Stonewall Gardens Assisted Living

Reporting Requirements, (c)Any suspected physical abuse that does not result in serious bodily injury...the corresponding licensing agency, and the local law enforcement agency within twenty-four (24) hours...This requrement was not met as evidenced by: CCLD did not receive any incident reports regarding the physical abuse incident occurred on 08/26/2025. This posed a potential health and safety risk to residents in care.

Criminal Record Clearance, (e)All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working..., (3) Request a transfer of a criminal record clearance This requirement was not met as evidenced by:Based on records review, S1 did not have criminal record clearance prior to working at the facility. This posed an immediate health and safety risk to residents in care.

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities, (a)In addition to the rights listed in Section 87468.1, (9)To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. This requirement was not met as evidenced by:Based on interviews conducted and records review, R1 was physically abused by S1. This posed an immediate personal rights risk to residents in care.

(c)(1)(A) Subsequent to initial licensure, a person specified in subdivision (b) who is not exempted from fingerprinting shall obtain either a criminal record clearance or an exemption, pursuant to subdivision (f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in a facility.This requirement is not met as evidenced by: Based on observations, interviews and records review, the Licensee did not comply with the section cited above on 1 out 1 time, as S1 began working without having a fingerprint clearance. This poses an immediate health, saftey and personal rigths risk to persons in care.

87208 Plan of Operation(a) Each facility shall have and maintain a current, written definitive plan of operation. The plan and related materials shall be on file in the facility and shall be submitted to the licensing agency with the license application. Any significant changes in the plan of operation which would affect the services to residents shall be submitted to the licensing agency for approval. The plan and related materials shall contain the following: This requirement is not med as evidenced by the LIC610E was not on the updated form and there were staff with designated duties. This poses an immediate health, safety and personal rights risk to persons in care

PERSONNEL RECORDSThe licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information. LPA observed staff files not to be complete, information missing. records verification of required staff training and orientation, as specified.Documentation of staff training shall include(A) Trainer's full name; (B) Subject(s) coveredThis poses a potential health, safety, personal rights risk to persons in care

RCFEs shall have all of the following personal rights: To be accorded safe, healthful & comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: The facility van fire extinguisher is not mounted and can roll around the van. This poses an immediate health, safety and personal rights risks to persons in care

Personnel requirements-general-All RCFE staff are to have 10 hours of initial training in their first 4 weeks of employment and at least 4 hours of training annually thereafter. This requirement is not met as evidenced by: 5 out of 5 facility staff did not find any documentation of training provided to any staff of 5 files that were reviewed. This poses an immediate health, safety and personal rights risk to persons in care.

Fees for license or applications; use of revenues; collected; denial or forfeiture: (e) The failure of an applicant for licensure or a licensee to pay all applicable and accrued fees and civil penalties shall constitute grounds for denial or forfeiture of a license. This requirement was not met by: Based on record review, the Licensee did not comply with the above Health & Safety Code with licensing fees ($1,875.00 total). LPA Colvin observed that the facility past due licensing fees for annual fees as well as late fees for 2021. This is an immediate safety risk to all residents as license may be revoked.