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Inspection visit

complaint

BAYSHIRE SAN DIMASLicense 1986037101 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Allegation: Staff did not fix the leak in the roof timely or properly. It has been alleged that the ceiling in the activity room has a leak and has not been fixed properly or in a timely manner. Staff interviews revealed that there is a leak in the Memory Care Activity Room and Dining Room. Interviewed staff indicated that ceiling leaks occur frequently during the Summer time as the HVAC (air conditioner) is being used. LPA toured the Memory Care Activity Room and Dining Room and observed ceiling tiles to have water damage. Interviews and tour corroborate this allegation. Deficiency cited. Refe4r to LIC 9099D. Based on record review and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . An exit interview was conducted. A copy of this report and appeals rights were provided to Laura Sanchez (Health Services Director).

Citations

2 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.

  • 87468.1(a)(b)Type A

    87468.1 Personal Rights of Residents in All Facilities(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(b) (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. Based on interviews/record review, R1’s call pendent was taken away due to excessive pushing. This posed an immediate health, safety, and personal rights risk to the resident.

  • 87303(a)Type B

    Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This standard is not met at evidence by:Interviewed staff indicated that ceiling leaks occur frequently during the Summer time as the HVAC (air conditioner) is being used. LPA observed water damage on ceiling tiles.

FAQ · About this visit

Common questions about this visit

What happened during the August 5, 2025 inspection of BAYSHIRE SAN DIMAS?

This was a complaint inspection of BAYSHIRE SAN DIMAS on August 5, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to BAYSHIRE SAN DIMAS on August 5, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87468.1 Personal Rights of Residents in All Facilities(a) Residents in all residential care facilities for the elderly s..."

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.