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Inspection visit

Correction check

GREEN LIFE CARE FACILITY INCLicense 19761047712 citations on this visit
12 citations recorded

Inspector’s narrative

What the inspector wrote

At 9:30 AM , Licensing Program Analyst (LPA) Huma Rahimi conducted an unannounced Plan of Correction (POC) visit at the facility. LPA met with Staff #1 (S1) and Staff #2 (S2) . The Administrator was contacted via telephone and stated they were unable to come to the facility but designated staff to assist with the visit and accept the report. The purpose of the POC visit was to determine whether deficiencies cited during the Annual Inspection on January 5, 2026 were corrected. The following deficiencies are NOT CLEARED: 1. 87303(e)(2) – Hot Water Temperature - LPA tested the hot water temperature at resident-use faucets and observed the temperature to be 119.3°F , which does not exceed the maximum allowable temperature of 120°F . Plan of Correction met. 2. 87309(a) – Locked Storage of Hazardous Items - LPA observed knives, sharps, cleaning supplies, tools, and poisonous substances stored unlocked i n kitchen cabinets and the laundry room, accessible to residents in care. Plan of Correction not met. 3. 87355(e) & 87355(e)(3) – Criminal Record Clearance and Association - LPA reviewed LIS and Guardian and did not observe Staff #1 (S1) associated with the facility, nor Staff #2 (S2) f ingerprint cleared and associated prior to working. Plan of Correction not met. Continue on LIC 809C 4. 87307(d)(6) – Obstructed Exits - LPA observed emergency exits obstructed by a stool, trash can, and laundry basket in Bedroom #3 . LPA confirmed that the dog previously obstructing the emergency exit through the activity room is in the process of being removed ; however, during today’s inspection, the Bedroom #3 emergency exit remained obstructed by a stool, a trash can, and a laundry basket. Emergency exits were not maintained free of obstruction as required. Plan of Correction not met. 5. Health and Safety Code §1569.618(c)(3) – CPR and First Aid Coverage - Facility did not ensure that at least one staff member with current CPR and First Aid certification was on duty and on the premises at all times. Plan of Correction not met. 6. Health and Safety Code §1569.618(a) – Administrator Presence - Administrator was not present at the facility during normal working hours, and no documentation was provided identifying a designated facility manager responsible for operation during the Administrator’s absence. Plan of Correction not met. 7. 87412(f) & 87412(g) – Personnel Records - LPA requested personnel records; however, complete records were not available for review and were not maintained at the facility. No staff training records were provided. Plan of Correction not met. 8. 87506(a) – Resident Records - LPA reviewed resident files and observed incomplete records. Resident files for R2 and R3 lacked required documentation beyond admission agreements. Plan of Correction not met. 9. 87458(c)(1)(A) – Medical Assessment / TB Documentation - Resident medical assessments, including documentation for communicable tuberculosis , were missing from resident files. Plan of Correction not met. 10. 87211(a)(1)(A), (B), & (D) – Unusual Incident Reporting - LPA reviewed records and confirmed that hospitalization of Resident #1 (R1) on 10/07/2025 and 10/22/2025–10/31/2025 were not reported to CCL within seven (7) days as required. Administrator confirmed no reports were submitted. Plan of Correction not met. 11. 87465(h)(2) – Locked Medication Storage - LPA observed centrally stored medications for residents and staff stored unlocked in kitchen cabinets, drawers, staff room, and resident bedrooms, accessible to residents in care. Plan of Correction not met. Deficiencies issued and appeal rights explained. Exit interview conducted and copy this report signed and delivered.

Citations

12 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.

  • 1569.618(a)Type B

    (a) The administrator designated by the licensee pursuant to paragraph (11) of subdivision (a) of Section 1569.15 shall be present at the facility during normal working hours. A facility manager designated...... This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above in not having a proper designee at the facility who can assist with LPA to provide documents

  • 1569.618(c)(3)Type B

    (c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training...This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above in not having a valid CPR/first aid training for a the staff available at the shift which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87211(a)(1)AType B

    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 ... ... any of the events specified in (A), (B) & (D)... This requirement is not met as evidenced by: Based on interviews and review of the hospital discharge records conducted by LPA, the licensee did not comply with the section cited above by failing to notify CCLD regarding R1's hospitalizations on 10/07/25 and 10/22/25, which poses a potential health and safety risk to persons in care.

  • 87307(d)(6)Type B

    (6) All outdoor and indoor passageways and stairways shall be kept free of obstruction.This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above in having bedroom #3 emergency exit, activity room exit and main exit blocked by a trash can, a basket, and a dog which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87309(a)Type A

    (a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose .... This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above in having all cleaning supplies, laundry detergents, a scissor, and knives unlocked and accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.

  • 87355(e)Type A

    (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:This requirement is not met as evidenced by: Based on observation, interview and record review, the licensee did not comply with the section cited above in one (1) out of two (2) staff (S2) working without a proper fingerprint cleareance which poses an immediate health, safety or personal rights risk to persons in care.

  • 87355(e)(3)Type A

    (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working,....a licensed facility: (3) Request a transfer of a criminal record....in Section 87355(c) or This requirement is not met as evidenced by: Based on observation, interview, and record review, the licensee did not comply with the section cited above in one (1) out of two (2) staff members (S1) not being associated with the facility which poses an immediate health, safety or personal rights risk to persons in care.

  • 87412(g)Type B

    (g) All personnel records shall be maintained at the facility.This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above in two (2) out of two (2) staff files not maintained at the facility which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87458(c)(1)(A)Type B

    (c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnose......for all of the following: (A) Communicable tuberculosis. This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above in three (3) out of three (3) residents did not have any records of TB test results which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(h)(2)Type A

    (h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible.........This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above in all the residents and staff medications were accessible in the kitchen drawer, staff room, and bedroom #3 (resident) which poses an immediate health, safety or personal rights risk to persons in care.

  • 87506(a)Type B

    (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above in three (3) out of three (3) residents files/records not available for audit at the facility which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87412(f)Type B

    (f) All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary.....: This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above in two (2) out of two (2) staff files not available to LPA for audit and review 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 January 15, 2026 inspection of GREEN LIFE CARE FACILITY INC?

This was a other inspection of GREEN LIFE CARE FACILITY INC on January 15, 2026. 12 citations were issued: 4 Type A (serious) and 8 Type B.

Were any citations issued to GREEN LIFE CARE FACILITY INC on January 15, 2026?

Yes, 12 citations were issued (4 Type A, 8 Type B). The first citation was for: "(a) The administrator designated by the licensee pursuant to paragraph (11) of subdivision (a) of Section 1569.15 shall ..."

What type of inspection was this?

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

SourceView on CCLDView original report

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