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Inspection visit

complaint

GARFIELD TERRACE LLCLicense 1986022431 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

In regard to the allegation” Staff do not ensure that resident has clean bedding”, It is alleged that R1’s bedding had urine on it and staff refused to change bedding. During interview with Administrator, and staff six (6) out of six (6) stated that bedding is cleaned once a week or as needed. During initial visit on 11/06/2025 LPA observed R1’s bedding stained with urine. R1 stated to Administrator that he/she had asked the night before for linen to be changed and Administrator stated staff would be there today at 3:00 PM to change it. During visit on 11/18/2025 LPA observed room 9 and room 17 to have urine-stained bedding. Interviews with residents, four (4) out of seven (7) stated that they have had urine-stained bedding or witnessed other residents with soiled linen. R1 stated that they are supposed to change bedding weekly but get too busy to do it. R7 stated one time they had an accident and when staff was asked to change sheets, they stated that it’s not my job wait till another staff gets here, forcing S7 to wait till the next day. Based on record review and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Deficiencies are being cited according to California Code of Regulations, Title 22 and Health and Safety Code. An exit interview was conducted, and a copy of this report was given to Andrea Flores.

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(a)(3)(C)Type A

    87307 Personal Accommodations and Services(a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply:(3) Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident. The resident may provide the following items; however, if the resident is unable or chooses not to provide them, the licensee shall assure provision of:(C) Clean linen, including blankets, bedspreads, top bed sheets, bottom bed sheets, pillow cases, mattress pads, bath towels, hand towels and wash cloths. The quantity shall be sufficient to permit changing at least once per week or more often when indicated to ensure that clean linen is in use by residents at all times. The linen shall be in good repair. The use of common wash cloths and towels shall be prohibited. Based on observations and interviews licensee did not ensure, residents were provided clean linen free of urine stains which poses an immediate risk to the health, safety, and personal rights of the persons in care.

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FAQ · About this visit

Common questions about this visit

What happened during the January 16, 2026 inspection of GARFIELD TERRACE LLC?

This was a complaint inspection of GARFIELD TERRACE LLC on January 16, 2026. 1 citation were issued: 1 Type A (serious).

Were any citations issued to GARFIELD TERRACE LLC on January 16, 2026?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87307 Personal Accommodations and Services(a) Living accommodations and grounds shall be related to the facility's funct..."

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 CCLDView original report

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