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Inspection visit

complaint

LA CRUZ SENIOR CARE, INCLicense 3746038704 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

Interviews with multiple staff revealed that they observed the pre-poured medication on such dates. Interview with licensee established that this information was not true. It was also alleged that licensee did not issue Resident 1’s (R1) medication as prescribed. According to R1’s Physician Report, R1 is unable to administer own medication. Interview with multiple staff revealed that Licensee has instructed staff to issue R1’s narcotic pain medication all at once. Medical prescription revealed that R1 is to receive narcotic pain medication as-needed every four hours. On October 11, 2025, at 8am, LPA Strong observed the medication administration record (MAR) which showed that on October 11, 2025, R1 had issued five doses of their as-needed pain medication all at once. Interviews also revealed that R1 is allowed to store their pre-issued medication in candy containers. Lastly, it was alleged that multiple staff have been allowed to work prior to meeting their background clearance requirements. Staff schedule collected and medication administration records show there were multiple staff who were not part of the facility roster. Department system records reviewed revealed there were four staff who have not been associated with the facility and one adult who resides at the address who does not have background clearance completed. Based on interviews, records reviewed and observations, a preponderance of evidence exists to support the allegations. Deficiencies are being cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D). Additionally, an immediate civil penalty has been issued. An exit interview was conducted with Administrator Linda Cruz, to whom a copy of this report, LIC 9099-C, LIC 9099-D, LIC421 and the Licensee/Appeal Rights (LIC 9058 03/22) were provided to.

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)(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, residing or volunteering in a licensed facility: (2) Obtain a California clearance or a criminal record exemption as required by the Department.Requirement has not been met as in evidence: Based on records reviewed the licensee did not obtain a criminal record clearance in one person residing at the facility which poses an immediate Safety risk to persons in care.

  • 87355(e)(3)Type B

    87355 (e)All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or Requirement has not been met as in evidence:Based on records reviewed the licensee did not obtain a criminal record transfer in four persons working at the facility which poses an potential Safety risk to persons in care.

  • 87465(2)Type B

    87465(b) If the resident's physician has stated in writing that the resident is able to determine and communicate his/her need for a prescription or nonprescription PRN medication, facility staff shall be permitted to assist the resident with self-administration of his/her PRN medication. Based on records reviewed and interviews the licensee did not assist R1 with PRN medication as prescribed which posed a potential Safety risk to persons in care.

  • 87465(h)(5)Type B

    87465(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.Requirement was not met as in evidecnce: Based on records reviewed and interviews the licensee did not store medication in original containers which poses an potential Safety risk to persons in care.· Type B – “posed a potential Health, Safety, or Personal Rights risk to persons in care.”

FAQ · About this visit

Common questions about this visit

What happened during the October 17, 2025 inspection of LA CRUZ SENIOR CARE, INC?

This was a complaint inspection of LA CRUZ SENIOR CARE, INC on October 17, 2025. 4 citations were issued: 1 Type A (serious) and 3 Type B.

Were any citations issued to LA CRUZ SENIOR CARE, INC on October 17, 2025?

Yes, 4 citations were issued (1 Type A, 3 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 complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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.