Skip to main content
ReadyRule homepageReadyRule

Inspection visit

Routine inspection

TRADITIONS AT LUCERO WAYLicense 30600603910 citations on this visit
10 citations recorded

Inspector’s narrative

What the inspector wrote

On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to conduct a required annual. LPA was greeted and granted entry by staff and explained the reason for the visit. Licensee/Administrator Lordele De Los Reyes arrived at 8:45am. The facility is a 7 bedroom, 3.5 bathroom single story home with an attached garage. The facility is licensed for 5 non-ambulatory residents and 1 bedridden resident in room #6 only. The facility has a hospice waiver for 4 residents and currently has 2 residents on hospice. During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors and water temperatures. The water temperatures tested at 105 to 105.8 degrees. All smoke detectors were operational. The facility’s last fire drill was conducted on June 1, 2025. LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. LPA observed 5 different food items that were expired dates ranging from September 2022 to April 2025 found in kitchen cabinets. LPA did not observe a PUB 475 in regulation size or facility license posted in the facility. LPA reviewed 5 out of 5 resident files. LPA observed 5 out of 5 residents did not have a signed admission agreement. LPA observed 5 out of 5 residents did not have an appraisal conducted at admission or an updated appraisal. LPA observed 3 out of 5 residents did not have an updated medical assessment. LPA Mendivil requested a copy of facility liability insurance and Administrator was not able to produce a copy. LPA reviewed 3 out of 3 staff members files, 2 out of 3 staff did not have a health screening on record. LPA Mendivil observed 1 out of 3 staff member's criminal clearance not associated to the facility. LPA Mendivil confirmed Administrator certificate expires on October 6th 2025. LPA Mendivil consulted with Administrator Lordele regarding reporting requirements, the importance of documentation and time administrator spends at the facility. Based on observations made during today's visit deficiencies are being cited per Title 22. A copy of this report, appeal rights, LIC 858 and LIC 859, LIC 421 BG provided to the facility representative.

Citations

10 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.

  • 87355(e)(3)Type A

    Based on records reviewed and interviews the licensee did not comply with the section cited above in 1 out of 3 staff members which poses an immediate health and safety risk to persons in care.

  • 87412(a)(11)Type B

    Based on records reviewed the licensee did not comply with the following in 2 out of 3 staff members as they did not have a health screening on record. This poses a potential health and safety risks to persons in care.

  • 87412(g)Type B

    Based on observation Licensee did not maintian staff records at the facility in 2 out of 3 staff members, This poses a potential health and safety risks to persons in care.

  • 87458(c)(1)(A)Type A

    Based on records reviewed the licensee did not comply with the following in 1 out of 5 residents as Resident 1 on LIC 858 did not have results of TB test on record. This poses an immediate health and safety risks to persons in care.

  • 87463(a)Type A

    Based on records reviewed the licensee did not comply with the above in 5 out of 5 residents as no apprasials were conducted or updated as needed. This poses an immediate health and safety risk to persons in care.

  • 87463(h)(1)Type A

    Based on records reviewed the Licensee did not comply with the following in 3 out of 5 residents as 3 residents did not have any updated medical assessment or documentation of visits. This poses an immediate health and safety risks to persons in care.

  • 87555(b)(8)Type B

    Based on observations the licensee did not comply with the cited above as there were expired food items (seasonings and instant mashed potatoes) in kitchen cabinets. This poses a potential health risks to persons in care.

  • 1569.605Type A

    Based on interviews and observation Administrator Lordele De Los Reyes stated facility could not produce liability insurance.

  • 87468(c)(2)(A)Type B

    Based on observation the licensee did not comply with the cited above as the licensee does not have PUB 475 in regulation size of 20X 26.

  • 87507(c)Type B

    Based on records reviewed the licensee did not compy with the cited above as 5 out of 5 residents' admission agreements were missing facilty representative's signature. This poses a potential personal rights risks to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 23, 2025 inspection of TRADITIONS AT LUCERO WAY?

This was a inspection inspection of TRADITIONS AT LUCERO WAY on September 23, 2025. 10 citations were issued: 5 Type A (serious) and 5 Type B.

Were any citations issued to TRADITIONS AT LUCERO WAY on September 23, 2025?

Yes, 10 citations were issued (5 Type A, 5 Type B). The first citation was for: "Based on records reviewed and interviews the licensee did not comply with the section cited above in 1 out of 3 staff me..."

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

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

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