Inspection visit

ComplaintDecember 13, 2023

STERLING SENIOR COMMUNITY VLicense 1983200762 citations on this visit

2 citations recorded

Inspector’s narrative

What the inspector wrote

The investigation revealed the following: Allegation: Facility is not adequately staffed. On 12/12/2023, LPA interviewed two staff (S1-S2). Interviews with S1 and S2 revealed there are two caregivers providing care and supervision to five residents during day shift from 7:00 AM through 7:00 PM. S1 and S2 stated an awake staff is placed to work overtime when any residents pose a restless behavior. Based on interview with S1 and S2 and LPA's records review, it was revealed that four residents (R1, R2, R4 & R5) need close supervision due to their medical conditions, however S1 and S2 stated there are no awake staff during night shift. Based on LPA's observations, R5 was not present during the visit. LPA observed R1 is ambulatory and uses a walker. LPA observed R2 is bed bound and R4 walks around the facility with a walker. Based on LPA’s review of records R1 is confused, has wondering behavior and unable to leave the facility unassisted. R1’s appraisal indicates R1 is a fall risk and needs adequate supervision for safety. Based on review of the appraisals, R2 and and R4 need special observation/night supervision. R5’s appraisal show R5 has memory loss and needs adequate assistance to promote safety. Based on observations, interviews, and records review there is enough evidence to prove that above allegation is corroborated. Allegation: Facility failed to maintain a complete and accurate resident’s records. On 12/12/2023, LPA interviewed two staff (S1-S2). Interviews with S1 and S2 revealed they assumed the resident records are maintained completely and accurately. LPA reviewed records of five out of five residents (R1-R5). LPA’s records review revealed resident records are not maintained completely and accurately. LPA observed R1’s file has no current medical assessment, no weight records, no accurate appraisal, and no completed cash resources. R2’s file has no medical assessment, no weight records, no immunization records, no TB test record, no completed safeguard for cash resources and for property and/or valuables. R3 has no weight records, no completed safeguard for cash resources and REPORT CONTINUED IN LIC 9099-C for property and/or valuables. R4 has no medical assessment, no weight records, no TB test, no current appraisal, unsigned personal rights, no completed safeguard for cash resources and for property and/or valuables. And R5 has no current medical assessment, no weight records, no current appraisal, no completed safeguard for cash resources and for property and/or valuables. Based on observations, interviews, and records review there is enough evidence to prove that above allegation is corroborated. Based on interviews, observations, and supporting documentation, the preponderance of evidence standard has been met; Therefore, the above allegations, " Facility is not adequately staffed ” and “ Facility failed to maintain a complete and accurate resident’s records” are found to be SUBSTANTIATED. According to the California Code of Regulations (Title 22, Division 6, Health and Safety Code), the following deficiencies have been observed and citations issued (ref. LIC 9099D). Exit interview was conducted and a copy of the report and appeal rights were provided to House Manager Arnold Mendoza.

Citations

3 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.

87405(d)(1)(2)Type B
87405 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.(1) Knowledge of the requirements for providing care and supervision appropriate to the residents.(2) Knowledge of and ability to conform to the applicable laws, rules and regulations.This requirement was not met as evidenced by: On 12/12/2023, LPA Lourdes Montoya observed during records review that R1's Appraisal/Needs and Services Plan dated 7/1/2021 is identical to R1's Appraisal/Needs and Services Plan dated 1/21/2023. LPA observed the typed written date (7/1/2021) was erased with a white out and the date was changed with a hand written date (1/21/2023). Two staff (S1-S2) acknowledged that the appraisal dated 7/21/2021 is a photo copy of the appraisal dated 1/21/2023. S3 on the other hand argued that since R1 did not have any medical change, a photo copy of R1's 2021 appraisal is acceptable to make R1's appraisal current. This poses a potential health, safety and/or personal right risk to persons in care.
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87506(a)Type B
Maintain separate complete record for each resident
87506 Resident Records(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 was not met as evidenced by: On 12/12/2023, LPA interviewed two staff (S1-S2). Interviews with S1 and S2 revealed they assumed the resident records are maintained completely and accurately. LPA reviewed records of five out of five residents (R1-R5). LPA’s records review revealed resident records are not maintained completely and accurately. This poses a potential health, safety, and/or personal rights risk to persons in care.
87705(c)(4)(A)Type B
87705 Care of Persons with Dementia(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following:(4) There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her current appraisal. (A) In addition to requirements specified in Section 87415, Night Supervision, a facility with fewer than 16 residents shall have at least one night staff person awake and on duty if any resident with dementia is determined through a pre-admission appraisal, reappraisal or observation to require awake night supervision.This requirement was not met as evidenced by: On 12/12/2023, LPA interviewed two staff (S1-S2). Interviews with S1 and S2 revealed there are two caregivers providing care and supervision to five residents during day shift from 7:00 AM through 7:00 PM. S1 and S2 stated an awake staff is placed to work overtime at nght from 7:00 PM - 7:00 AM when any residents pose a restless behavior. Based on interview with S1 and S2 and LPA's records review, it was revealed that four residents (R1, R2, R4 & R5) need close supervision due to their medical conditions, however S1 and S2 stated there are no on-duty awake staff during night shift unless needed. This poses a potential health, safety, and/or personal rights risk to persons in care.
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FAQ · About this visit

Common questions about this visit

What happened during the December 13, 2023 inspection of STERLING SENIOR COMMUNITY V?

This was a complaint inspection of STERLING SENIOR COMMUNITY V on December 13, 2023. 2 citations were issued: 2 Type B.

Were any citations issued to STERLING SENIOR COMMUNITY V on December 13, 2023?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "87405 Administrator - Qualifications and Duties(d) The administrator shall have the qualifications specified in Sections..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLD View original report

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Data from CCLD public records. Last updated June 8, 2026. If you believe any information is inaccurate, report it here.

Complaint·December 13, 2023