Medication handling and storage
Cited in 2 reports, with 4 deficiencies in total.
GREEN HOUSE EAST RCFE
3248 INDIAN ROCK CT, Santa Rosa CA 95404
6 bedsLatest official report Jul 28, 2026Licensed
Additional info
- Telephone
- (707) 544-2312
- Licensee
- GREEN HOUSE EAST LLC
- Administrator
- JUNCO, BRISA
- Contact
- JUNCO, BRISA
- License first date
- Sep 11, 2020
- License effective date
- Sep 11, 2020
- District office
- SANTA ROSA RO · (707) 588-5026
- Regional office
- 21
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 3 Type A and 14 Type B deficiencies for this facility.
- Most recent inspection
- Jul 28, 2026
- Most recent deficiency
- Jul 28, 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 7 reports for this facility: 6 inspections, 0 complaint investigations, and 1 licensing or administrative record.
Those records contain 3 Type A and 14 Type B deficiencies.
1 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 6
- Recorded deficiencies
- 17
- Type A deficiencies
- 3
- Type B deficiencies
- 14
- Substantiated complaints
- 0
- Repeated topics
- 2
More than the typical 5
2 in the last 12 months
Well above the typical 4
10 in the last 12 months
More than the typical 1
3 in the last 12 months
Well above the typical 2
7 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.
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.
Inspection
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 87205(b)
- Regulation authority
- CCR
What the official deficiency says
87205 Accountability of Licensee Governing Body (b) If the licensee is a corporation or an association, the governing body shall be active, and functioning in order to assure accountability. 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 the facility's corporate entity " GREEN HOUSE EAST, LLC " is showing as suspended on the California Secretary of State's website which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/25/2026 Plan of Correction Licensee to provide an explanation of why the corporation is suspended and when the corporation will be removed from suspension to Community Care Licensing (CCL) by POC due date of 8/25/2026. Additionally, Licensee will provide monthly updates on status of suspension to CCL due by the 28th of each month until the suspension is lifted.
Plan of correction recorded
Correction not verified in available records
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(c)(3)
- Regulation authority
- CCR
What the official deficiency says
(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (3) A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken, and the resident's response. 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 one (1) of five (5) residents (for resident R1) had a PRN (pro re nata - take as needed) medication that did not have a PRN administration log which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/29/2026 Plan of Correction Licensee to submit a proof of annual medication training for all staff members to Community Care Licensing by POC date of 7/29/2026.
Plan of correction recorded
Correction not verified in available records
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(6)(C)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (6) 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: (C) The drug name, strength and quantity. 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 one (1) of five (1) residents (for resident R2) had one (1) medication that was observed to not be listed on the Centrally Stored Medication and Destruction records. which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/29/2026 Plan of Correction Licensee to submit completed Centrally Stored Medication and Destruction records for resident R2 to CCL by POC due date of 7/29/2026.
Plan of correction recorded
Correction not verified in available records
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 LPA observed a an unlocked utility shed in the back yard. The shed contained paints and other unsecured toxins which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/25/2026 Plan of Correction Licensee to submit an LIC 9098 self certification stating that moving forward all toxins will be kept secured to Community Care Licensing by POC due date of 8/25/2026.
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 & record review, the licensee did not comply with the section cited above in that three (3) of four (4) staff files (for S1, S2 & S3) were observed not to have valid First Aid Certification or valid CPR certification which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/25/2026 Plan of Correction Licensee to submit proof of staff members S1, S2 & S3 having been certified in First Aid and CPR to Community Care Licensing by POC due date of 8/25/2026.
Plan of correction recorded
Correction not verified in available records
Inspection
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(2)
- Regulation authority
- CCR
What the official deficiency says
(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. 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 medications for the evening medication pass were left unsecured in a drawer in the kitchen which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/17/2025 Plan of Correction Licensee will conduct medication training with all staff members and submit proof to Community Care Licensing by POC due Date of 9/17/2025.
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 one (1) of four (4) residents records (for resident R3) that were inspected was observed not have an LIC 613C Personal Rights for RCFE which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/30/2025 Plan of Correction Licensee to submit signed LIC 613C Personal Rights for RCFE for Resident R3 to Community Care Licensing by POC due date of 9/30/2025.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. 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 one (1) of four (4) residents records (for resident R1) that were inspected was observed not to have an LIC 625 Appraisal/Needs and Service Plan which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/30/2025 Plan of Correction Licensee to submit signed LIC 625 Appraisal/Needs and Service Plan for Resident R1 to Community Care Licensing by POC due date of 9/30/2025.
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 on observation and record review, the licensee did not comply with the section cited above in that Emergency Disaster Drills were only conducted on 1/3/2025 and 5/24/2025 which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/30/2025 Plan of Correction Licensee to submit an Emergency Disaster Drill log showing that a disaster drill has been conducted to Community Care Licensing by POC due date of 9/30/2025.
Plan of correction recorded
Correction not verified in available records
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(h)(6)(E)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (h)The following requirements shall apply to medications which are centrally stored: (6)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: (E)The prescription number and the name of the issuing pharmacy. 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 medication for R2 was observed to have an incorrect prescription number in the Medication Central Storage and Destruction Log which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/30/2025 Plan of Correction Licensee to submit correct Medication Central Storage and Destruction Log for R2 to Community Care Licensing by POC due date of 9/30/2025.
Plan of correction recorded
Correction not verified in available records
Inspection
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
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 LPA and Admin observation, the licensee did not comply with the section cited above in that cabinet in garage found to have rodent droppings. Backyard of facility was found to have debris, shovel head, a pair of garden sheers and overgrown dried weeds and plants, presenting a tripping hazard. Backyard fence on all sides in disrepair: exposed nails, loose and missing boards, boards covered in green film, and a back up generator that is blocking the exit path and partial portion of the gate. Across from the generator in the left hand corner of the front part of the fence is an area that has a constructed space that is now in disrepair: boards missing, boards stacked up and leaning against the area, boards have piece of metal and exposed nails and screws. Gates on both sides not easily functional: hard to open and push closed, joint bracket and screws loose on left hand side gate. Gate on right hand side of the facility cannot latch properly due to board with gate latch not secured and in disrepair, left hand back corner portion of fence is missing entirely, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/12/2024 Plan of Correction Facility to clean out the cabinet with rodent droppings and discard all linens stored in cabinet, repair/replace fence so that there are no gaps or spaces such that it would be unsafe for residents, repair/replace gates, remove all hazards such as loose boards, exposed nails and screws, and sharp items from the backyard. Facility to submit photos to CCL showing cabinet that had rodent droppings in it now cleaned out and free of rodent droppings, repaired/replaced fence and gates, all debris has been removed and landscaping is safe for residents no later than plan of correction due date, 9/12/2024.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(e)(2)
- Regulation authority
- CCR
What the official deficiency says
(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA and Admin observation, the licensee did not comply with the section cited above in that water temperature in sink accessible to residents in care measured at 98.7 degrees F which is not within the allowable range of 105 to 120 degrees F, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/09/2024 Plan of Correction Facility to submit water temperature log with 2 weeks of water temperature readings that are within regulation. Pictures of water tempertaure to be shown with therometer and thermomter reading present in picture. Log and pictures to be submitted by plan of correction due date.
Plan of correction recorded
Correction not verified in available records
Hazardous items and storageType B
- Official classification
- Type B
- Official code
- 87309(a)
- Regulation authority
- CCR
What the official deficiency says
(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA and Admin observation, the licensee did not comply with the section cited above in that kitchen cabinet containing cleaning supplies was not locked, bottle of drain cleaner found outside in backyard, cleaning supplies and laundry soaps in unlocked garage, not in a locked cabinet, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/29/2024 Plan of Correction Facility to conduct training on proper storage of toxins. Facility to either put a lock on the garage door, making the garage inaccessible to residents or put all cleaning and laundry supplies in a locked cabinet inside the garage by plan of correction due date.
Plan of correction recorded
Correction not verified in available records
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(8)
- Regulation authority
- CCR
What the official deficiency says
(b) The following food service requirements shall apply: (8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA and Admin observation, the licensee did not comply with the section cited above in that food items found to be expired were can of turkey gravy with best if used by date of July 2024, frozen cheese with best if used by date of July 2024 and peanut butter with best if used by date of December 2023, which poses 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 Facility discarded all expired items while LPA present. Deficiency cleared.
Official record says corrected or clearedOn or before Aug 22, 2024
Plan of correction recorded
Inspection
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(c)
- Regulation authority
- CCR
What the official deficiency says
(c) 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, when there is significant change in the resident's condition, or once every 12 months, whichever occurs first, as specified in Section 87467, Resident Participation in Decision Making. 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 4 out of 5 residents not having updated reappraisals which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/07/2023 Plan of Correction Licensee agrees to update appraisals for noted residents and submit self-certification that appraisals are updated no later than POC due date, 9/7/2023
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 87203
- Regulation authority
- CCR
What the official deficiency says
87203 Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. 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 fire extinguishers not being serviced within the last 12 months which poses a potential safety risk to persons in care.
Official plan of correction
POC Due Date: 08/28/2023 Plan of Correction Licensee agrees to have fire extinguishers serviced no later than POC due date 8/28/2023 and submit proof of service to LPA.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303 Maintenance and Operation (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 by having overgrown ivy as well as other debris which poses a potential safety risk to persons in care.
Official plan of correction
POC Due Date: 09/07/2023 Plan of Correction Licensee agrees to submit photos showing all debris has been removed and landscaping is safe for residents no later than POC due date, 9/7/2023.
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