Facility condition and maintenance
Cited in 2 reports, with 2 deficiencies in total.
2370 MELBROOK WAY, Santa Rosa CA 95405
6 bedsLatest official report Mar 10, 2026Licensed
The available records show 2 Type A and 7 Type B deficiencies for this facility.
1 later report, on Mar 10, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.
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 111 Sonoma County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 5 reports for this facility: 5 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 2 Type A and 7 Type B deficiencies.
1 deficiencies have explicit official correction or clearance evidence in the loaded records.
About the same as most this size
1 in the last 12 months
Well above the typical 4
0 in the last 12 months
More than the typical 1
0 in the last 12 months
Well above the typical 2
0 in the last 12 months
Most this size also have none
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 2 deficiencies in total.
Cited in 2 reports, with 2 deficiencies in total.
All preserved reports from the most recent to the oldest, sortable by report type.
(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA and Admin observation and record review, the licensee did not comply with the section cited above in that R5 prescription Eliquis 5mg filled 3/19/25 count was off. Quantity of 60 bottle started on 3/19/25 and R5 is supposed to receive 2 tablets per day, but one pill left in the bottle. R5's prescription Levetiracetam 500mg count was off. Quantity of 120 bottle started 3/6/25 and R5 is supposed to receive 1 tab per day but 37 pills remain. R2 had hydrocortisone prescribed on 3/6/25 but LPA did not observe the cream in R2's medication bin. Medication not listed as PRN on doctor's orders however, per Admin, medication was never filled and never added to Centrally Stored Medication Log, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 04/17/2025 Plan of Correction Facility to submit plan to CCL to train all staff that assist residents with medication on proper medication management and filling of prescriptions by plan of correction due date. Training to be completed no later than 4/23/25. Proof of training due by no later than 4/23/25.
(A) A bed for each resident, except that married couples may be provided with one appropriate sized bed. Each bed shall be equipped with good springs, a clean and comfortable mattress, available pillow(s) and lightweight warm bedding. Fillings and covers for mattresses and pillows shall be flame retardant. Rubber sheeting shall be provided when necessary. 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 R1 and R2 do not have a mattress with good springs or that is comfortable. R3 did not have a pillow, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/23/2025 Plan of Correction Facility has purchased 2 foam mattresses specifically for reducing pressure and have made available a pillow for R3. Facility to submit receipts for beds by plan of correction due date along with pictures of newly added mattresses.
(b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: (3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. 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 LPA observed a noticeable order of incontinence upon entering facility, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/23/2025 Plan of Correction Facility to submit LIC9098 self-certifying that facility will remain free from incontinence odors at all times by plan of correction due date.
(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: 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 [1] out of [1] fire extinguishers which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 04/29/2024 Plan of Correction Facility to submit picture of serviced fire extinguisher or purchase of new and charged fire extinguisher by plan of correction due date.
(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health.Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. 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 three [3] out of five [5] staff did not have TB screen. S3, S4, and S5 did not have TB screen indicated on LIC503, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/10/2024 Plan of Correction Facility to submit LIC9098 self-certifying that S3, S4, and S5 have a clear TB screen by plan of correction due date.
(e) Water supplies and plumbing fixtures shall be maintained as follows: (5) Non-skid mats or strips shall be used in all bathtubs and showers. 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 there were black spots and film present on top and underneath of mat in shower, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/03/2024 Plan of Correction Facility removed mat and replaced with brand new mat while LPA was present. Deficiency cleared.
(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 LPA and Admin observation, the licensee did not comply with the section cited above in that five (5) out of five (5) staff memebers did not complete required hours of training, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/10/2024 Plan of Correction Facility to submit training log and LIC9098 self-certifying required number of hours have been completed for S1, S2, S3, S4, and S5 by plan of correction due date. Training log record or copy of certificates to include number of hours completed, trainer, name of course, and date completed.
(A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed. 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 1/2 rail doctor orders not present for R1 and R5, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/10/2024 Plan of Correction Facility to submit copy of doctors' orders for 1/2 rails for R1 and R5 by plan of correction due date.
(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care needs. 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 R3 did not have current LIC602, most current LIC602 dated 2/28/2022, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/10/2024 Plan of Correction Facility to submit updated/current LIC602 for R3 by plan of correction due date.
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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