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Inspection visit

Follow-up

LEGACY SENIOR CARELicense 3459200632 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 08/06/2025 Regional Manager (RM) Alycia Rayner, Licensing Program Manger (LPM) Laura Munoz and Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a case management visit. RM, LPM and LPA met with Administrator and explained the purpose of the visit. RM, LPM and LPA Reviewed records and conducted a tour of the interior and exterior of the facility. During today visit, RM, LPM and LPA discussed the following with the Licensee: Staffing needs. The facility was cited on 02/19/2025 for staffing requirements. The Licensee was advised that the facility shall have (2) two staff working at the facility during all waking hours with an on call staff available. Administrator Qualification. The licensee was advised that the Administrator shall be at the facility a sufficient amount of hours. As a result of todays visit deficiencies cited and civil penalties assessed. Exit interview conducted and a copy of the report and appeal rights was left at the facility.

Citations

2 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.

  • 87405(a)Type B

    87405Administrator - Qualifications and Dutie(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 as specified in this section. When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications adequate to be responsible and accountable for management and administration of the facility as specified in this section. The Department may require that the administrator devote additional hours in the facility to fulfill his/her responsibilities when the need for such additional hours is substantiated by written documentation. This requirement is not met as evidenced by:Based on interviews the licensee did not comply with the section cited above as the Administrator is at the facility ten (10) hours a week. This poses a potential health and safety risk to residents in care.

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  • 87411(a)Type B

    87411(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. This requirement is not met as evidenced by:Based on interviews the licensee did not comply with the section cited above as it has been identified the facility has one (1) staff working at the facility 24 hours a day. This poses a potential health and safety risk to residents in care.

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FAQ · About this visit

Common questions about this visit

What happened during the August 6, 2025 inspection of LEGACY SENIOR CARE?

This was a other inspection of LEGACY SENIOR CARE on August 6, 2025. 2 citations were issued: 2 Type B.

Were any citations issued to LEGACY SENIOR CARE on August 6, 2025?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "87405Administrator - Qualifications and Dutie(a)All facilities shall have a qualified and currently certified administra..."

What type of inspection was this?

This was a other inspection. other 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.