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Inspection visit

Routine inspection

GEM'S SENIOR LIVING ILicense 33641308411 citations on this visit
11 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Yolanda Delgado arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by facility staff and granted entry. LPA began inspection with introduction, visit purpose and provided the facility caregiver with LPA identification and business card. Resident record review began- Four (4) records were reviewed. LPA reviewed for admission agreement, medical assessment and TB test results, consent forms, identification and emergency information, appraisal needs and service plans, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. This facility is not meeting documentation requirements. Employee records review began- Two (2) records were reviewed. LPA reviewed employee record for first aid certification, fingerprint clearance, personnel/job application, health screening and TB test results, criminal record statement, employee rights, training verification, and current administrator certification. CPR and requirements have been met. The facility employs enough staff to maintain cleanliness and meet the needs of the clients in care. Administrator certification is not present. Physical Plant and Safety of Environment/Operational Requirements- LPA toured the facility inside and outside. The home is maintained at a comfortable temperature for the clients. Lighting is sufficient for safety and comfort. Water temperature measured 109.0 degrees F. Laundry facilities and a locked cabinet is present for storing laundry soap and other chemicals in the garage. All outdoor and indoor passageways are free of obstruction. A locked area is provided for medications and sharp objects. LPA verified there is a telephone working at this location. Two (2) exterior window screens need to be repaired. (Continued from LIC809, Page 2) (Continued from LIC809, Page 1) Food Service- Food supply meets the of one week supply of nonperishable and 2-day supply of perishables food on hand. A menu is posted, foods are dated to assure safety. Food prep areas are clean and organized. No emergency food and water was observed. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. The facility has not exceeded its capacity limitation, and the structure remains unchanged according to the approved floor plan. Smoke detectors and carbon monoxide detectors were tested and found to be operational. Fire extinguishers are tested or replaced annually and were last done so on 06/2025. The facility is conducting emergency disaster drills. The last disaster drill was conducted on 06/11/2025. There were no bodies of water observed. Based on the information received during this visit today, the following eleven (11) deficiencies is being cited per Title 22, Division 6 of The California Code of Regulations. This report was reviewed with Sri Gutta, LIC809D, Appeal Rights at the time of the exit interview and copies will be emailed to the facility and confirmation of receipt will be requested.

Citations

11 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.

  • 1569.153(d)Type B

    Based on LPA Delgado observation, interview and record review, the licensee did not comply with the section cited above in R1 did not have an inventory of personal property in file which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.625(b)(1)Type B

    Based on LPA Delgado's observation, interview and record review, the licensee did not comply with the section cited above in no training was observed for S1 and S2 in files which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.695(a)(2)Type B

    Based on LPA Delgado's observation and interview, the licensee did not comply with the section cited above in no emergency food and water was observed which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87205(b)Type A

    Based on LPA Delgado observation , interview and record review, the licensee did not comply with the section cited above in the Licensee corporation is suspended as of 06/30/2025 according to the California Secretary of State which poses an immediate health, safety or personal rights risk to persons in care.

  • 87412(a)(13)(B)1Type B

    Based on LPA Delgado's observation, interview and record review, the licensee did not comply with the section cited above in no valid Administrative certification was observed which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87456(a)(2)Type B

    Based on LPA Delgado's observation, interview and record review, the licensee did not comply with the section cited above in R1, R2, R3, R4 did not have completed signed pre-admission appraisals in their files which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87458(a)Type B

    Based on LPA Delgado's observation, interview and record review, the licensee did not comply with the section cited above in R4 did not have a medical assessment in file which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87506(b)(17)(E)Type B

    Based on LPA Delgado's observation, interview and record review, the licensee did not comply with the section cited above in R4 did not have a reappraisal in file which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87507(c)Type B

    Based on LPA Delgado's observation, interview and record review, the licensee did not comply with the section cited above in R4 did not have an admission agreement in their file which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87303(c)Type B

    Based on LPA Delgado's observation and interview, the licensee did not comply with the section cited above in exterior window screen is tethered and sliding window screen is missing which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87303(d)Type B

    Based on LPA Delgado's observation and interview, the licensee did not comply with the section cited above in Room #3 did not have any lamps for residents (2) which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the June 30, 2025 inspection of GEM'S SENIOR LIVING I?

This was a inspection inspection of GEM'S SENIOR LIVING I on June 30, 2025. 11 citations were issued: 1 Type A (serious) and 10 Type B.

Were any citations issued to GEM'S SENIOR LIVING I on June 30, 2025?

Yes, 11 citations were issued (1 Type A, 10 Type B). The first citation was for: "Based on LPA Delgado observation, interview and record review, the licensee did not comply with the section cited above ..."

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