White's Love & Care Residential Elderly Home Incii

Maintain facility in clean, safe, sanitary condition

Based on observation, the licensee did not comply with the section cited above in which we observed several oxygen tanks which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review], the licensee did not comply with the section cited above due to no liability insurance being avaible for review during the visit which poses a potential health, safety or personal rights risk to persons in care.

Based on observationand interview, the licensee did not comply with the section cited above due to no infection control plan being available for review during the visit which poses/posed a potential health, safety or personal rights risk to persons in care.

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

Maintain required personnel records for staff

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

Address and clearance obligations before facility work

Based on observation, interview, the licensee did not comply with the section cited above in the Licensee did not have P1 criminally fingerprinted and cleared which poses/posed a potential health and safety risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above in where the facility did not have an emergency disaster plan in place which poses/posed a potential health, safety or personal rights risk to persons in care.

(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) (A) Death of any resident from any cause regardless of where the death occurred, including but not limited to a day program, a hospital, en route to or from a hospital, or visiting away from the facility. This requirement was not met as evidenced by: During a health and visit at the facility, LPA was informed Resident 1 (R1) passed away in the facility on 10/04/2025. However, there is no record the facility reported R1's death to Community Care Licensing. This poses a potential health, safety, or personal rights risk to residents/future residents in care.

Obtain required California clearance or exemption

(e) All individuals subject to a criminal record review...shall prior to working, residing or volunteering in a licensed facility:(2) Obtain a California clearance or a criminal record exemption...This requirement was not met as evidenced by: Based on interview,record review, and observation P1 did not have a fingerprint clearance to care for, and be theft alone with R1. This poses an immediate health safety, or personal rights risk to resident in care.

Obtain required California clearance or exemption

(e) All individuals subject to a criminal record review...shall prior to working, residing or volunteering in a licensed facility:(2) Obtain a California clearance or a criminal record exemption...This requirement was not met as evidenced by: Based on interview,record review, and observation P1 did not have a fingerprint clearance to care for, and be theft alone with R1. This poses an immediate health safety, or personal rights risk to resident in care.

Request a transfer of criminal record clearance

(e) All individuals subject to a criminal record review...shall prior to working, residing or volunteering in a licensed facility (3) Request a transfer of a criminal record clearance...This requirement was not met as evidenced by: Based on observation, interview and record review S1's background clearance was not transfered to the facility roster. This poses an immediate health safety, or personal rights risk to resident in care.

Safe, healthful, comfortable accommodations

87468.1(a)(2) Personal Rights of Residents...(a)Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful...This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above when the facility’s water service was turned off due to non-payment of the utility bill, which posed an immediate health and safety risk to residents in care.

87458 Medical Assessment(c)The medical assessment shall include, but not be limited to:(5)The determination whether the person is ambulatory or nonambulatory…or bedridden as defined in Health and Safety Code section 1569.72. This requirement was not met as evidenced by: Based on observation and record review the LIC602 for R1 did not accurately reflect R1’s ambulatory status and appeared to be altered or incomplete. This poses a potential health safety or personal rights risk to residents in care.

Right to sufficient care and qualified staff

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities(a)…residents…have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers… to meet their individual needs. This requirement was not met as evidenced by: Based on interview and record review, there were no staff supervision for at least 10 minutes on 06/30/2025. This poses an immediate health safety, or personal rights risk to residents in care.

(h) All personnel records shall be retained for at least three (3) years following termination of employment. This requirement was not met as evidecned by: Based on interview and record review the licensee did not have (1) staff's file who had stopped working at the facility (7) months prior. This poses a potential health saftey or personal rights risk to residents in care.

Dispose of unused medications with required witness

(i) Prescription medications...not returned to the issuing pharmacy, nor retained in the facility as ordered by the resident’s physician and documented in the resident’s record nor disposed of according to the hospice’s established procedures or which are otherwise to be disposed of shall be destroyed in the facility by the facility administrator and one other adult who is not a resident. Both shall sign a record... This rerquirement was not met as evidenced by: Based on interview and observation, the licensee di not ensure the medications were disposed for one resident. This poses a postential health saftey or personal rights risk to residents in care.

Allow licensing inspection and controlled record removal

(f)...personnel, including the licensee and administrator, shall be...physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening...performed by a physician... A report shall be...signed by the examining physician...This requirement is not met as evidenced by: Based on interview and record review, the licensee (prior administrator) did not have a health screening on file to review during the visit. This poses a potential health safety or personal rights risk to residents in care.

On and after July 1, 2015, all residential care facilities for the elderly...shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate...This requirement is not met as evidenced by: Based on interview and record review, the facility did not have proof of liability insurance to inspect during the visit. This poses an immediate health saftey or personal rights risk to residents in care.

§1569.695 Emergency Plans (c) A facility shall conduct a drill at least quarterly for each shift...Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirment was not met as evidenced by: Based on interview and record review the facility did not conduct a quarterly fire drill. This poses a potential health saftey or personal rights risk to residents in care.

§1569.695 Emergency Plans (a) In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: This requirment was not met as evidenced by: Based on interview and record review, the emergency plan does not include the requirements in HSC 1569.695 and needs to be updated. This poses a potential health safety or personal rights risk to residents in care.

First aid training requirements

87411 Personnel Requirements - General (c) All RCFE staff...(1)...providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement was not met as evidenced by: Based on interview the licensee (prior administrator) and (1) current staff do not have CPR and first aid training. This poses a potential health saftey or personal rights risk.

87355 Criminal Record Clearance(b) Prior to the Department issuing a license, the applicant, administrator and any adults other than a client, residing in the facility shall have a criminal record clearance or exemption. This requirement is not met as evidenced by: There was (1) uncleared adult with an outstanding on the premises with belongings. This posed an immediate health, safety and personal rights risk to persons in care.

Facility must clear fire safety for bedridden persons

87202 Fire Clearance (a)All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department.. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department.. (2) Bedridden persons this requirement is not met as there are (2) bedridden residents this poses an immediate health safety and personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Maintenance and Operation 87303(a) The facility shall be clean, safe, sanitary and in good repair at all times... This requirement is not met as evidenced by: Based on observations, the licensee did not comply with the section cited above by not ensuring all smoke alarms were in working condition. This poses an immediate health, safety or personal rights risk to persons in care.

87205 Accountability of Licensee Governing Body (b) If the licensee is a corporation or an association, the governing body shall be active, and functioning in order to assure accountability. This requirement was not met as evidenced by: Based on records review the licensee is in a state of suspension with the FTB at this time. This poses an immediate health, saftey, or personal rights risk to residents in care.

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a)...residents in privately operated...facilities...shall have all of the following personal rights: (7) To fully participate in planning their care...according to Health and Safety Code section 1569.80 and involve persons of their choice in this planning. The licensee shall provide necessary information and support... This requirement was not met as evidenced by: Based on interview and record review the licensee appointed themselves as the POA for R1 and appointed a staff as R1's POA for Health care. This poses an immediate health, saftey or personal rights risk to residents in care.

87217 Safeguards for Resident Cash, Personal Property, and Valuables(d)…no licensee…shall: (2) accept any general or special power of attorney for any such person; This requirement was not met as evidenced by: Based on interview and record review the licensee was the POA for R1 which poses an immediate health saftey or personal rights risk to residents in care.

87217 Safeguards for Resident Cash, Personal Property, and Valuables (c) Every facility shall account for any cash resources entrusted to the care or control of the licensee… This requirement was not met as evidenced by: Based on interview and record review the licensee appointed themselves to be R1's POA over financial management and does not have a surety bond or ledger of finances management. This poses an immediate health saftey or personal rights risk to residents in care.

Keep prescriptions in original containers

Based on observation, the licensee did not comply with the section cited above with resident medication that was kept in a weekly pill box which poses a potential health, safety or personal rights risk to persons in care.

Allow licensing inspection and controlled record removal

Based on interview and record review, the licensee did not comply with the section cited above with the licensee/administrtor's and staff's health screening which was not avaible for licensing to inspect during the visit which posed a potential health, safety or personal rights risk to persons in care.

Based on interview, the licensee did not comply with the section cited above with the liability insurance that was not avaible for licensing to inspect during the visit which posed a potential health, safety or personal rights risk to persons in care.

Require physician order and label for PRN medication

Based on interview and record review, the licensee did not comply with the section cited above due to no discontinuation of medication that was not on file for (1) resident which poses a potential health, safety or personal rights risk to persons in care.

Based on interview, the licensee did not comply with the section cited above with no documented drill conducting within th required timeframe stated above which posed a potential health, safety or personal rights risk to persons in care.

Based on interview, the licensee did not comply with the section cited above by not having an emergency diaster plan for the LPA to inspect during the time of the visit which posed a potential health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above by not being able to provide record of a valid CPR and first aide card for any staff on premisis which poses an immediate health, safety or personal rights risk to persons in care.

Submit and maintain current mailing address

Based on observation, interview and record review, the licensee did not comply with the section cited above with (2) indivudals who did not have valid department criminal clearance which poses an immediate health, safety or personal rights risk to persons in care.