Fire safety and emergency preparedness
Cited in 2 reports, with 3 deficiencies in total.
390 FULTON STREET, Camarillo CA 93010
4 bedsLatest official report Nov 21, 2025Licensed
The available records show 3 Type A and 6 Type B deficiencies for this facility.
No later report is available, so the records do not show what happened afterward.
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 218 Ventura County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 5 reports for this facility: 3 inspections, 0 complaint investigations, and 2 licensing or administrative records.
Those records contain 3 Type A and 6 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
Fewer than the typical 4
2 in the last 12 months
Well above the typical 2
4 in the last 12 months
More than the typical 1
1 in the last 12 months
Well above the typical 1
3 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 3 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.
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: 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 an individual helping residents without a background clearance and association to the facility which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 11/21/2025 Plan of Correction Individual left the facility during today's inspection.
(c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of their individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations. 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 by having partially documentation for a resident that was recently addmitted which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/05/2025 Plan of Correction Administrator and back up administrator agreed to complete all required pre-admission and admission documents for R1. They will ensure that all forms are fully completed, signed and maintained in R1's files to ensure ongoing compliance before POC due date.
(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 by having a low supply of emergency water which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/05/2025 Plan of Correction Administrator and back up administrator agreed to purchase additional emergency water to ensure an adequate supply is readily available in the event of an emergency. Also, submit photographic prood of the updated emergency water supply to LPA before POC due date.
(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 interview, the licensee did not comply with the section cited above by not conducting emergency drills quarterly as required by regulations which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/05/2025 Plan of Correction Administrator and back up administrator agreed to conduct an emergency drill before POC due date and to continue conducting emergency drills every 3 months after thereafter to ensure compliance with regulatory requirements. Also, Administrator and back up administrator agreed to submit a written statement of understanding outined in regulation 1569.695.
(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 observation, the licensee did not comply with the section cited above by having water temperature above the 120 degree F which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 10/21/2024 Plan of Correction During today's inspection Administrator lower the temperature of the thermostat to be between the required range of 105-120 degree F.
(C) Any person who provides client assistance in dressing, grooming, bathing, or personal hygiene. Any nurse assistant or home health aide meeting the requirements of Section 1338.5 or 1736.6, respectively, who is not employed, retained, or contracted by the licensee, and who has been certified or recertified on or after July 1, 1998, shall be deemed to meet the criminal record clearance requirements of this section. A certified nurse assistant and certified home health aide who will be providing client assistance and who falls under this exemption shall provide one copy of their current certification, prior to providing care, to the residential care facility for the elderly. The facility shall maintain the copy of the certification on file as long as the care is being provided by the certified nurse assistant or certified home health aide at the facility. Nothing in this paragraph restricts the right of the department to exclude a certified nurse assistant or certified home health aide from a licensed residential care facility for the elderly pursuant to Section 1569.58. 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 S1 in the facility which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 10/21/2024 Plan of Correction S1 was removed from the facility during todya's visit.
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 by having an alteration to the garage without sending permits to Community Licensing after facility was linsned which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/28/2024 Plan of Correction Administrator will submit a copy of permits before the POC due date, for garage/ADU. Administrator has to contact property owners.
(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. 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 having a centrally store log for all three (3) residents. Administrator is only using the MAR log which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/04/2024 Plan of Correction Administrator will log medications for all 3 residents to LPA before POC due date,
(e) A facility shall have all of the following information readily available to facility staff during an emergency: (2) An appraisal of resident needs and services plan for each resident. 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 by not having a complete Needs and Service paln for two (2) out of three (3) residents which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/04/2024 Plan of Correction Administrator will submit a complete Need and Service plan for both residents before POC 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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