Inspection visit

Follow-up on correctionsJanuary 12, 2023

JASMIN TERRACE AT YUCCA VALLEYLicense 3618808011 citation on this visit

1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Melody Brown met with Licensee Virginia Garcia and Administrator Michael Garcia at Community Care Licensing Division (CCLD) Adult and Senior Care (ASC) Regional Office 01/12/2023 at 01:00 PM to initiate a Case Management Office Visit. LPA Brown explained the purpose of the requested Office Visit. The investigation consisted of interviews and a review of pertinent documentation. On 12/29/2022, LPA Brown received Personnel Report Summary (LIC500) from Administrator Garcia and Staff December 2022 Work Schedule. LPA Brown observed per records review that Staff # 5 (S5) was listed “pending” in LIC500 with date 12/05/2022 but per 12/2022 Staff Schedule received, it indicated S5 working at the facility 12/01/2022. On 01/09/2023, LPA Brown received 12/2022 and 01/2023 Staff Work Schedule from Administrator Garcia and both 12/2022 and 01/2023 staff work schedule indicated S5 working at the facility. On 01/12/2023, LPA Brown contacted S5 and S5 reported working at the facility since 06/07/2021 on a night (NOC) shift schedule. During the office visit on 01/12/2023, Administrator Garcia confirmed that S5 started working at the facility 06/07/2021. LPA Brown observed per records review that S5 criminal background clearance is “in process” per Guardian website and the facility allowed S5 to work at the facility without criminal background clearance. LPA Brown will issue a deficiency as this pose immediate health, safety and personal rights risk to residents in care. LPA Brown reviewed compliance history and observed that the facility was issued the same deficiency for a staff working at facility without criminal background clearance last 08/09/2022. Civil Penalty was assessed for repeat violation on Criminal Background Clearance within a 12-month period with the amount of $3,000.00 and will continue to be assessed of $100.00 per day per citation until corrected during the Office Visit due to the facility allowed S5 to work without Criminal Background Clearance since 06/07/2021. An exit interview was conducted with Licensee Virginia Garcia and Administrator Michael Garcia where a copy of this report (LIC 809) along with LIC 809D, LIC421BG and Appeal Rights were discussed and provided.

Citations

4 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.

87355(e)(1)Type A
87355 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...(1) Obtain a California clearance... This requirement is not met as evidenced by: Based on interview and records review, the Licensee did not comply with the section cited above by allowing Staff #5 to work at the facility without criminal background clearance since 06/07/2021 which pose immediate health, safety and personal rights risk to resident in care.
87468.1(a)(3)Type A
87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the...(3) To be free from punishment, humiliation, intimidation, abuse...This requirement is not met as evidenced by: Based on interview and records review, the Licensee did not comply with the section cited above due to facility staff neglect to ensure R1 is free from abuse from R2 and resulted to R1’s injury which pose immediate health, safety and personal rights risk to resident in care.
87355(e)(2)Type A
87355 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...(2) Request a transfer of a criminal record clearance as specified... This requirement is not met as evidenced by: Based on interview and records review, the Licensee did not comply with the section cited above by failure to associate Staff # 4 to the facility which pose immediate health, safety and personal rights risk to resident in care.
87705(c)(5)Type A
87705 Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall... (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually...This requirement is not met as evidenced by: Based on interview and records review, the Licensee did not comply with the section cited above by failure to ensure that R2 have annual medical assessment and reappraisal done annually which pose immediate health, safety and personal rights risk to resident in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 12, 2023 inspection of JASMIN TERRACE AT YUCCA VALLEY?

This was a other inspection of JASMIN TERRACE AT YUCCA VALLEY on January 12, 2023. 1 citation were issued: 1 Type A (serious).

Were any citations issued to JASMIN TERRACE AT YUCCA VALLEY on January 12, 2023?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87355 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Co..."

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 CCLD View original report

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Data from CCLD public records. Last updated May 25, 2026. If you believe any information is inaccurate, report it here.

Follow-up on corrections·January 12, 2023