Skip to main content
ReadyRule homepageReadyRule

Inspection visit

Routine inspection

A & M ASSISTED LIVING LLCLicense 15720945420 citations on this visit
20 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility unannounced to conduct the Required Annual Inspection. LPA was granted entry by Staff Sagrario Anguiano Mendoza. Staff contacted the Administrator who responded to the facility to assist with the visit. LPA met with Administrator Angel Zazueta. Licensee Miriam Arias arrived later during the inspection. When LPA arrived at the facility LPA observed medications on the dining room table, the kitchen counter, and the medication cart unlocked and open with medications on top of the medication cart. During the visit, staff did not lock the medications. LPA observed bleach on the kitchen counter and Lysol on top of the medication cart. A tour of the facility was conducted. During the tour, the medication closet was unlocked with additional medications inside. Medication closet remained unlocked during the visit. Kitchen toured, supply of food observed and food stored properly for perishable and nonperishable. Resident bathroom water temperature measured at 135.4 F. Laundry room had chemicals unlocked. Laundry room led to the garage with tools and other toxic substances. LPA took photos. Smoke detectors and carbon monoxide are operating properly. Fire extinguisher last serviced 3/6/24. Facility does not have a record of conducting emergency drills. Complete Plan of operation was not available to be reviewed. A tour of the outside was conducted. LPA observed round up pesticides on the outside table next to a propane tank. There was outdoor seating for the residents. Resident and staff records were reviewed. Administrator certificate is current. S1 did not have current CPR/First Aid and was the only staff at the facility when LPA arrived. Facility did not have a file for S1 for licensing to review. S1 was not associated to the facility. S1 was not listed on the personnel report in LIS or in Guardian. S1 was removed from the facility. Facility does not have a staff schedule. Facility has one employee, S1, the Administrator, and the Licensee. Administrator stated he is providing care at night, S1 is providing care during the day and Licensee assists sometimes. Facility does not have a centrally stored log, MARS log or record of resident medications. There is no way to determine if facility is properly administering resident medications daily. R1's PRN's are not logged to indicate when they were administered. Facility does not have training for restricted health care condition for R1. Facility does not have hospice training for R1 and do not have LIC 602. R5 is missing ADL page in LIC602. 5 out of 5 residents do not have needs and service plans. R3 and R4 did not have files at the facility to review. Facility did not report R5 being sent out to the hospital on 8/3/25. Refer to 809D A copy of this report was provided with appeal rights and plans of corrections. Civil penalty was issued for S1 not being associated to the facility.

Citations

20 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.

  • 87405(a)Type B

    Certified administrator requirements and substitute coverage

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in not having suffiecient freedom from other responsibilities to permit adequate attention to the management and the administration of the facility leading to numerous citations during unannounced visit, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.618(c)(3)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in S1 was the only employee at the facility upon LPA's arrival and S1 did not have a current CPR/First Aid certificate, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.695(c)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in not conducting emergency drills and not having records of emergency drills, which poses/posed a potential health, safety or personnal rights risk to persons in care.

  • 87211(a)(1)Type B

    Report specified resident events within seven days

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Licensee did not report R5 being admitted to the hospital on 8/3/25, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87303(e)(2)Type A

    Provide resident hot water for personal care

    Based on [(observation) , the licensee did not comply with the section cited above in resident bathroom water measured at 135.4 F 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 in cleaning supplies (on kitchen counter and unlocked in laundry room) and round up pesticides (on outdoor table) were accessible to residents with dementia, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87355(e)(3)Type A

    Request a transfer of criminal record clearance

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in S1 was working at the facility when LPA arrived and S1 has not been associated to the facility, which poses an immediate health, safety or personal rights risk to persons in care. Civil Penalty issued

  • 87405(d)(2)Type A

    Conformance with applicable laws and regulations

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in not having the fire extinguisher serviced since 3/6/2024 which poses an immediate health, safety or personal rights risk to persons in care.

  • 87411(a)Type B

    Facility personnel sufficiency and competence

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Administrator was the only staff on duty to assist residents and LPA, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87411(d)Type B

    On-the-job training requirements

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in S1 did not have any training records, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87412(e)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in not having personnel records on hours each staff work, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87412(f)Type B

    Allow licensing inspection and controlled record removal

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in 2 resident files and 1 staff file was in storage, plan of operation was not at facility for Licensing to review, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87458(a)Type B

    Obtain baseline medical assessment before resident admission

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in not having LIC 602 for R1 and R4, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(a)(4)Type A

    Assist residents with self-administered medication

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in R1's pills had no start date or MARS log to verify if R1 was receiving prescribed medications, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87465(a)(6)Type B

    Maintain records of centrally stored medication dosages

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in not having a list of current medications for each resident, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(d)(3)Type B

    Record dose details and resident medication response

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in not documenting PRN's for all residents, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(h)(2)Type A

    Store centrally held medications in locked secure place

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Resident medications were unlocked on dining room table, kitchen counter, medication cart located in dining area was unlocked and closet where additional medications were stored was unlocked, which poses an immediate health, safety or personal rights risk to persons in care

  • 87506(b)Type B

    Resident record must include minimum required items

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in 5 out of 5 resident files were missing documentation, R3 and R4 files were not at the facility to be reviewed, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87613(a)(2)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in there was no training for R1 oxygen administration and restricted health care condition, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87633(b)(6)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in staff did not have training for the care R1, which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 13, 2025 inspection of A & M ASSISTED LIVING LLC?

This was an inspection of A & M ASSISTED LIVING LLC on August 13, 2025. 20 citations were issued: 6 Type A (serious) and 14 Type B.

Were any citations issued to A & M ASSISTED LIVING LLC on August 13, 2025?

Yes, 20 citations were issued (6 Type A, 14 Type B). The first citation was for: "Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in not ha..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

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