Tna Residential Care

Based on interview and record review, the licensee did not comply with the section cited above by accepting a bedridden resident (R3) without having a proper fire clearance, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by leaving medications and nutritional supplements or vitamins, unlocked and accessible to residents in care, which poses an immediate health, safety or personal rights risk to persons in care.

Based on interviews, observation, document review and inspection, the licensee did not comply with the section cited above by renovating/reconstructing or adding new construction to a facility, without notifying CCLD. This poses a potential health and safety risk to residents in care.

Fire Clearance: (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department...(2) Bedridden persons...This requirement is not met as evidenced by: Based on observation during today's visit the licensee did not comply with the section cited above by failing to relocate non-ambulatory residents - R1, R2, and R3, which poses an immediate health, safety or personal rights risk to persons in care.

87355(e)(2) Criminal Record Clearance. Prior to working, residing or volunteering in a licensed facility, all individuals subject to a criminal record review shall request a transfer of a criminal record clearance from another facility or Trustline. Based on interview and record review, the licensee did not comply with the section cited above by hiring S1 on 02/2025 and S2 on 11/13/25, without association and fingerprint clearance, which poses an immediate health, safety or personal rights risk to persons in care.

Fire Clearance: (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department...(2) Bedridden persons...This requirement is not met as evidenced by: Based on observation during today's visit the licensee did not comply with the section cited above by not re-locating a bedridden and non-ambulatory residents without having a proper fire clearance, which poses an immediate health, safety or personal rights risk to persons in care.

87405 Administrator - Qualifications and Duties (a) All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be one and the same person....This requirement is not met as evidenced by: Based on interviews the licensee did not comply with the section cited above by not having the Administrator avaliable during three inspection visits on 9/2, 10/13 and 11/13/2025. This poses a potential health and safety risk to the persons in care.

Requirements(a) Each licensee shall furnish to the licensing agency such reports... (1) A written report shall be submitted to the licensing agency and to the person... ... any of the events specified in (A), (B) & (D)... This requirement is not met as evidenced by: Based on interviews and record reviews, conducted by LPAs, the licensee did not comply by failing to submit the incident report previously cited on 10/13/25. This poses a potential health and safety risk to persons in care.

Requirements(a) Each licensee shall furnish to the licensing agency such reports... (1) A written report shall be submitted to the licensing agency and to the person... ... any of the events specified in (A), (B) & (D)... This requirement is not met as evidenced by: Based on interviews and record reviews, conducted by LPAs, the licensee did not comply with the section cited above by failing to notify CCLD regarding the staff restraining R2 in June, 2025, which caused discomfort and pain to R2. This poses a potential health and safety risk to persons in care.

Fire Clearance: (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department...(2) Bedridden persons...This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above by accepting a bedridden and non-ambulatory residents without having a proper fire clearance, which poses an immediate health, safety or personal rights risk to persons in care.

7355(e)(2) Criminal Record Clearance. Prior to working, residing or volunteering in a licensed facility, all individuals subject to a criminal record review shall request a transfer of a criminal record clearance from another facility or Trustline. Based on interview and record review, the licensee did not comply with the section cited above by hiring S2 on 10/12/2025 without association, 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. Faciity's Administrator certificate had been expired since August 2020, 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, R2's injection medication was placed in a refrigerator unlocked and accessible to residents in care, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above. Two (2) out of five (5) residents have a half bed rail without a doctor's order, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above by accepting two bedridden residents (R1 & R2) without having a proper fire clearance, which poses an immediate health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above by hiring one (1) staff member S1 on March 14th, 2025 without fingerprint clearance, 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 by not having a proper training for the staff (former Administrator) prior to their employment, which poses an immediate health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above by not providing all required training for Mrs. Akmakchyan , (training is important due to the level of care for the clients) 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 by failiy and renew her licensing fees that were due in March 2023, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above by accepting a bedridden resident (R3) without having a proper fire clearance, 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. Faciity's Administrator certificate had been expired since August 2020, 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. Upon LPA's request Licensee/Administrator was unable to provide own facility records. This 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. Resident records were incomplete and or missing documents, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above. Three (3) out of six (6) residents have a half bed rail without a doctor's order, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above by admitting a non-hospice resident (R3) and providing a full bed rail, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by leaving the kitched drawer, with knives and sharp objects, unlocked and accessible to residents in care, which poses an immediate health, safety or personal rights risk to persons in care..

Based on observation, the licensee did not comply with the section cited above by leaving medications and nutritional supplements or vitamins, unlocked and accessible to residents in care, which poses an immediate health, safety or personal rights risk to persons in care.

Personal Rights: To be accorded dignity in their personal relationships with staff, residents, and other persons.This requirement was not met as evidenced by: Based on interviews conducted, licensee failed to comply with the section cited above by not providing a proper training to staff. S1 handled R1 in a rough manner, which posed a potential health and safety risk to residents in care.

Administrator Qualifications - 87405 (d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator... (1) Knowledge of the requirements...This requirement is not met as evidenced by: Based on interviews, the licensee failed to insure that the administrator had knowledge of licensing rules and regulations which poses an immediate health and safety risk to the residents in care.

Criminal record clearance: (e) All individuals subject to a criminal record review... (1) Obtain a California clearance or a criminal record exemption as required by the Department.This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above by hiring one (1) staff member S2 on January 8th, 2024 without fingerprint clearance, which poses an immediate health, safety or personal rights risk to persons in care.

Fire Clearance: (a) All facilities shall maintain a fire clearance approved... Prior to accepting or retaining any of the following types of persons... (2) Bedridden personsThis requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above by accepting two (2) bedridden residents (R2 and R3) without having a proper fire clearance, which poses an immediate health, safety or personal rights risk to persons in care.

Requirements: (a) Each licensee shall furnish to the licensing agency such reports... (1) A written report shall be submitted to the licensing agency and to the person... ... any of the events specified in (A), (B) & (D)...This requirement is not met as evidenced by: Based on interviews and record reviews, conducted by LPA, the licensee did not comply with the section cited above by failing to notify CCLD regarding the two (2) incidents that occured with R6, which poses a potential health and safety risk to persons in care.

Postural Supports: Based on the individual pre-admission apprasial... Postural support maybe used udner the following condition: 3) A written order from the Physician indication... licensing agency shall be authorized to require...This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above having two (2) full bed rail beds and two (2) half bed rail without a doctors approval, which poses an potential health, safety or personal rights risk to persons in care.

87632 Hospice Care Waiver: (a) In order accept or retain terminally ill residents... To obtain this waiver the licensee shall submit a written request for a waiver to the Department...This requirement is not met as evidenced by: Based on record review the licensee did not comply with the section cited above by addmiting two (2) hospice residents, when theh facility is only approved for one (1). This poses/posed a potential health, safety or personal rights risk to persons in care.

87506 Resident Records: (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility...This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above. Three (3) resident records were incomplete and or missing documents, which poses/posed a potential health, safety or personal rights risk to persons in care.

Administrator Certification Requirements: (g) Certificates issued under this section shall be renewed every two (2) years provided the certificate holder has complied with all renewal requirements.This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above. Faciity's Administrator certificate had been expired since August 2020, which poses/posed a potential health, safety or personal rights risk to persons in care.

87211 Reporting Requirements: (a) Each licensee shall furnish to the licensing agency such reports... (1) A written report shall be submitted to the licensing agency and to the person... ... any of the events specified in (A), (B) & (D)...This requirement is not met as evidenced by: Based on interviews and record reviews, the licensee did not comply with the section cited above by failing to notify CCLD regarding R1s multiple visits to an Emergency Room/Hospital between 08/02/22 -05/05/23, which poses a potential health and safety risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above by admitting a non-hospice resident (R4) and providing a full bed rail without a doctors approval, which poses an immediate health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above by hiring two (2) staff members (S1 and S2) in April 2023 without fingerprint clearance, 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. Faciity's Administrator certificate had been expired since August 2020, 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. No staff records on file, no health screening/TB, 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. Upon LPA's request Licensee/Administrator was unable to provide S1's and S2's facility records. LPA was informed that both staff members were hired in April 2023 and no file was completed. This 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 by leaving various medications in a pre-pored box and not in their original container, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above. LPA did not observe Personal Rights being posted in the facility, 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. Resident records were incomplete and or missing documents, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above. Three (3) out of four (4) residents have a half bed rail without a doctor's odrer, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above by accepting a bedridden resident (R3) without having a proper fire clearance] which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by leaving medications and nutritional supplements or vitamins, unlocked and accessible to residents in care, which poses an immediate health, safety or personal rights risk to persons in care.

Based on LPA team observation, the licensee did not comply with the section cited above to assure that the facility Carbon monoxide is operational, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by leaving the kitched drawer, with knives and sharp objects, unlocked and accessible to residents in care, 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 by addmiting two (2) hospice residents, when theh facility is only approved for one (1). This poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above in hiring two (2) staff members in April 2023 and not providing required training, (training is important due to the level of care for the clients) 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 by not providing a proper training to two staff members prior to their employment, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above. LPA did not observe license issued by the Department of Social Services being posted by the main entry door, which poses a potential health, safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above by failiy and renew her licensing fees that were due in March 2023, which poses/posed a potential health, safety or personal rights risk to persons in care.

Prohibited Health Condition (a) Persons who require health services for or have a health condition including, but not limited to, those specified below, shall not be admitted or retained in a residential care facility for the elderly: (1) Stage 3 and 4 pressure injuries. This requirement is not met as evidenced by: Based on record review, the licensee did not ensure that R1 was not retained with a Stage 3 or 4 pressure injury and received proper care/treatment of the pressure injury, which posed an immediate health and safety risk to residents in care.

Personal Rights of Residents in All facilities-To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.This requirement was not met as evidenced by Based on interviews conducted facility staff were not wearing mask at all times while providing care which posed a potential health and safety risk to all residents in care.

87303 Maintenance and Operation(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) ... a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C).This requirement was not met as evidenced by: Based on observation, the water temperature in 2 out of 2 bathrooms was not maintained within the required range. This posed an immediate health and safety risk to residents in care.

87204 Limitations - Capacity and Ambulatory Status (b) Resident rooms approved for 24-hour care of ambulatory residents only shall not accommodate nonambulatory residents.This requirement was not met as evidenced by: Based on observation and interview, it was determined a non-ambulatory resident stayed in a room designated for ambulatory residents. This posed an immediate health and safety risk for residents in care.

87303 Maintenance and Operation(e) Water supplies and plumbing fixtures shall be maintained as follows:(6) Toilet, handwashing and bathing facilities shall be maintained in operating condition.This requirement was not met as evidenced by: Based on observation, the Licensee did not maintain the knob to the faucet in operating condition in 1 out of 2 bathrooms. This posed a potential health and safety risk to residents in care.

87303 Maintenance and Operation(e) Water supplies and plumbing fixtures shall be maintained as follows:(4) Grab bars shall be maintained for each toilet; bathtub and shower used by residents.This requirement was not met as evidenced by: Based on observation, the Licensee did not provide grab bars for 1 out of 2 toilets. This posed a potential health and safety risk to residents in care.