Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 87202(a)
- 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: 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 having a non-ambulatory resident in Room #6 deemed for ambulatory only which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/09/2026 Plan of Correction Administrator immediately call the Fire inspector and a contractor to convert room #6 to a non-ambulatory room. If this is not possible, administrator will have to convert a single room to a shared room or find placement for Resident #1. On 1/9/26 contractor will come to assess room #6. Work order and estimated time of completion will be submitted before POC due date.
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87305(a)
- Regulation authority
- CCR
What the official deficiency says
(a) Prior to construction or alterations, all facilities shall obtain a building permit. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interviews, the licensee did not comply with the section cited above as they added a bathroom and two bedrooms in the garage without city permits or fire clearance which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/22/2026 Plan of Correction Adminsitrator understands that no one can occupy the garage until a permit and clearance is granted. Also, Administrator will start the process to obtain required permits and fire clearance. Documents from the fire inspector allowing ocupancy will be sent to LPA before POC due date.
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(a)(2)
- Regulation authority
- HSC
What the official deficiency says
(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: (2) Plans for the facility to be self-reliant for a period of not less than 72 hours immediately following any emergency or disaster, including, but not limited to, a short-term or long-term power failure. If the facility plans to shelter in place and one or more utilities, including water, sewer, gas, or electricity, is not available, the facility shall have a plan and supplies available to provide alternative resources during an outage. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as they did not have emergency water supply which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/22/2026 Plan of Correction Administrator will purchase sufficient water for emergencies and submit a picture to LPA before POC due date.