Routine inspection·November 18, 2025

Citations

12 citations recorded^*CCLD

• 1569.618(c)(3)Type A

  S2 do have current First Aid/ CPR certification, this poses an immediately health and safety risk for the residents in care.

• 87202(a)Type A

  Maintain fire clearance before retaining specified persons

  Based on observation, the licensee did not comply with the section cited above when LPA and L1 observed wood stick on the bottom of the exit sliding door blocking and preventing sliding door to open. LPA was informed by L1 and S2 that the wood stick is to prevent anyone from coming inside at night, which an immediate health and safety risk which poses an immediate health, safety or personal rights risk to persons in care.

• 87309(a)Type A

  Ensure hazardous items are locked and not unattended

  Based on observation, the licensee did not comply with the section cited above when LPA and L1 observed knives stored in kitchen drawer, chemicals and cleaning solution unlock throughout the facility and tools were unlock in the garage cabinet, accessible to residents 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

  Based on records reviewed, S1 is not fingerprinted cleared and not associated to facility was providing resident care and supervision, which poses an immediate risk to the health and safety of the residents.

• 87405(d)(2)Type A

  Conformance with applicable laws and regulations

  Based on observation, Fire Extinguisher has a service date of 08/09/24, which poses an immediate health and safety risk to the residents.

• 87465(d)(3)Type A

  Record dose details and resident medication response

  Based on observations, records reviewed, and interviews conducted, L1 administered R1’s Stimulant laxative medication on 11/18/25 in the morning, and R1’s Fentanyl patch was applied on 11/09/25 and did not record in the resident’s MARs, which poses/posed a potential health and safety risk for the person in care.

• 87465(h)(2)Type A

  Store centrally held medications in locked secure place

  Based on observation, the licensee did not comply with the section cited above when LPA and Licensee observed residents’ medications stored and unlock in the medication cabinet, medication on nightstand in room 4, and medications for former residents under dining room counter, which poses an immediate health, safety or personal rights risk to person in care.

• 87506(b)(17)Type B

  Based on record review, all residents’ files were reviewed. A complete appraisal (Lic 603) and was not observed in R1 and R5 files. A complete Needs and Services plan (Lic 625) was not observed in R3, R4and R5’s files. Medical Consent form (Lic 627C) was not observed in R2, R3, and R5’s files. R5’s file was observed with no current physician report (Lic 602A), which poses/posed a potential health, safety or personal rights risk to persons in care.

• 87608(a)(3)Type B

  Maintain physician order documentation in resident record

  Based on interview conducted, observation and records reviewed, R4 uses a half rail bed. There is no doctor’s order for ½ rail bed for R4, which poses/posed a potential health and safety and personal rights risk to the resident in care.

• 87608(a)(5)(B)Type B

  Based on observation and records reviewed, R1 whose receiving hospice care and R2 whose not receiving hospice care were observed with full rail bed, which poses/posed a potential health and safety and personal rights risk to the resident in care.

• 87633(b)Type B

  Facility must keep complete hospice care plan on file

  Based on record review, the licensee did not comply with the section cited above when LPA reviewed R1’s file, whose currently receiving hospice care with no hospice care plan on file, which poses a potential health or personal rights risk to persons in care.

• 87303(a)Type B

  Maintain facility in clean, safe, sanitary condition

  Based on observation, LPA and L1 toured the facility and observed side backyard fence boards broken, spider webs were observed around the outside of the facility patio and walls, live cockroach was observed in kitchen drawer, which poses/posed a potential health and safety and personal rights risk to the resident in care.