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Inspection visit

Routine inspection

TOLUCA LAKE MANOR SENIOR ASSISTED LIVING II LLCLicense 1976095151 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Zabel Chochian conduct a required annual visit today at this location. LPA Chochian was greeted by the Licensee/Administrator Mariana Romano. Introductions conducted and reason for the visit was stated. At approximately 10a.m., the LPA and Administrator toured the physical plant areas inside, and outside to ensure there are no health and safety hazards, and facility is in compliance with Title 22 Regulations. COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. There is a fireplace in the living room, which is screened and inaccessible. The facility maintained a comfortable temperature of 75 degrees. Smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The two (2) fire extinguishers were fully charged and were last serviced 12/06/2025. The LPA observed required postings throughout the common space. KITCHEN: Kitchen appliances were found to be in operable condition. The emergency non-perishable food for residents and staff was found to be sufficient. The two-day perishable and seven-day non-perishable food supply was found to be sufficient for the current census of the facility. Kitchen knives observed stored and locked in a kitchen drawer. BEDROOMS: There are total of seven (7) bedrooms. One bedroom is designated for staff. There are six (6) residents’ bedrooms currently occupied as single occupancy. Bedrooms were supplied with sufficient bedding and linens, and there were no visible hazards. Lighting and room temperature were found to be appropriate. There is a linen closet in the hallway with extra towels and linens. BATHROOMS: There are six (6) bathrooms. Each bedroom has a bathroom. The bathrooms were found to have personal grooming, hygiene and sanitary supplies. Hot water temperature measured over the regulation limits at 10:36am, 12:50pm and 3:20pm (131.9*f - 136*f) in rooms #4, #5, #6. (Continue to LIC809c) OUTDOOR AREA: The property is fenced. The large water fountain in the front courtyard area observed filled with stones so that the water is leveled with the stones in the fountain. Patio furniture in the backyard in shaded area observed available for resident's use. RECORDS: Records review began at approximately 11 a.m. Residents’ records were reviewed for, but not limited to care plans, physician record, admission agreement, personal rights and consent forms. At approximately 12:30p.m. personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. Records maintained current with required documents. Last disaster drills conducted on 12/03/2025. First aid kit observed complete; first aid manual/guide included. MEDICATIONS: Medications review began at 1:15p.m.; medications are centrally stored and locked in a cabinet in the kitchen; medications are labeled and checked for expiration dates. LPA reviewed five (5) residents medication and medication records. Medication procedures are followed accordingly. Minor technical documentation error noted with the start date recorded on the centrally stored medication record; start date was preset by pharmacy however medication was sent later in the evening. Staff corrected the start date to reflect correct date medication was punch out of the bubble pack. INFECTION CONTROL : The facility has an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. Discussion held with Licensee/Administrator to ensure submission of required documents: (Copy of the following documents were requested to be sent to CCLD: - LIC500 Personnel Report/schedule - Copy of the liability insurance renewal - Infection Control and Emergency and Disaster Plan Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiency was cited, (refer to LICs 809-D). Exit interview conducted; appeal rights discussed and copy of report provided.

Citations

1 citation 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.

  • 87303(e)(2)Type A

    Based on observation, the licensee did not comply with the section cited above. Hot water temperature check conducted in rooms 4, 5, and 6 was noted at 131.9*f-136.8*f. This poses an immediate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the February 13, 2026 inspection of TOLUCA LAKE MANOR SENIOR ASSISTED LIVING II LLC?

This was a inspection inspection of TOLUCA LAKE MANOR SENIOR ASSISTED LIVING II LLC on February 13, 2026. 1 citation were issued: 1 Type A (serious).

Were any citations issued to TOLUCA LAKE MANOR SENIOR ASSISTED LIVING II LLC on February 13, 2026?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section cited above. Hot water temperature check conducted in..."

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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