Inspection visit

Routine inspectionNovember 21, 2025

CROWN COVELicense 3060056429 citations on this visit

9 citations recorded

Inspector’s narrative

What the inspector wrote

On this day, Licensing Program Analysts (LPAs) Andrea Mendivil and LPA Kimberly Lyman made an unannounced visit to conduct a required annual. LPAs were greeted and granted entry into the facility by staff and explained the reason for the visit. The facility is a three level building with an approved fire clearance of nine ambulatory; eighty-eight non-ambulatory residents of which fifteen are approved for hospice. The facility currently has a census of 72 residents in care. LPAs toured the facility and inspected the physical plant, including but not limited to testing hot water temperature in the bathrooms. The hot water temperature measured 108.6 and 117.6 degrees Fahrenheit. The facility uses Cal Building Systems for smoke directors and fire sprinkler service and the last inspection was conducted on 03/18/2025. The facility conducted an emergency drill on 10/14/2025. LPAs inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. LPAs observed 3 cases of water in the underground parking structure for emergencies. LPAs reviewed 9 resident files, Residents 3, 6 and 7 did not have updated LIC 602 Physicians Report. LPAs reviewed 6 staff files and no staff had CPR or first aid training. LPAs observed staff did not have the annual training that includes 4 hours of training on the following topics: postural support, restricted health conditions and hospice care LPAs observed unsecured laundry room in Memory Care that contained an unsecured cabinet with toxins. LPAs did not observe PUB 475 in the entryway of the facility. LPAs observed Resident 3 who is listed as bedridden in a room that is not cleared for bedridden resident. Per Non Compliance Conference held on 09/05/2025 , Licensee agreed to maintain a staffing ration of 1 caregiver to 7 residents, per review there are 18 residents in Memory Care and only 2 caregivers on shift today. The following is being cited per Title 22. An exit interview was conducted and a copy of this report, LIC 858 and appeal rights were provided.

Citations

9 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.

1569.618(c)(3)Type A
Based on observations and records reviewed the licensee did not comply with the cited above in 2 out of 6 staff members files reviewed. This poses an immediate health and safety risk to persons in care.
1569.625(b)(2)Type B
Based on records reviewed the licensee did not comply with the cited above in 6 out of 6 staff did not have the required 4 hours of training on the following : postural support, restricted health conditions and hospice care. This poses a potential health and safety risk to persons in care.
1569.695(a)(2)Type B
Based on observations made licensee did not comply with the cited above. LPA Mendivil and LPA Lyman observed 3 cases of water for the entire building. This poses a potential health and safety risk to persons in care.
1569.695(d)Type B
Based on records reviewed and observation the licensee did not comply with the cited above as the last signature for review was in 2022 from previous executive director. This poses a potential health and safety risk to persons in care.
87309(a)Type A
Based on observations the licensee did not comply with the cited above as the laundry room in Memory Care was unlocked the toxins in the room were also unsecured. This poses an immediate health and safety to persons in care.
87411(a)Type A
Based on records reviewed and observations the licensee did not comply with the cited above, per Non Compliance Conference held on 09/05/2025, Licensee agreed to maintain a staffing ratio of 1 caregiver to 7 residents, per review there are 18 residents in Memory Care and only 2 caregivers. This poses an immediate health and safety risks to persons in care.
87463(h)Type A
Based on records reviewed the licensee did not comply with the cited above in 3 out of 9 residents as their LIC 602 Physician's Report for Resident 3, Resident 6 and Resident 7 listed on LIC 858-C over a year old. This poses an immediate health and safety risk to persons in care.
87468(c)(2)(A)Type B
Based on observations the licensee did not comply with the cited above as there was no PUB poster in the faciltiy. This poses a potential personal rights risk to persons in care.
87606(c)Type A
Based on observations and records reviewed the licensee did not comply with the cited above as Resident 3 listed on LIC 858. Resident 3 is noted as bedridden, the faciltiy is not licensed to accept bedridden residents. This poses an immediate health and safety risks.

FAQ · About this visit

Common questions about this visit

What happened during the November 21, 2025 inspection of CROWN COVE?

This was a inspection inspection of CROWN COVE on November 21, 2025. 9 citations were issued: 5 Type A (serious) and 4 Type B.

Were any citations issued to CROWN COVE on November 21, 2025?

Yes, 9 citations were issued (5 Type A, 4 Type B). The first citation was for: "Based on observations and records reviewed the licensee did not comply with the cited above in 2 out of 6 staff members ..."

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 CCLD View original report

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Data from CCLD public records. Last updated May 25, 2026. If you believe any information is inaccurate, report it here.

Routine inspection·November 21, 2025