07/06/2024 Plan of Correction Licensee agrees to schedule annual training courses for all staff in need of updating. Licensee to provide LIC9098 Proof of Corrections for with schedule date of training to CCLD by POC date 7/06/2024. Once annual training is completed Licensee is to provide training to CCLD for review.
(a) Prior to, or within two weeks of the resident's admission, the licensee shall arrange a meeting with the resident, the resident's representative, if any, appropriate facility staff, and a representative of the resident's home health agency, if any, and any other appropriate parties, to prepare a written record of the care the resident will receive in the facility, and the resident's preferences regarding the services provided at the facility. (3) The licensee shall arrange a meeting with the resident and appropriate individuals identified in Section 87467(a)(1) to review and revise the written record as specified, when there is a significant change in the resident's condition, or once every 12 months, whichever occurs first. Significant changes shall include, but not be limited to occurrences specified in Section 87463, Reappraisals. This requirement is not met as evidenced by: Deficient Practice Statement No violation -Licensee uses Resident Appraisals which are up to date
POC Due Date: 07/06/2024 Plan of Correction
(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. 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 staff training record files. Staff are in need of updated annual RCFE training, which poses/posed a potential health & safety risk to persons in care.
POC Due Date: 07/31/2023 Plan of Correction Licensee agrees to schedule annual training courses for all staff in need of updating. Licensee to provide LIC9098 Proof of Corrections for with schedule date of training to CCLD by POC date 7/31/2023. Once annual training is completed Licensee is to provide training to CCLD for review.
(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in 1 out of 1 garden sheers which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 07/23/2022 Plan of Correction Licensee immediately removed and secured the item. Licensee understands to keep potentially dangerous items inaccessible to residents. Plan of Correction completed at the time of visit.
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 is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPA observed resident restroom and bedroom with spider webs located on the corner of ceilings, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/01/2022 Plan of Correction Licensee agrees to review regulations 87303 and submit a Proof of Corrections LIC9098 confirming the regulation has been reviewed and that the facility will remain in compliance. Licensee agrees to clean spider webs in each bedroom, restroom and common areas. LIC9098 form to be submitted to CCLD by POC due date 8/1/2022.
(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. 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 2 out of 3 first aid & CPR certifications which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/01/2022 Plan of Correction Licensee agrees to schedule training for all staff to updated 1st Aid & CPR training. Licensee is to submit LIC9098 Proof of Corrections form with training date by POC due date 9/1/2022. In addition, Licensee is to submit copies of completed 1st Aid & CPR training to CCLD once completed.
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.
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