Staffing, personnel, and training
Cited in 3 reports, with 3 deficiencies in total.
1224 COTTONWOOD STREET, Woodland CA 95695
130 bedsLatest official report Jul 14, 2026Licensed
The available records show 9 Type A and 7 Type B deficiencies for this facility.
1 later report, on Jul 14, 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 4 Yolo County facilities licensed for 50 or more beds, except where too few exist to state one — those come from facilities with 7 or more beds.
In the available public five-year record, CCLD published 31 reports for this facility: 17 inspections, 14 complaint investigations, and 0 licensing or administrative records.
Those records contain 9 Type A and 7 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
More than the typical 7
3 in the last 12 months
Well above the typical 2
2 in the last 12 months
Well above the typical 2
1 in the last 12 months
Most this size have none
1 in the last 12 months
Most this size have none
3 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 3 reports, with 3 deficiencies in total.
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.
Allegations1 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations2 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
87303 Maintenance and Operation (i)Facilities shall have signal systems which shall meet the following criteria:(1)All facilities licensed... all residential facilities having separate floors or buildings shal(B)Transmit a visual and/or auditory signal to a central staffed location or produce... to summon staff. This requirement was not met as evidenced by: Based on the failed testing of call bell and pendant on 3/10/2026 of R1 the licensee did not ensure the facility’s call pendants were operational; therefore facility was unable to perform timely response, including providing timely continence care. This is a potential risk to the health and safety of residents in care.
Licensee to ensure call signal system is working correctly by submitting proof of a system test by July 13, 2026.
Deadline recorded: Jul 9, 2026. A deadline is not proof that correction was completed.
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
1569.269(a)(6)Enumerated rights:severability(a)Residents of residential care facilities...following rights:(6)To care, supervision....and competency to meet their needs...This requirement is not met as evidenced by: Based on the Dept./Coroners investigation the...Licensee failed to ensure R1 care, supervision and services that meet their ind. needs and are delivered by staff.....which resulted in R1 death which poses an immediate health and safety risk to residents in care.
Licensee will ensure that all staff are trained on basic 1st aid vs. CPR per regulation and the needs and services of residents, including the special needs of residents with swallowing issues and other dietary needs. A plan will be submitted for this training by 4/30/2026 to LPA.
Deadline recorded: Apr 29, 2026. A deadline is not proof that correction was completed.
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(16)To receive or reject medical care or other services. This requirement was not met as evidenced by: Based on financial statement for R1, the Licensee did not comply with R1’s requested medical services and R1 incurring uncovered medical expenses which poses a potential risk to the health, safety or personal rights risk to residents.
Administrator to submit a written plan to CCL on how they will ensure that billing procedures regarding medications will be followed by 07/29/2025.
Deadline recorded: Jul 24, 2025. A deadline is not proof that correction was completed.
87411(a) Personnel Requirements - General Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidence by: Based on incident report and interview, facility failed to provide supervision to R1 resulting in an elopement. The absence of supervision is an immediate risk to the Health, Safety and Rights of resident in care.
Administrator submitted proof to CCL on 5/22/2025 re: conducting ongoing in-service training about elopement procedures., and will self-certify that landscaping and fence have been modified to prevent climbing. ****A civil penalty is being assessed for $500.00.
Deadline recorded: May 22, 2025. A deadline is not proof that correction was completed.
Allegations0 substantiated · 8 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations3 substantiated · 1 unsubstantiated · 0 unfounded · 3 cited
87303(a)87303 Maintenance and Operation (a) The facility shall be clean, safe... in good repair at all times. Maintenance shall include provision of maintenance services... well-being of residents, employees and visitor. This was not met as evidenced by: Based on maintenance records and interviews the facility did not ensure that facility was within regulation due to air conditioner toilet and pull cord needing repairs. This is a potential risk to the health and safety of residents in care.
Administrator has submitted written plan of action to ensure units are ready for resident move-ins to LPA on 10/24/2024.
Deadline recorded: Oct 24, 2024. A deadline is not proof that correction was completed.
87411(a) Facility personnel shall at all times be sufficient in numbers & competent to provide the services necessary to meet resident needs…This requirement has not been met as evidence by:** Based on records review of alarm response system and interviewsAdministrator did not ensure that staff on duty responded in a timely manner to call system to assist residents in care. Some call bell response times for R1 were 20- 40 minutes, which poses an immediate risk to the health and safety of residents in care.
Licensee failed to ensure staff responded appropriately to call bell system and meet resident care needs in a timely manner. Licensee shall conduct staff training on how call bells will be responded to and provide a 7 day alarm response log to Licensing by 10/25/24 along with training plan. Verification of training by POC due date 10/30/2024.
Deadline recorded: Oct 24, 2024. A deadline is not proof that correction was completed.
Incidental Medical and Dental Care Services.(a) The licensee shall assist residents with self-administered medications when needed. This requirement is not met as evdenced by: Based on interviews and record review, staff attempted to administer the wrong medication to the wrong resident, which is an immediate risk to the health and safety of residents in care.
Administrator agrees to ensure staff have additional medication training on the 7 Rights of Medication Administration before passing medication. Administrator to submit plan of training by 10/26/2024 and proof of training of staff handling medications by 10/30/2024.
Deadline recorded: Oct 24, 2024. A deadline is not proof that correction was completed.
Allegations4 substantiated · 0 unsubstantiated · 0 unfounded · 3 cited
87555 General Food Service Requirements (a) The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared and served in a safe and healthful manner. Based upon LPA's observations Licensee did not provide adequate assistance in serving food in a safe and healthful manner. This requirement is not evidenced by : Based on LPA observation of resident unable to receive assistance.This is an immediate risk to the Health, Safety and Rights of residents in care.
Licensee to ensure that staff understand the importance of meeting the dietary needs of the residents by conducting a training on the Regulation 87555. Administrator to provide a date of training by 9/5//2024. Proof of training (sign-in sheet) and training materialsto be submitted to LPA by 09/12/2024.
Deadline recorded: Sep 4, 2024. A deadline is not proof that correction was completed.
87411(a) Personnel Requirements – General- (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by: Based on LPA observation, interview and record review residents were not able to receive care in a timely manner. This is an immediate risk to the Health, Safety and Rights of residents in care.
Licensee to ensure staff are sufficient in numbers to meet the needs of residents. Licensee agrees to submit updated staffing schedule, showing 24-hour coverage to meet the needs of residents. Updated staffing schedule to be submitted to CCL by POC date of COB 09/05/2024..
Deadline recorded: Sep 4, 2024. A deadline is not proof that correction was completed.
Incidental Medical and Dental Care (c) (2)- Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met as evidenced by LPA's review of records and interviews. The LPA reviewed records, and conducted interviews with staff. The investigation revealed that R1 had a medicated patch ordered to be applied in AM and removed in PM. MAR shows patch applied but documentation for removal was missing several entries. This is a potential health and safety risk to resident in care.
Administrator to ensure that the facility staff that handle medication assistance to residents in care are in-serviced on Medication Policies of the facility in regards to medication orders and documentation of medication assistance. Submit plan of training by 9/5/2024. Please submit proof of training (sign-in sheet) and copy of training materials by 9/15/2024.
Deadline recorded: Sep 4, 2024. A deadline is not proof that correction was completed.
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this report87411 Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. This requirement was not met as evidenced by: Based on interviews and observations, LPA observed Call Bell logs from June 15, 2023 through July 3, 2023 in which residents would push the call buttons and the response times were exceeding over 30+ minutes. Furthermore, LPA interviewed 4 of 4 residents and learned that the residents corroborated the wait times for assistance which is a potential health, safety and personal rights risk to the residents in care.
Plan of Correction shall include retraining ALL staff as it relates to answering call bells in a timely manner. In addition, Administrator shall provide a written summary on how future compliance will be met and an LIC 9098-Self Certification Summary for future compliance-Plan of Correction due on August 29, 2023. All staff proof of training is due on September 11, 2023.
Deadline recorded: Sep 11, 2023. A deadline is not proof that correction was completed.
Allegations1 substantiated · 4 unsubstantiated · 0 unfounded · 1 cited
87468.1 Personal Rights of Residents in All Facilities: (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: Based on interviews that were conducted, LPA was made aware that the alleged staff member was rude to a resident in care. Furthermore, LPA learned of an incident that occurred on June 28, 2023 in which the alleged staff member was asked to leave the facility after a meeting with Human Resources (HR). LPA obtained an outside agency report which was reported that the alleged staff member would leave and then return back to yell and curse at employees in the presence of residents which presents an immediate health, safety and PERSONAL RIGHTS risk to the residents in care.
Plan of Correction shall include retraining ALL staff as it relates to Personal Rights and ensuring that residents are afforded Personal Rights. In addition, Administrator shall provide a written summary on how future compliance will be met and an LIC 9098-Self Certification Summary for future compliance-Plan of Correction due on August 29, 2023. Training Plan of Correction due on September 11, 2023.
Deadline recorded: Aug 29, 2023. A deadline is not proof that correction was completed.
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations1 substantiated · 5 unsubstantiated · 0 unfounded · 1 cited
87707(a)(2) Training Requirements If Advertising Dementia Special Care, Programming And/Or Environments: (a) Licensees who advertise, promote, or otherwise hold themselves out as providing special care, programming, and/or environments for residents with dementia or related disorders shall ensure that all direct care staff, described in Section 87706(a)(1), who provide care to residents with dementia, meet the following training requirements: (2) Direct care staff shall complete at least eight hours of in-service training on the subject of serving residents with dementia within 12 months of working in the facility and in each succeeding 12-month period. Direct care staff hired as of July 3, 2004 shall complete the eight hours of in-service training within 12 months of that date and in each succeeding 12-month period. This requirement was not met as evidenced by: Based on observation of the training hours for staff members, LPA identified one staff member not having the necessary hours of training as outlined in Title 22 regulation. Staff member has not been trained annually since 2021 which presents a potential health, safety and personal rights risk to the residents in care.
Plan of Correction shall include a written statement on how future compliance will be met. In addition, Administrator to ensure that ALL staff are trained in the performance of their respective duties. Licensee/Administrator to submit an LIC 9098. POC due date by August 23, 2023.
Deadline recorded: Aug 23, 2023. A deadline is not proof that correction was completed.
87465(a) A plan for incidental medical ..(5) The licensee shall assist residents with self-administered medications as needed..*Based upon interviews and records reviewed this requirement has not been met as evidenced by: S1 did not provide resident with PRN in a timely manner. This posed an immediate risk to the health and safety of residents in care.
Administrator will provide proof of PRN training to CCL attention LPA Walters by 4/29/21.
Deadline recorded: Apr 29, 2021. A deadline is not proof that correction was completed.
87625 Managed Incontinence (b)(3)(b) In addition ..(3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. *Based upon records reviewed and interviews this requirement has not been met as evidenced by: Facility staff did not provided incontinence care to residents. This posed an immediate risk to the health and safety of residents in care.
Per Administrator they will conduct an in-service for incontinance, increase audtis, implement an award system for staff. Administrator to send proof of their plans to LPA Walters by email 4/29/21.
Deadline recorded: Apr 29, 2021. A deadline is not proof that correction was completed.
1569.269 Enumerated rights; severability(6) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. *Based upon records reviewed, This requirement has not been met as evidenced by: Staff were unable to provide care to residents in care on 88 occasions. This posed a potential health and safety of residents in care.
Administrator will provide proof that staff are cross trained to provide care in additional area's of the facility. In addition, to CCL by 5/3/21.
Deadline recorded: May 3, 2021. A deadline is not proof that correction was completed.
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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