Public Record
Humble Haven Rcfe Iv
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About this facility
Operating details and county context
Operating details
- Capacity
- 6 residents
- Phone
- (707) 688-5606
- Address
- 4036 Tournament Drive
- Licensed since
Los Angeles County context
1,820*CCLD
Total facilities
4.7*CCLD
Avg citations
9.4*CCLD
Avg visits
4.1*CCLD
Avg complaint visits
*CCLD: California Community Care Licensing Division. Updated weekly. Last refresh .
Citations
19 citations on record
Every regulation cited on a CCLD inspection of this facility, sourced from the public record. Each row links to the visit’s inspector narrative.
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.
2025
- 87457(c)Type B
Based on resident file review, the licensee did not comply with the section cited above in three out of four residents, which could pose a potential health, safety or personal rights risk to persons in care.
- 87456(a)(2)Type B
Based on resident file review, the licensee did not comply with the section cited above in three out of four residents, which could pose a potential health, safety or personal rights risk to persons in care.
- 87309(a)Type A
Based on LPA's observations, the licensee did not comply with the section cited above. LPA observed the laundry detergent & construction tools were not locked in a safe location, which poses an immediate health, safety or personal rights risk to persons in care.
2024
- 87458(a)Type A
Based on record review, the licensee did not comply with the section cited above. Two out of the five residents' files did not contain the physicians's report (LIC 602) which poses an immediate health, safety risk to persons in care.
- 87303(3)(2)Type A
Based on LPA's observations, the licensee did not comply with the section cited. The water temperature was 131.00 degrees F which poses an immediate health, safety or personal rights risk to persons in care.
- 87307(d)(2)Type B
Based on LPA's observation, the licensee did not comply with the section cited above. Within bedroom 5, an empty additional bed was in the room and was blocking the exit out the door which poses a potential health, safety or personal rights risk to persons in care.
- 87457(c)Type B
Based on record review, the licensee did not comply with the section cited above. Two out of the five residents' files did not contain an appraisal, needs assessment which poses a potential health, safety or personal rights risk to persons in care.
- 87202(a)(2)Type A
Based on LPA's observations, the licensee did not comply with the section cited above. A bedridden resident is in a non-ambulatory room, The resident is in the wrong room, which poses an immediate health, safety or personal rights risk to persons in care.
- 87355(e)(2)Type A
87355 Criminal Record Clearance - (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c)... This requirement is not met as evidenced by: Based on audit review of records, the licensee did not comply with the section. LPA identified staff #3 did not have a Criminal Clearance Background Clearance Transfer associated at this facility. This violation poses an immediate health, safety or personal rights risk to persons in care.
- 87204(a)Type B
(a) A licensee shall not operate a facility beyond the conditions and limitations specified on the license, including specification of the maximum number of persons who may receive services at any one time... An exception may be made in the case of catastrophic emergency when the licensing agency may make temporary exceptions to the approved capacity.This requirement is not met as evidenced by: Based on [(observation) (interview) (record review)], the licensee did not comply with the section. The facility is approved for (3) hospice waiver and is now operating with (4) hospice residents beyond the conditions and limitations specified on the license. This violation which poses an potential health, safety or personal rights risk to persons in care.
- 87411(c)(1)Type B
(c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69.(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross.This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above . LPA identified staff #2 & #3 did not have a current First Aid/CPR Training. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.
- 87705(k)Type A
Based on LPA's observation, the licensee did not comply with the section cited above. The egress alarms had been turned off, which poses an immediate health, safety or personal rights risk to persons in care.
- 87305(a)Type A
Based on LPA's observation, the licensee did not comply with the section cited above. The garage had been converted into a room and a resident was living in the room. Also, CCL did not receive a copy of the building permit which poses an immediate health, safety or personal rights risk to persons in care.
- 87303(e)(2)Type A
Based on LPA's observations, the licensee did not comply with the section cited above The water temperature was recordeded to be 141.1 Degrees F at 11:45 am which poses an immediate health, safety or personal rights risk to persons in care.
- 87204(a)Type A
Based on LPA's observations, there are seven residents living in the facility which poses an immediate health, safety or personal rights risk to persons in care.
- 87309(a)Type A
Based on LPA's obsevations, the licensee did not comply with the section cited above. LPA observed cleaning solutions were stored underneath an unlocked bathroom cabinet which poses an immediate health, safety or personal rights risk to persons in care.
- 87307(e)Type A
Based on LPA's observations, the licensee did not comply with the section cited above. LPA observed the spa cover was not properly on the spa, .
- 87606(c)Type A
Based on LPA's observations, the licensee did not comply with the section cited above. LPA observed there are two bedridden residents and the facility has a fire clearance for one bedridden resident. The room disgnation for a bedridden client is room 5.
- 87705(f)(2)Type A
Based on LPA Spaeth's observation, the caregiver had left personal medication on a dresser which poses an immediate health, safety or personal rights risk to persons in care.
Inspection record
8 visits on record since 2022. Most recent on 2025-10-31.
3 routine inspections, 1 complaint visit. 1 complaint on record.
- Inspection1 Type A · 2 Type BRead inspector’s narrative
- Inspection3 Type A · 2 Type BRead inspector’s narrative
- Other1 Type ARead inspector’s narrative
- ComplaintNo citationsRead inspector’s narrative
- Other2 Type BRead inspector’s narrative
- Inspection8 Type ARead inspector’s narrative
- OtherNo citationsRead inspector’s narrative
- OtherNo citationsRead inspector’s narrative
19 citations across the record on file
Nearby
Other licensed assisted living facilities in Palmdale
FAQ
Common questions about this facility
Is Humble Haven Rcfe Iv licensed in California?
Yes, Humble Haven Rcfe Iv is currently licensed in California. It has been licensed since 2022.
How many citations does Humble Haven Rcfe Iv have?
Humble Haven Rcfe Iv has 19 citations on record: 13 Type A (more serious) and 6 Type B citations. It has received 8 visits (3 inspections, 1 complaint visit, 4 other visits).
When was Humble Haven Rcfe Iv last inspected?
Humble Haven Rcfe Iv was last inspected on October 31, 2025 (about 7 months ago). California inspects licensed assisted living facilities (RCFEs) on a periodic basis or following a complaint.
What type of assisted living facility is Humble Haven Rcfe Iv?
Humble Haven Rcfe Iv is a Residential Care Facility for the Elderly (RCFE), which is a licensed assisted living facility serving older adults with a licensed capacity of 6 residents. It is located in Palmdale, Los Angeles County, California.
How does Humble Haven Rcfe Iv compare to other assisted living facilities in Los Angeles County?
Humble Haven Rcfe Iv has 19 citations. The county average is 4.7 citations per facility. There are 1,820 assisted living facilities in Los Angeles County.
Does Humble Haven Rcfe Iv have any serious violations?
Humble Haven Rcfe Iv has 13 Type A citations on record. Type A citations indicate conditions that pose an immediate health or safety risk to residents. Review the inspection timeline above for details on each citation.
Has Humble Haven Rcfe Iv had any complaint inspections?
Humble Haven Rcfe Iv has received 1 complaint-triggered inspection. Complaint inspections are triggered when someone reports a concern to CCLD.
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