La Concepcion Residential Care Home

Based on observation, the licensee did not comply with the section cited above by not having a doctor’s order for the Melatonin and a discontinued order for sodium, docusate sodium, smartrx, blood sugar monitoring, etc. for R4 which poses a potential safety risk to persons in care.

Based on observation the licensee did not comply with the section cited above by having knife and scissors unlocked in the kitchen, Tylenol, Robitussin, Hydrocortisone Cream, Scissors, etc in R3's room, and disinfectants in the garage which poses an immediate health and safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above by not having S2 associated with the facility which poses a potential health and safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above by having the staff records incomplete. S1 is missing First Aid Certification, S2 and S3 are missing Health Screening, TB Test, and CPR certification which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above by not having a doctor's order for R1, R2, and R4 half bed rail which poses a potential health and safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above by not having fire drills conducted since September 15, 2025 which poses a potential safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above. The residents' files are incomplete such as their Appraisal Needs and Services Plan (LIC625), Identification and Emergency Information (LIC601), and Physician Report (LIC602A) for R3 which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by having a screw locking one of the sides gate, a screwdriver locking the other gate, and the physical plant of the facility not matching the approved facility sketch which poses an immediate health and safety risk to persons in care.

87606(c) Care of Bedridden ResidentsTo accept or retain a person who is bedridden...a licensee shall obtain and maintain an appropriate fire clearance as specified in Section 87202, Fire Clearance.This requirement is not met as evidenced by: Based on interview and record review, the facility admitted a bed bound resident without an approved fire clearance which poses an immediate health and safety risk to residents in care.

Based on record review the licensee did not comply with the section cited above in half bed rails for R2 and R4 which poses a potential health and safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in not having the Emergency Disaster Plan incomplete and not filled out which poses a potential health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in having the self closing latch tied with the string to lock the gate which poses an immediate health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in having oxygen tanks, portable oxygen machine, crutches, commode, BBQ pit, etc in the backyard that needs to be removed which poses a potential health and safety risk to persons in care.

Based on observation the licensee did not comply with the section cited above in having the hot water measured at 129.1 degrees which poses an immediate health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in having the passageway in front of the garage door blocked with toilet paper, TV, ladder, etc which poses a potential health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in having a knife found in one of the kitchen drawers which poses an immediate health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in not having S4 associated to the facility which poses a potential health and safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in not having First Aid Certification for S2 to S4 which poses a potential health and safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in not having a TB test for S4 which poses a potential health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in not having the Complaint poster which poses a potential health and safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in having R1 to R4 resident files incomplete which poses a potential health and safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in having a full bed rail for R3 which poses a potential health and safety risk to persons in care.

Based on record review the licensee did not comply with the section cited above by not conducting quarterly drills which poses a potential health and safety risk to persons in care.

Based on file review, R1 who has dementia does not have an updated medical assessment. Last assessment is dated 2022.

Based on file review, the licensee did not comply with the section cited above in not conducting fire drill which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on file review conducted, the licensee did not comply with the section cited above in having R2 work without TB test and health screening which poses an immediate health, safety or personal rights risk to persons in care.

Based on file review codnucted, the licensee did not comply with the section cited above in not having complete resident records on file which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on file review, the licensee did not comply with the section cited above in not having proof of staff training which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in having hot water at 135 degrees Fahrenheit which poses an immediate health, safety or personal rights risk to persons in care.

Based on file review conducted, the licensee did not comply with the section cited above in not having First aid training for both staff which poses an immediate health, safety or personal rights risk to persons in care.

Based on file review codnucted, the licensee did not comply with the section cited above in not having doctor's order for R2's 1/2 rails which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in having screen door/window with hole/ripped, fire extinguisher not updated with inspection, having commodes, pieces of wood, mattress etc on the side and backyard which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by not keeping the facility clean from cockroaches and making sure there are no insects walking around the kitchen which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by not obtaining physicians order(s) for R1, R2, R3, and R4 for approval for Half bed rails which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by not requesting an order from R5's physician to get approval for a full bed rail which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by having Scissors in the drawer and knifes in the kitcken pantry unlocked and accessible to residents which poses an immediate health, safety or personal rights risk to persons in care.

Criminal Record Clearance Request a transfer of a criminal record clearance as specified in Section…This requirement is not met as evidence by: Based on investigation, the licensee did not comply with the section cited above S3 is not associated with the facility which poses a potential health and safety risk to the residents in care.

Buildings and Grounds Disinfectants, cleaning solutions, poisons, firearms and other items that could pose a danger if readily available to clients shall be stored where inaccessible to clients..This requirement is not met as evidence by: Based on observation the licensee did not comply with the section cited above disinfectant solution was observed accesible to residents in care which poses a potential health and safety risk to the residents in care.

Personnel Requirements. Good physical health shall be verified by a health screening, including a test for tuberculosis, performed under the supervision of a physician not more than one year prior to or seven days .This requirement is not met as evidence by: Based on interview with Adminsitrator and records review, LPA observed no health screening and TB test results for Staff 1 (S2 & S3) which poses a potential health and safety risk to the residents in care.

Reporting Requirements:(a) Each licensee shall furnish to the licensing agency...(1)A written report shall be submitted to the licensing agency...(D) Any incident which threatens the welfare, safety or health of any resident..This requirement was not met as evidence by: Based on record review and interview, Licensee did not comply with the regulation cited above, Administrator admitted that she did not submit unusual incident report for R1’s hospitalization, administrator also mentioned that she “does not know” that she needs to submit such report.

Maintenance and Operation. Grab bars shall be in each toilet used by residents.This requirement is not met as evidenced by Based upon observation, the licensee does not have grab bars near the toilet for client use.

Criminal Record Clearance. All individuals subject to a criminal record review...prior to working, residing or volunteering in a licensed facility: Obtain a California clearance...This requirement is not met as evidence by: Based on interview and records review licensee failed to have criminal record clearance for S2 which poses an immediate health and safety risk to the residents in care.