Complaint·September 25, 2025

Citations

7 citations recorded^*CCLD

• 87303(i)(1)(A)Type A

  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: (A) Operate from each resident's living unit. This requirement was not met as evidenced by LPAs observation of Resident R1 and R2 did not have a signal system. If not corrected, the violation will have a direct and immediate risk to the health, safety, or personal righs of persons in care.

• 87355(a)Type A

  87355 Criminal Record Clearance(a) The Department shall conduct a criminal record review of all individuals specified in Health and Safety Code section 1569.17 and shall have the authority to approve or deny a facility license, or employment, residence, or presence in the facility, based upon the results of such review. This requirement was not met as evidenced by LPAs observed S1 to not be on the personnel roster and not finger print cleared. A Civil Penalty in the amount of $500 for Criminal Record Clearance is here by assessed. If not corrected, the violation will have a direct and immediate risk to the health, safety, or personal rights of persons in care.

• 87618(b)(3)(E)Type A

  87618 Oxygen Administration - Gas and Liquid(b) In addition to Section 87611(b), the licensee shall be responsible for the following:(3) Ensuring that the use of oxygen equipment meets the following requirements: (E) Oxygen tanks that are not portable shall be secured in a stand or to the wall. This requirement was not met as evidenced by LPAs observation of 5 unsecured Oxygen tanks in Resident R2s room. If not corrected, the violation will have a direct and immediate risk to the health, safety, or personal rights of persons in care.

• 87618(b)(3)(F)Type A

  87618 Oxygen Administration - Gas and Liquid(b) In addition to Section 87611(b), the licensee shall be responsible for the following:(3) Ensuring that the use of oxygen equipment meets the following requirements:(F)Plastic tubing from the nasal canula or mask to the oxygen source shall be long enough to allow the resident movement within his/her room but does not constitute a hazard to the resident or others. R1 was observed in a wheelchair. The wheelchair wheels were observed to be rolling over the canula tube while moving around the room. The canula tube was observed to measure approximately 20 ft in length causing possible obstruction to oxygen flow.

• 87211(a)(1)(D)Type B

  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...(D)Any incident which threatens the welfare, safety or health of any resident...This requirement was not met as evidenced by LPAs interview with R1, who stated went to the hospital on two occassions. A review of facility files, shows no incident was submitted for R1's hospital visit.

• 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...This requirement was not met as evidenced by LPA observed room 174 to be floaded and with an industrial fan to air out the room. LPAs also observed multiple resident rooms and hallways throughout the facility with dirty and/or stained carpet, toilets, and showers. In addition the kitchen tiles have dirt built up in the groute.

• 87355(b)Type A

  87355 Criminal Record Clearance(b) Prior to the Department issuing a license, the applicant, administrator and any adults other than a client, residing in the facility shall have a criminal record clearance or exemption.This requirement was not met as evidenced by LPAs observation of two individuals not on the facility schedule as employees, had personal belongings in rooms 166 and 269 and staff reported that they reside there. A Civil Penalty in the ammount of $500 per individual for Criminal Record Clearance is here by assessed. If not corrected, the violation will have a direct and immediate risk to the health, safety, or personal righs of persons in care.