Follow-up on corrections·December 15, 2025

Citations

3 citations recorded^*CCLD

• 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: Licensee had S1 at the facility who was not fingerprint cleared according to LIS and Guardian which poses an immediate health safety and or personal rights risk to residents in care.

• 87405(a)Type B

  Certified administrator requirements and substitute coverage

  87405 Administrator - Qualifications and Duties (a) All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be one and the same person. The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility as specified in this section. When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications adequate to be responsible and accountable for management and administration of the facility as specified in this section. The Department may require that the administrator devote additional hours in the facility to fulfill his/her responsibilities when the need for such additional hours is substantiated by written documentation. This requirement was not met as evidenced by Licensee did not have a current Administrator due to Administrator resigning 11/12/25 which poses a potential health safety and or personal rights risk to residents in care.

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• 87411(f)Type B

  Health screening and fitness requirements

  (f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health. Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement was not met as evidenced by Licensee did not obtain a TB test for S1 and LPA observed S1 alter the health screening, writing in a date of 8/17/25 and marking the positive box which poses a potential health safety and or personal rights risk to residents in care.

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