Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 87202(a)(2)
- Regulation authority
- CCR
What the official deficiency says
(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: (2) Bedridden persons This requirement is not met as evidenced by: Deficient Practice Statement Per LPA's records review, Resident R6 is identified by the Physician as bedridden/bed bound, and needing total care, per medical assessment dated 10/30/2025. The facility does not have a fire clearance bedridden approval to retain a bedridden resident, the licensee did not comply with the section cited above, which poses an immediate health, safety or personal rights risk to persons in care. Immediate Civil Penalty fine will be assessed in the amount of $500, see LIC421IM.
Official plan of correction
POC Due Date: 01/28/2026 Plan of Correction Licensee/Administrator to submit an updated application form LIC200 showing requested capacity of five nonambulatory and one bedridden. Submit a sketch with proposed capacity, showing the capacity and facility floor/layout. Ia fee of $25 for capacity change. Submit plan on if facility does not obtain fire clearance approval for bedridden, as discussed. Follow-up by 2/6/26 with " bedridden policy & procedures " for your plan of operation. POC due 1/28/26.
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.69(a)(2)
- Regulation authority
- HSC
What the official deficiency says
(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (2) In facilities licensed to provide care for 15 or fewer persons, the employee shall complete 10 hours of initial training. This training shall consist of 6 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 4 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first two weeks of employment. This requirement is not met as evidenced by: Deficient Practice Statement Per LPA's review of records, the medication training documentation had no count of hours/time spent for the staff's training. Administrator was not able to provide staff, S2, S3, S4, and S5’s, medication " initial hours " of training, the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/13/2026 Plan of Correction Licensee/Administrator to ensure staff, S2, S3, S4, and S5, including any other staff that handles medications, have the staff obtain required HSC medication training, including the required number of hours as stated in HSC 1569.69. POC due 2/13/26.