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Inspection visit

Follow-up on corrections

GOOD SAMARITAN IILicense 3060010281 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

During a complaint investigation visit conducted on July 17, 2025, Licensing Program Analyst (LPA) determined that after resident R1 was discharged from the facility on or around April 12, 2025, facility staff became unable to account for the whereabouts of R1's records maintained at the facility after they had been requested by legal representation for R1 on May 21, 2025 and a subsequent visit from a copy service that took place on June 9, 2025. After the complaint investigation visit, licensee requested additional time to continue searching for the files. On August 14, 2025, facility administrators confirmed via email that they had misplaced the records after the abrupt request from R1's spouse to have R1 discharged from the facility after over two years of admission. As a result, one type A deficiency is being cited per Title 22 of the California Code of Regulations. An exit interview was conducted and a copy of this report and appeal rights were provided to a facility representative.

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.

  • 87506(e)Type A

    Retain original records for at least three years

    Per CCR 87506(e) on Resident Records, "Original records (...) shall be retained for a minimum of three (3) years following termination of service to the resident". This requirement is not met as evidenced by: Based on interviews and records reviewed, resident records for R1 have been lost (...) following the resident's discharge from the facility in April 2025. Facility staff is unable to locate the recors at this time in order to provide them to the resident's responsible party upon request. This constitutes an immedicate risk to the health, safety and personal rights of individuals in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 22, 2025 inspection of GOOD SAMARITAN II?

This was an other inspection of GOOD SAMARITAN II on September 22, 2025. 1 citation were issued: 1 Type A (serious).

Were any citations issued to GOOD SAMARITAN II on September 22, 2025?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "Per CCR 87506(e) on Resident Records, "Original records (...) shall be retained for a minimum of three (3) years followi..."

What type of inspection was this?

This was an 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.