Follow-up·October 27, 2025

Citations

5 citations recorded^*CCLD

• 87211(a)(1)Type B

  Report specified resident events within seven days

  87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case.This requirement is not met as evidenced by: Based on observation, interviews, and record review, the licensee failed to report R4's fall in a timely manner to CCLD, which poses a potential Health, Safety, or Personal Rights risk to residents in care.

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• 87303(a)Type B

  Maintain facility in clean, safe, sanitary condition

  87303 Maintenance and Operation(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirement is not met as evidenced by: Based on observation & interviews the licensee failed to maintain R5's bathroom which has dead cockroaches and debris, this poses a potential Health, Safety, or Personal Rights risk to residents in care.

• 87465(g)Type A

  Call 9-1-1 for imminent health threats

  87465 Incidental Medical and Dental Care(g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis except as specified in Sections 87469(c)(2), (c)(3), or (c)(4).This requirement is not met as evidenced by: Based on observation, interview, and record review, the licensee failed to call for 9-1-1 after R4 fell and hit their head, which poses an immediate Health, Safety or Personal Rights risk to persons in care.

• 87355(e)(2)Type A

  Obtain required California clearance or exemption

  (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:(2) Obtain a California clearance or a criminal record exemption as required by the Department orThis requirement is not met as evidenced by: Based on record review, the licensee did not ensure fingerprint clearance has been obtained for all staff members on and off duty, which poses an immediate Health, Safety or Personal Rights risk to persons in care.

• 87303(i)(1)(B)Type B

  87303 Maintenance and Operation(i) Facilities shall have signal systems which shall meet the following criteria:(1) All facilities licensed for 16 or more and all residential facilities having separate floors or buildings shall have a signal system which shall:(B) Transmit a visual and/or auditory signal to a central staffed location or produce an auditory signal at the living unit loud enough to summon staff.This requirement is not met as evidenced by: Based on observation, interviews, and record review, the licensee failed to have a proper signal system within the facility. LPA tested call buttons which did not alarm due to call button board being full. The call button board hold only 6 calls, this poses a potential Health, Safety, or Personal Rights risk to residents in care.