Inspection visit

Routine inspectionNovember 13, 2025

COLONIAL ACRES RESIDENTIAL CARE HOMELicense 01920066416 citations on this visit

16 citations recorded

Inspector’s narrative

What the inspector wrote

On this day, November 13, 2025, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA was granted entry by staff, Maria Dolores Floriza, and informed the reason for visit. John Ronald Olivarez, licensee, arrived at around 10:56 am. Licensee left at around 4:30 pm. LPA started inspection with Maria Dolores Floriza and continued with licensee. LPA inspected the kitchen, dining area, living/tv room, common areas, bathrooms and staff room. LPA randomly selected 5 residents rooms for inspection. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications was observed locked. Hot water temperature in lavatory in one of the resident's rooms was tested. Fire extinguishers were observed fully charge with tags showed serviced September 23, 2025. Disaster drill records reviewed. LPA reviewed 5 staff and 5 residents files, and interviewed 1 resident. Medications checked, and compared with LIC622 Centrally Stored Medication and Destruction Records and doctor's orders. Facility does not handle residents' cash resources. Copies of the following updated/current documents were obtained on this same day: 1. LIC610E Emergency Disaster Plan (9 pages) 2. $3M Liability insurance certificate ....continued on 809C Licensee to submit copies of the following updated documents by November 27, 2025: 1. LIC308 Designation of Facility Responsibility 2. LIC500 Personnel Report The following deficiencies were observed, cited from Title 22 California Code of Regulations, and listed on 809Ds: -at 10:45 am and 11:26 am, front and back entrance/exit doors with locks operable with code. -at 11:00 am, resident's medication in the refrigerator. -at 11:02 am to 11:04 am, knives, kitchen shears, razor, lighter in kitchen drawers without locks. -at 11:05 am, knives and cleaning agents in unlocked kitchen cabinets and Vit D3 on kitchen counter. -at 11:23 am, loose light switch cover in one the residents' rooms. -at 11:25 am, hot water temperature at 121.3 degrees Fahrenheit. -at 11:27 am, dowels in another entrance/exit door. -at 11:30 am, unlocked utility room where cleaning supplies are kept. -at 11:40 am, 2 in one smoke/carbon monoxide detector not working due to no battery. -at 12:30 pm, facility does not conduct disaster drill every quarter; records showed last conducted 01/2025 and 04/2025. -at 1:25 pm and 1:50 pm, staff (S2 and S5) CPR/First Aid/AED certificates expired 11/11/25. -at 1:35, to 1:55 pm, staff, S3 & S4, do not have the required total 40 hours required training for 2024 and 2025 respectively. No TB test and LIC503 Health Screening on file. -at 2:30 pm, residents, R1 and R2, half bed rails have no doctor's order on file. -at 2:40, residents, R2 and R3, Physician's Reports/medical assessments are over a year old. -at 2:50 pm, resident, R4, LIC625 Appraisal/Needs and Services Plan is more than 2 years old. -at 3:25 pm, resident, R5, has doctor's order for a medication to be administered daily but facility does not have this medication. Facility does not have LIC622 Centrally Stored Medication and Destruction for all the medications received by the facility nor have complete record for medications administered. A $500.00 immediate civil penalty is assessed for deficiency section 87203 and $250.00 each for repeat violations of the following sections: 87309(a); 87303(a); 87303(e)(2); 1569.695(c); 87565(a)(4); 87608(a)(3). Failure to submit proof of corrections by plan of correction due dates may result in addtional civil penalties. ....continued on 809C Deficiencies and plan and proof of corrections were discussed with licensee over the phone, and authorized Maria Dolores Floriza. Exit interview conducted. Appeal Rights, LIC421IM, LIC421FC Civil Penalty Assessments, LIC9098 Proof of Correction form and copy of this report provided.

Citations

16 citations recorded^*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

1569.311Type A
Based on observation, the licensee did not comply with the section cited above in carbon monoxide not working due to no battery which poses an immediate safety and/or personal rights risk to persons in care.
87303(a)Type B
Based on observation, the licensee did not comply with the section cited above in loose light switch cover in resident's room which poses a potential safety and/or personal rights risks to persons in care.THIS IS A REPEAT VIOLATION WITHIN 12 MONTH PERIOD.
87303(e)(2)Type B
Based on observation, the licensee did not comply with the section cited above in hot water temperature at 121.3 degrees Fahrenheit which poses a potential health and/or personal rights risks to persons in care.THIS IS A REPEAT VIOLATION WITHIN 12 MONTH PERIOD.
87309(a)Type A
Based on observation, the licensee did not comply with the section cited above in the following which pose an immediate safety and/or personal rights risk to persons in care: unlocked knives, kitchen shears, lighter, razor, cleaning agents in the kitchen.THIS IS A REPEAT VIOLATION WITHIN 12 MONTH PERIOD.
87411(c)(1)Type B
Based on records review, the licensee did not comply with the section cited above in staff (S2 and S5) certificates expired which pose a potential health, safety and/or personal rights risks to persons in care.
87463(h)Type B
Based on records review, the licensee did not comply with the section cited above in R2 and R3's medical assessments (Physician's Report) over a year old which pose a potential health and/or personal rights risks to persons in care.
87463(i)Type B
Based on record review)], the licensee did not comply with the section cited above in R4's LIC625 Appraisal/Needs and Services Plan more than 2 years old which poses a potential health and/or personal rights risks to persons in care.
87465(h)(1)(C)Type A
Based on observation, the licensee did not comply with the section cited above in medication on the kitchen counter and resident's medications unlocked in the refrigerator which pose an immediate health, safety and/or personal rights risk to persons in care.
87465(h)(6)(AtoF)Type B
Based on records review, the licensee did not comply with the section cited above for not having LIC622 Centrally Stored Medication and Destruction for all the medications received by the facility nor have complete record for medications administered for R5 which pose a potential health and/or personal rights risks to persons in care.
87608(a)(3)Type B
Based on records review, the licensee did not comply with the section cited above in not having doctor's orders for R1 and R2's half bed rails which pose a potential health, safety andor personal rights risks to persons in care.THIS IS A REPEAT VIOLATION WITHIN 12 MONTH PERIOD.
1569.625(b)(1)Type B
Based on records review, the licensee did not comply with the section cited above in S3 & S4 not have the required total 40 hours required training which pose a potential health, safety and/or personal rights risks to persons in care.
1569.695(c)Type B
Based on record review, the licensee did not comply with the section cited above in not conducting drills every quarter which poses a potential safety and/or personal rights risks to persons in care.THIS IS A REPEAT VIOLATION WITHIN 12 MONTH PERIOD.
87203Type A
Based on observation, the licensee did not comply with the section cited above in Installing a door hardware operable with code in 2 entrance/exit doors and having dowels in the other entrance/exit doorwhich poses an immediate health, safety or personal rights risk to persons in care.A $500.00 civil penalty is assessed.
87309(a)(1)Type A
Based on observation, the licensee did not comply with the section cited above inunlocked utility room where cleaning supplies are kep which poses an immediate safety and/or personal rights risk to persons in care.
87411(f)Type B
Based on records review, the licensee did not comply with the section cited above in S3 and S4 not having TB test and LIC503 Health Screening on file which pose a potential health and/or personal rights risks to persons in care.
87465(a)(4)Type A
Based on record review, the licensee did not comply with the section cited above in not having one of R5's prescribed medications which poses an immediate health and/or personal rights risks to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the November 13, 2025 inspection of COLONIAL ACRES RESIDENTIAL CARE HOME?

This was a inspection inspection of COLONIAL ACRES RESIDENTIAL CARE HOME on November 13, 2025. 16 citations were issued: 6 Type A (serious) and 10 Type B.

Were any citations issued to COLONIAL ACRES RESIDENTIAL CARE HOME on November 13, 2025?

Yes, 16 citations were issued (6 Type A, 10 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section cited above in carbon monoxide not working due to no ..."

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLD View original report

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Data from CCLD public records. Last updated May 25, 2026. If you believe any information is inaccurate, report it here.

Routine inspection·November 13, 2025