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Inspection visit

Routine inspection

SHILOH RETREATLicense 1986033661 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Gabriela Castro conducted an unannounced required annual visit using the Compliance and Regulatory Enforcement (CARE) Tool. LPA was greeted by Juliana Garcia and explained the reason for the visit. This home is licensed to serve residents ages 60 and over, six (6) ambulatory which six (6) may be non-ambulatory. Facility is approved for six (6) hospice residents. No residents under hospice care during inspection. The home is receiving case management services provided by Eastern Los Angeles Regional Center. Facility Tour & Observations: Personal Rights postings (LIC 613C and Ombudsman), Complaint Poster (PUB 475), and nondiscrimination notice were observed in a common area. Residents had access to personal space, privacy, and adequate storage. No firearms/weapons were present. Physical Plant The facility is located in a residential area and is a one-story home consisting of six (6) resident bedrooms, two (2) bathrooms, living room, kitchen, laundry room/office, dining area, attached garage, front yard, and backyard. LPA observed five (5) resident bedrooms as one was vacant, and all contained the required furniture (bed, mattress, linens, dresser, chair, and lighting). Cleaning supplies and toxic substances are inaccessible to residents in a locked kitchen cabinet under sink . Bathrooms were clean and equipped with required grab bars in showers and near toilets, as well as non-skid mats; hot water measured in bathroom (1) 110.9°F and bathroom (2) 106.3°F which is within the required 105–120°F. Extra linens and towels were available in the laundry room area. Smoke/carbon monoxide detectors were functional, fire extinguisher was located in the living room near kitchen and second fire extinguisher in the hallway by bedrooms. There were no bodies of water were present. Backyard provided shaded seating. Passageways and exits were observed to be clear and unobstructed. Food Service Refrigerators/freezers were maintained at proper temperatures (refrigerators maximum of 40 degrees°F and freezer 0-degree ºC ) with sufficient supply of 2-day perishable and 7 days non-perishable food. Fresh produce, proteins, and dry goods were stocked. Knives were observed locked in cabinet by front door entrance to the left. Health-Related Services & Records Five (5) residents files were reviewed and contained current required documents Admissions Agreements, Pre-Placement Appraisals, Consents, Needs/Service Plans, Physician’s Reports with TB/ambulatory status and Rights acknowledgments. Five (5) residents’ medications were reviewed; medications were observed to be centrally stored in a locked living room closet. MAR logs were observed to be current. Disaster Preparedness Last fire/earthquake drill was conducted in September 20, 2025, with logs available. LIC 610D Emergency Disaster Plan was available and updated. Emergency supplies (water, food, flashlights, batteries, first aid) were observed. Infection Control Plan was updated. Personnel Records & Training Four (4) staff files to include Administrator file were reviewed and included criminal record clearances, CPR/First Aid, and TB screenings. Required training for staff were not available for review. Insurance Liability insurance was in compliance with an expiration date of February 2, 2026. An exit interview was conducted with Juliana Garcia, House Manager. During the inspection, deficiencies were observed and cited on the attached LIC 809D/809C in accordance with Title 22, Division 6 regulations. The Administrator was advised of the nature of the deficiency, the regulatory basis, and the required Plan of Correction (POC). The Administrator agreed to submit proof of correction by the due dates specified. A copy of this report, LIC 809D/809C, and appeal rights have been provided.

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.

  • 1569.69(e)(3)Type B

    Based on record review the licensee did not comply with the section cited above due to four (4) of (4) staff files did not show documented staff training (staff attending training, topics, hours and dates) which poses/posed a potential health, safety or personal rights risks to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the November 13, 2025 inspection of SHILOH RETREAT?

This was a inspection inspection of SHILOH RETREAT on November 13, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to SHILOH RETREAT on November 13, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Based on record review the licensee did not comply with the section cited above due to four (4) of (4) staff files did ..."

What type of inspection was this?

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

SourceView on CCLDView original report

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