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Inspection visit

Complaint

ACORN OAKS MANOR IILicense 3746045521 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

[CONTINUED FROM LIC 9099] Records and interviews showed: Licensee had not arranged for a professional reinspection of its fire alarm system within the last twelve (12) months, as required. The facility’s fire alarm system batteries were past their expiration date and needed to be replaced. The facility’s fire sprinkler system also required repair and reinspection to come back into compliance. These pending items were all necessary for the facility to maintain ongoing compliance with its prior-issued fire clearance from San Diego Fire Rescue Department. Licensee had constructive knowledge, dating back to 10/26/2023, that its fire sprinkler system required repair. Based on records and interviews, a preponderance of evidence exists to show that Licensee did not maintain facility in compliance with its issued fire clearance. One (1) deficiency was cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D page). A Plan of Correction was jointly developed with the Licensee. Since the deficiency was related to fire clearance, an immediate civil penalty of $500 was assessed/charged to Licensee (refer to the LIC421-IM page). An exit interview was conducted with Administrator/Licensee Alexander “Alex” Limpin, to whom a copy of this report, the LIC 9099-D page, the LIC421-IM page, and the Licensee/Appeal Rights (LIC9058 03/22) were provided. [CONTINUED FROM LIC 9099-A] Interviews of multiple facility staff showed they consistently checked residents’ incontinent products roughly every two hours, changing them if wet/soiled, and more often as needed. Caregivers also cleaned the shared restroom daily and performed routine housekeeping. Based on records and interviews, a preponderance of evidence does not exist to show that Licensee did not ensure facility was free of odors from incontinence. The allegation is therefore Unsubstantiated, and no deficiency was cited for it. An exit interview was conducted with Administrator/Licensee Alexander “Alex” Limpin, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

Citations

1 citation 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.

  • 87202(a)Type A

    Maintain fire clearance before retaining specified persons

    87202 Fire Clearance: “(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal.” This requirement was not met, as evidenced by: Based on records and interviews, Licensee did not maintain ongoing compliance with its prior-approved fire clearance. This posed an immediate safety risk to 12 of 12 residents (Resident #1 through Resident #12) in care.

FAQ · About this visit

Common questions about this visit

What happened during the July 1, 2025 inspection of ACORN OAKS MANOR II?

This was a complaint inspection of ACORN OAKS MANOR II on July 1, 2025. 1 citation were issued: 1 Type A (serious).

Were any citations issued to ACORN OAKS MANOR II on July 1, 2025?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87202 Fire Clearance: “(a) All facilities shall maintain a fire clearance approved by the city, county, or city and coun..."

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.

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