Cerritos Villa 1

Provide adequate lighting for room safety and comfort

Based on observation, the licensee did not comply with the section cited above due to light in bathroom #2 not working when switch is pushed up and light fixture above the kitchen sink is missing and the bulbs are exposed, which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observation, the licensee did not comply with the section cited above by having kitchen covered in grease stains and dust, and having tiles around kitchen sink which are cracked and held down with duct tape, which poses/posed a potential health, safety or personal rights risk to persons in care.

(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including (...) (1) A written report (...) within seven days of the occurance of (...) (A) Death of any resident from any cause regardless of where the death occurred.This regulation is not met as evidenced by: Based on record review, LPAs determined that death the facility has not submitted three (3) death reports for three (3) residents who passed away since August of 2025, which poses a potential health and safety risk to residents in care.

(c) A refund of any fees paid in advance covering the time after the resident’s personal property has been removed from the facility shall be issued to the individual (...) contractually responsible for the fees (...) within 15 days after the personal property is removed. This requrement was not met as evidenced by: Based on record review and interview, the facility has not issued a refund to R1's responsible party within 15 days, which poses a potential risk the health, safety, or personal rights of persons in care.

87405(d)(5) Administrator - Qualifications and Duties(d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply.(5) Good character and a continuing reputation of personal integrity. This requirement has not been met as evidenced by:Verification of staff CPR training, staff course training and physicians report for R6 submitted to LPA by Administrator were verified to be falsified and altered.

87633(f)(1) Hospice Care of Terminally Ill Residents(f)The licensee shall maintain a record of all hospice-related training provided to the licensee or facility personnel for a period of three years. This record shall be available for review by the Department.(1) The record of each training session shall specify the names and credentials of the trainer, the persons in attendance, the subject matter covered, and the date and duration of the training session. This requirement has not been met as evidenced by:Based on record review all staff had no training for prohibited health conditions.

87633(b)(4) Hospice Care of Terminally Ill Residents(b) A current and complete hospice care plan shall be maintained in the facility for each hospice resident and include the following:(4) A description of the area of licensee’s responsibility for implementing the plan including, but not limited to, facility staff duties; record keeping; and communication with the hospice agency, resident’s physician, and the resident’s responsible person(s), if any. This description shall include the type and frequency of the tasks to be performed by the facility. This requirement has not been met as evidenced by:Facility did not have a current care plane for R2 for prohibited health condition.

Based on record review, the licensee did not comply with the section cited above in two (2) out of four (4) staff did not have CPR/First AID training which poses/posed a potential health, safety or personal rights risk to persons in care.

Obtain baseline medical assessment before resident admission

Based on record review, the licensee did not comply with the section cited above in two (2) out of two (2) residents R4 and R6 did not have current Physicians reports which poses/posed a potential health, safety or personal rights risk to persons in care.

Facility must keep complete hospice care plan on file

Based on record review, the licensee did not comply with the section cited above in two (2) out of three (3) residents did not have a hospice care plan which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in three (3) out of four (4) staff did not have training which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observation, the licensee did not comply with the section cited above front door auditory did not work which poses/posed a potential health, safety or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above cleaning supplies were observed under kitchen sink and bathroom #1 unlocked which poses an immediate health, safety or personal rights risk to persons in care.

Store centrally held medications in locked secure place

Based on observation, the licensee did not comply with the section cited above in one (1) out of six (6) residents R3 medication were in refrigerator not in a locked box which poses an immediate health, safety or personal rights risk to persons in care.

Give PRN medication by physician order

Based on observation, the licensee did not comply with the section cited above in one (1) out of six (6) residents R4 medication was not documented correctly and Administartor could not indicate when medication was started which poses an immediate health, safety or personal rights risk to persons in care.

Require fire clearance before non-temporary bedridden admission

Based on record review the licensee did not comply with the section cited above facility has two (2) bedridden residents operating out of required scope fire clearance approved for one(1) which poses an immediate health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above two residents did not have hospice waiver facility has hospice clearance for one which poses an immediate health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above facility did not have liability insurance which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in which LPA observed the administrator certificate expired on 8/31/2023, which poses/posed a potential health, safety or personal rights risk to persons in care.

Obtain required California clearance or exemption

Based on (observation), the licensee did not comply with the section cited above in staff S1 was not cleared or associated to the facility, which poses an immediate health, safety or personal rights risk to persons in care.

Give PRN medication by physician order

Based on (observation), the licensee did not comply with the section cited above in which LPA observed medications for R1 was signed off as given before time and medications was missing, safety or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on (observation), the licensee did not comply with the section cited above in which cleaning supplies and toxins was left unsecured in bathroom, kitchen and backyard, which poses an immediate health, safety or personal rights risk to persons in care.

Provide resident hot water for personal care

Based on [(observation), the licensee did not comply with the section cited above in 2 out of 2 bathrooms water temperature tested between 121.8- 127.2 degrees F., which poses an immediate health, safety or personal rights risk to persons in care.

First aid training requirements

Based on record review, the licensee did not comply with the section cited above in 4 out of 5 staff files. S1, S2, S3, and S4 did not have a current CPR/First Aid training in their files, which poses/posed a potential health, safety or personal rights risk to persons in care.