Fire safety and emergency preparedness
Cited in 2 reports, with 2 deficiencies in total.
ASHKALON HOUSE
912 DETURK AVE., Santa Rosa CA 95404
6 bedsLatest official report May 13, 2026Licensed
Additional info
- Telephone
- (707) 978-2993
- Licensee
- ASHKALON HOUSE LLC
- Administrator
- DADA, VICTOR C.
- Contact
- DADA, VICTOR C.
- License first date
- Jun 7, 2021
- License effective date
- Jun 7, 2021
- District office
- SANTA ROSA RO · (707) 588-5026
- Regional office
- 21
- Clients served
- 983 - RCFE / DEMENTIA, 985 - RCFE / HOSPICE
Summary
The available records show 4 Type A and 9 Type B deficiencies for this facility.
- Most recent inspection
- May 13, 2026
- Most recent deficiency
- May 13, 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 111 Sonoma County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 10 reports for this facility: 8 inspections, 1 complaint investigation, and 1 licensing or administrative record.
Those records contain 4 Type A and 9 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 8
- Recorded deficiencies
- 13
- Type A deficiencies
- 4
- Type B deficiencies
- 9
- Substantiated complaints
- 0
- Repeated topics
- 1
More than the typical 5
1 in the last 12 months
Well above the typical 4
1 in the last 12 months
More than the typical 1
0 in the last 12 months
Well above the typical 2
1 in the last 12 months
Most this size also have none
0 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.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
Hazardous items and storageType B
- Official classification
- Type B
- 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 observation, the licensee did not comply with the section cited above in that Toxins were observed unsecured in the following areas: underneath the kitchen sink; in the resident shower room; in the bath room shared by rooms #4 & #5 and in the staff bathroom which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/27/2026 Plan of Correction Licensee to provide photographs of areas noted above showing that all toxins have been removed. Additionally, Licensee to provide an LIC 9098 Self Certification stating that toxins will not be left unsecured in the facility. Both to be sent to Community Care Licensing by POC due date of 5/27/2026.
Plan of correction recorded
Correction not verified in available records
Inspection
Fire safety and emergency preparednessType A
- Official classification
- Type A
- 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 observation & record review, the licensee did not comply with the section cited above in that quarterly disaster drills are not being conducted and disaster drill logs are not being kept at the facility which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/02/2025 Plan of Correction Licensee will conduct an emergency disaster drill and provide Community Care Licensing (CCL) a copy of the Disaster Drill log for the disaster drill conducted. Licensee will further self certify that an emergency disaster drill will be conducted and logged quarterly. Disaster drill log and self certification to be provided to CCL by POC due date of 6/2/2025.
Plan of correction recorded
Correction not verified in available records
Licensing and administrationType B
- Official classification
- Type B
- 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 observation and record review, the licensee did not comply with the section cited above in that S1 and S2 did not have current 1st Aid and CPR certifications in their files which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/20/2025 Plan of Correction Licensee to submit proof to Community Care Licsensing (CCL) that staff members S1 and S2 are certified in First Aid and CPR by POC due date of 6/20/2025.
Plan of correction recorded
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468(b)(1)(A)
- Regulation authority
- CCR
What the official deficiency says
(b) At the time the admission agreement is signed, a resident and the resident's representative shall be personally advised of and given a copy of: (1) The personal rights of residents specified in Sections 87468.1, Personal Rights of Residents in All Facilities and 87468.2, Additional Personal Rights of Residents in Privately Operated Facilities, as applicable to the facility. (A) The licensee shall have each resident and the resident's representative sign a copy of these rights, and the signed copy shall be included in the resident's record. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in that residents R1, R2 and R3 did not have signed LIC 613C forms in their resident files which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/20/2025 Plan of Correction Licensee to submit to CCL signed LIC 613C Personal Rights forms for residents R1, R2 and R3 by POC due date of 6/20/2025.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Fire safety and emergency preparednessType A
- Official classification
- Type A
- 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 interview conducted and records reviewed, the Licensee did not comply with the section cited above. Facility has not conducted an emergency/disaster drill as required by Health and Safety Code. This poses an immediate health, safety or personal rights risk to residents in care.
Official plan of correction
POC Due Date: 06/12/2024 Plan of Correction Licensee to submit a written plan to CCL outlining how they will ensure that disaster drills are conducted quarterly as required by POC due date of 06/12/2024. Licensee to submit proof that an emergency drill has been conducted with facility staff and residents and submit to CCL by POC due date of 06/22/2024.
Plan of correction recorded
Correction not verified in available records
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(f)(2)
- Regulation authority
- CCR
What the official deficiency says
87705 Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement is not met as evidenced by: Deficient Practice Statement Based on observations made, the Licensee did not comply with the section cited above. LPA observed toxins such as snuggle dissolvable beads, tide detergent pods, wood floor cleaner, and flea/tick repellent. This poses an immediate health, safety or personal rights risk to residents in care. LPA observed that Licensee immediately put toxins in a locked closet.
Official plan of correction
POC Due Date: 06/12/2024 Plan of Correction Licensee to submit a self-certification stating that an in-service training will be conducted for all staff by POC due date of 06/12/2024. Licensee to submit completed training to CCL by POC due date of 06/22/2024.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 1569.625(b)(2)
- Regulation authority
- HSC
What the official deficiency says
(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. Licensee did not ensure that facility staff had annual staff training completed as required. This poses/posed a potential health, safety or personal rights risk to residents in care.
Official plan of correction
POC Due Date: 06/22/2024 Plan of Correction Licensee to submit a written plan to CCL on how they will ensure training will be completed timely each year. Licensee to submit proof of completed training for 2 of 2 facility staff by POC due date of 06/22/2024.
Plan of correction recorded
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(b)(15)
- Regulation authority
- CCR
What the official deficiency says
(b) Each resident's record shall contain at least the following information: (15) The admission agreement and pre-admission appraisal, specified in Sections 87507, Admission Agreements and 87457, Pre-admission Appraisal. 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. Licensee did not complete a Pre-Appraisal as required for 2 of 2 residents. This poses/posed a potential health, safety or personal rights risk to residents in care.
Official plan of correction
POC Due Date: 06/22/2024 Plan of Correction Licensee to complete the pre-appraisal assessments for 2 of 2 residents and submit proof to CCL by POC due date of 06/22/2024.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
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 Based on record review, the licensee did not comply with the section cited above where facility is retaining a resident who is bedridden despite not having a bedridden fire clearance which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/09/2023 Plan of Correction Licensee agrees to submit an updated LIC200 and Faciilty sketch as described in the LIC809 by POC due date, 5/9/2022.
Plan of correction recorded
Correction not verified in available records
Licensing and administrationType B
- Official classification
- Type B
- 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 record review, the licensee did not comply with the section cited above in two out of two staff not having current First Aid and CPR Certificates which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/12/2023 Plan of Correction Licensee agrees to submit proof that all individuals who assist residents have a First Aid and CPR Certificate by POC due date, 5/12/2023.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 1569.625(b)(2)
- Regulation authority
- HSC
What the official deficiency says
(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 out of two staff not having required annual training which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/31/2023 Plan of Correction Licensee agrees to submit proof that all individuals who assist residents have a required annual training by POC due date, 5/12/2023.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87458(b)(1)
- Regulation authority
- CCR
What the official deficiency says
87458(b) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the physician's primary diagnosis and secondary diagnosis, if any and results of an examination for communicable tuberculosis, other contagious/infectious diseases or other medical conditions which would preclude care of the person by the facility. 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 one out of three residents not having the results of a TB test prior to moving in which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/31/2023 Plan of Correction Licensee agree to submit a copy of the TB results for R1 no later than 5/31/2023.
Plan of correction recorded
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(b)(15)
- Regulation authority
- CCR
What the official deficiency says
(b) Each resident's record shall contain at least the following information: (15) The admission agreement and pre-admission appraisal, specified in Sections 87507, Admission Agreements and 87457, Pre-admission Appraisal. 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 three residents not having a valid admission agreement and three out of three residents not having a preadmssion appraisal which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/31/2023 Plan of Correction Licensee agrees to submit proof that R2 and R3 have valid admission agreements and that R1, R2 and R3 all have updated appraisals by POC due date, 5/31/2023.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
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