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Inspection visit

Follow-up on corrections

LEGACY LANE SENIOR LIVING IILicense 3459202014 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Michael Hood arrived at the facility and met with Christina Allen, Overseer, to conduct a case management visit to follow-up regarding observations made during separate inspections conducted on April 21, 2026 and April 22, 2026. During visit conducted on April 21, 2026, LPA observed medications accessible to the residents located in resident R1 and R2's bedrooms. LPA observed R1's nighttime medications pre-poured in R1's bedroom. LPA observed multiple prescription bottles stored in R2's bedroom. Interview with R2 indicated that they had a week's worth of medications pre-poured for them. LPA observed a week's worth of medications pre-poured stored in R2's bedroom. During today's visit, LPA reviewed records, including four (4) resident records. Per Physician's Report (LIC 602A) dated January 29, 2025, R1 is not "able to store own medications." Per LIC 602A dated December 11, 2025, R2 is not "able to administer own prescription medications," not "able to administer own PRN medications," and not "able to store own medications." Per interview and observation, R1 self-manages their own glucose testing. Per LIC 602A dated January 29, 2025, R1 is not "able to perform own glucose testing." Per regulation 87628(a) Diabetes, "The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing with blood or urine specimens, and is able to administer his/her own medication including medication administered orally or through injection, or has it administered by an appropriately skilled professional." ** Report continued on 809-C ** LPA requested Centrally Stored Medication Forms for current residents. Facility was unable to provide requested forms to LPA by the conclusion of their visit. As a result of today's inspection, deficiencies are being cited pursuant to California Code of Regulations, Title 22, Division 6, Chapter 8. Deficiencies are listed on 809-D pages. Exit interview was conducted. A copy of this report and appeal rights were provided. Signature on these forms acknowledges receipt of these documents.

Citations

12 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.

  • 87303(a)Type B
  • 87405(a)Type B
  • 87411(a)Type B
  • 87411(d)Type B
  • 87465(h)(2)Type A

    87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (2) 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 interviews conducted and observations, the facility did not ensure that residents' medications were kept in a safe and locked place, which poses an immediate health, safety, and personal rights risk to the residents in care.

  • 87465(h)(5)Type A

    87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not met as evidenced by: Based on interviews conducted and observations, the facility did not ensure that residents' medications were kept in a safe and locked place, which poses an immediate health, safety, and personal rights risk to the residents in care.

  • 87465(h)(6)Type A

    87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year (...). This requirement is not met as evidenced by: Based on LPA's observations and records reviewed, the facility did not ensure to maintain a record of centrally stored medications for each resident for at least one (1) year, which poses an immediate health, safety, and personal rights risk to the residents in care.

  • 87507(h)(4)Type B
  • 87628(a)Type B

    87628 Diabetes (a) The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing with blood or urine specimens, and is able to administer his/her own medication including medication administered orally or through injection, or has it administered by an appropriately skilled professional. This requirement is not met as evidenced by: Based on LPA's observations, interviews conducted, and records reviewed, the facility did not ensure resident admitted was assessed to be able to perform their own glucose testing, which poses a potential health, safety, and personal rights risk to the residents in care.

  • 1569.625(b)(1)Type B
  • 87555(b)(7)Type B
  • 87506(a)Type B

FAQ · About this visit

Common questions about this visit

What happened during the April 22, 2026 inspection of LEGACY LANE SENIOR LIVING II?

This was a other inspection of LEGACY LANE SENIOR LIVING II on April 22, 2026. 4 citations were issued: 3 Type A (serious) and 1 Type B.

Were any citations issued to LEGACY LANE SENIOR LIVING II on April 22, 2026?

Yes, 4 citations were issued (3 Type A, 1 Type B).

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.