Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87412(a)(11)
- Regulation authority
- CCR
What the official deficiency says
(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: (11) A health screening as specified in Section 87411, Personnel Requirements - General. 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 by not ensuring that 2 out 6 staff members obtained a health screening prior to employment. This poses an immediate health, safety and personal rights risks to persons in care.
Official plan of correction
POC Due Date: 06/10/2026 Plan of Correction Administrator states that an updated health screening will be conducted for 2 out 6 staff members. A statement of corrections wil be provided to the LPA highlighting best practices in obtaining proper health screening by POC date.
Food serviceType A
- Official classification
- Type A
- Official code
- 87555(b)(26)
- Regulation authority
- CCR
What the official deficiency says
(26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above by not ensuring there was a sufficient amount of 7 day non-perishable food supply for 32 residents. This poses an immediate health, safety, and personal rights risks to persons in care.
Official plan of correction
POC Due Date: 06/10/2026 Plan of Correction Administrator states that the facility will obtain extra groceries by POC date. A picture as well as receipt will be provided to the LPA. A statement of correction will be provided to the LPA by POC date.
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and records review, the licensee did not comply with the section cited above by not ensuring there was a sufficient amount of staff to ensure that R1 did not leave the facility unassisted. This poses an immediate health, safety, or personal rights risks to persons in care.
Official plan of correction
POC Due Date: 06/10/2026 Plan of Correction An immediate civil penalty of $500 was issued for violation of this Section. Licensee will provide a statement of correction, along with proof of training from an outside vendor for no less that one hour in duration regarding AWOL procedures. Licensee shall also update AWOL procedures. A copy of training and these procedures shall be provided to to the LPA by POC date.
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87457(c)(3)
- Regulation authority
- CCR
What the official deficiency says
(3) The prospective resident, or his/her responsible person, if any, shall be involved in the development of the appraisal. 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 by not ensuring that 6 out 6 residents needs and services plan were conducted with and signed by the resident or their responsible party. This poses a potential health, safety, and personal rights risks to persons in care.
Official plan of correction
POC Due Date: 06/30/2026 Plan of Correction Administrator states that the facility will obtained signing the updated Needs and Services plans. A statement of correction will be provided to the LPA by POC date.