Loving Legacy Senior Care Ii

Passageways and stairways kept clear

Provide resident hot water for personal care

Diet quality and preparation in safe healthful manner

Based on observation, the licensee did not comply with the section cited above. Inspection of the kitche, LPA did not observe fresh vegetables and enough perishable food to accomodate 5 residentws, which poses/posed a potential health, safety or personal rights risk to persons in care.

Provide resident hot water for personal care

Based on observation, the licensee did not comply with the section cited above. The hot water temperature in both bathroom faucet were measured between 150 and 151 degrees Fahrenheit, which poses an immediate health, safety or personal rights risk to persons in care.

Passageways and stairways kept clear

Based on observation the licensee did not comply with the section cited above. Walkway to the only exit gate at the side was obstructed by items such as wood bookshelf/cabinet, shower chair and a large plant pot. Someone with wheelchair would not be able to fit which poses/posed a potential health, safety or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on observation], the licensee did not comply with the section cited above. The cabinet under the kitchen sink where they keep kitchen knives, dish detergents and cleaning solutions can be unlocked without a key, which makes it accessible to residents. This poses an immediate health, safety or personal rights risk to persons in care.

Maintain facilities for fire and panic safety

Fire Safety: All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. Based on observation, upon arrival, LPA observed the fire door was propped open with a dining chair. This poses an immediate health, safety, and personal rights risks to persons in care.

Passageways and stairways kept clear

Provide resident hot water for personal care

Maintain facilities for fire and panic safety

Fire Safety: All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic.This requirement is not met as evidenced by: Based on observation, the fire door was propped open with a dining chair throughout this visit. This poses an immediate health, safety, and personal rights risks to persons in care.

Records available to licensing agency for inspection

(d) All resident records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours.This requirement was not met as evidenced by: Based on record reviews and interviews, the licensee did not comply with the regulation cited. R3's Medical Assessment and Needs and Services Plan were not available for review during this visit. This poses a potential health, safety, and personal rights risks to persons in care.

Maintain personnel records at facility location

(g) All personnel records shall be maintained at the facility and shall be available to the licensing agency for review.This requirement is not met as evidenced by: Based on record review and interviews, S1's health screen record was missing the second page; and S2's records were not available for review upon request. This poses a potential health, safety, and personal rights risks to persons in care.

Records available to licensing agency for inspection

Maintain personnel records at facility location

Maintain facilities for fire and panic safety

Maintain facilities for fire and panic safety

Records available to licensing agency for inspection

Maintain personnel records at facility location

Kitchen sanitation against contamination sources

All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. This requirement is not met as evidenced by:Based on observation, the licensee did not comply with the regulation cited above. During inspection of the kitchen and pantry, LPA observed cobwebs and debris inside the pantry and debris in kitchen cabinet where they store pots and pans. This poses a potential safety, health, personal rights risks to persons in care.

Food quality controls and rejected damaged goods

All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. This requirement is not met as evidenced by:Based on observation, the licensee did not comply with the regulation cited above. During inspection of the kitchen, LPA found damaged (burned) canned food in the pantry. This poses a potential safety, health, personal rights risks to persons in care.

Rapid-growth perishable foods must be covered

All readily perishable foods or beverages capable of supporting rapid and progressive growth of micro-organisms which can cause food infections or food intoxications shall be stored in covered containers at appropriate temperatures. This requirement is not met as evidenced by:Based on observation, the licensee did not comply with the regulation cited above. During inspection of the refrigerator, LPA found half of an avocado that is not stored in a closed container. This poses a potential safety, health, personal rights risks to persons in care.

Store centrally held medications in locked secure place

Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by:Based on observation, the licensee did not comply with the regulation cited above. During inspection of the kitchen, LPA found 2 medication pills in a drawer next to the dishwasher machine. These were not locked and were accessible to residents. This poses an immediate safety, health, personal rights risks to persons in care.

Ensure hazardous items are locked and not unattended

the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by:Based on observation, the licensee did not comply with the regulation cited above. During inspection of the kitchen, LPA found 2 knives in a drawer next to the oven. These were accessible to residents in care. This poses an immediate safety, health, personal rights risks to persons in care.

Care and supervision as defined by statute and rules

87464 Basic Services (f) Basic services shall at a minimum include (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Codesection 1569.2(c).This requirement was not met as evidenced by: The facility did not ensure that a resident in care was kept under continuous supervision which resulted in elopement. On 1/24/2026 resident (R1) eloped from the facility, without facility staff awareness, and sustained multiple injuries as they were struck by a vehicle. Which poses in immediate Health and Safety risk to residents in care.

Maintain separate complete record for each resident

87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement was not met as evidenced by:The licensee did not ensure the facility Admission Agreement for resident (R1) was complete as the agreement missed required signatures. Which poses a potential personal rights risk to residents in care.

Maintain cleanliness and prevent incontinence odors

87625 Managed Incontinence (b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following (3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement was not met as evidenced by:The facility did not ensure that residents room 1 was kept clean, and free of odor. LPA observed bottles of urine on the residents dressers. Facility staff discarded the waste, and cleaned the room.

Diet quality and preparation in safe healthful manner

87555 General Food Service Requirements (a) The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents... All food shall be selected, stored, prepared and served in a safe and healthful manner. This requirement was not met as evidenced by:Licensee did not ensure that food being served in the facility was of good quality. LPA observed residents consuming breakfast items that were not considered healthy food choices.

Certified administrator requirements and substitute coverage

87405 Administrator Qualifications and Duties (a) All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be one and the same person. The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility... This requirement was not met as evidenced by:The licensee did not ensure that the facility had sufficient staffing levels to ensure the health and safety of all resident in care.

Care and supervision as defined by statute and rules

87464 (f)(1) Basic services care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c).This requirement is not met as evidence by: Based on interviews with facility staff. The facility did not provide adequate care and supervision which resulted in R1 and R2 eloping from the facility on 9/3/2025. Additional elopement of R2 on 9/4/2025. This posed an immediate health and safety risk to residents in care