Casa Doris

Based on (record review), the licensee did not comply with the section cited above. During site visits on 2/23/26 and 2/26/26, there were no hospice training records provided by hospice professionals available for review, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review and interviews, the licensee did not comply with the section cited above. During site visits on 2/23/2026 and 2/26/2026, 3 current staff do not have their first aid/cpr certificate on file for review. This poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observations on 2/23/2026 and 2/26/2026 , the licensee did not comply with the section cited above. Hot water temperature readings were between 122 degrees F and 125 degrees F, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the regulation cited above. During inspection visit on 2/23/2026, LPA found a knife inside the dishwasher and was accessible to residents; the garage was unlocked and found laundry detergents, floor cleaner and bleach that were accessible to residents in care; the Employee Room was unlocked and found vitamins, hygiene items inside the room and were accessible to residents. Per review of resident Physician's Reports, at least 2 residents in care were assessed to be at risk if they have access to the items listed above; disinfectants were observed under the bathroom sink. These pose immediate safety, health, and personal rights risks to persons in care.

Based on observation, interviews, and reviews of Guardian and LIS, S2 was present at this facility on 2/23/26 without association clearance to this facility. This poses immediate safety, health and personal rights risks to persons in care.

Based on record review), the licensee did not comply with the section cited above. During site visit on 2/23/2026, staff files were not availabe at the facility and documents of their crmininal records clearance was not available for review, which poses/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. During site visit on 2/23/2026, all staff files were not available for review upon request. During site visit on 2/26/2026, Beatrice Clark's file was not availbe for review upon request.This poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interview and record reviews, the licensee did not comply with the section cited above. Not all residents have centrally stored medication records on file. Beatrice Clark stated she does not have these records for all residents in care, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on(record review), the licensee did not comply with the section cited above. 4 of 4 residents did not have a PRN Authorization Letter on file, which poses/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. Facility do not maintain administered PRN records since licensure, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observations, the licensee did not comply with the section cited above. During the visit on 2/23/2026, LPA found two resident medications inside the kitchen refrigerator that were accessible to residents. Also, the medication cabinet doors were not secured and LPA was able to open the cabinet doors without using the magnetic key; part of the magnetic lock was secured by tape/adhesive. These pose an immediate 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. Licensee did not have a signed admisson agreement for 1 of 4 residents in care, which poses/posed a potential health, safety or personal rights risk to persons in care.

87355 (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 as required by the Department . This requirement is not met as evidenced by: S2's name was not found in LIS and Guardian as being associated to this facility. Which poses an immediate Health, Safety or Personal Rights Risk to persons in care.

Basic services shall at a minimum include:Regular observation of the resident's physical and mental condition, as specified in Section 87466, Observation of the Resident. This requirement is not met as evidenced by: Staff were unavailable to provide regular observation of R1's physical conditions which poses an immediate Health, Safet and/or Personal Risk to persons in care.