Inspection visit

Follow-up on correctionsJanuary 28, 2026

ACORN OAKS MANOR IILicense 3746045522 citations on this visit

2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Case Management Visit to cite a deficiency identified during a separate complaint investigation. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Supervisor Jamily “Jamila” Hallak and Licensee/Administrator Alex Limpin. Interviews of managers, caregivers, and an outside source, along with video, showed: During late 2025, Licensee undertook a project to widen the doorframes of its residents’ bedrooms to make them more wheelchair-friendly. As part of this project, the shared bedroom door belonging to Resident #1 (R1) and Resident #2 (R2) was also widened. [See LIC811 Confidential Names List for a description of person identifiers used in this report.] After completion, R1’s/R2’s bedroom door could not be swung closed because it would contact the end of R1’s bed. After a few weeks, staff fixed the issue by rearranging R1 and R2’s beds within the room to prevent blocking the door’s swing. Based on the specific circumstances and dimensions, CCLD concluded that the passageway into and out of R1’s bedroom was not blocked to the degree that people were materially slowed when coming in and out of the room. However, the inability to close the bedroom door represented a privacy violation. Also, during his 01/14/2026 visit, LPA observed: R1’s/R2’s bedroom door could now be closed. However, their door did not remain latched after being closed. Instead, once LPA released the door handle, the door would pop open again, repeatedly. This indicated adjustment were needed to door’s hinges and/or latch, which Licensee had completed by LPA’s return visit on 01/28/2026. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] During a review of records with management, LPA observed, and manager interviews confirmed: Licensee did not have on file proof of a negative Tuberculosis (TB) test result (or chest x-ray to rule out TB) for R2, which was required before R2 moved in, as per CCR 87458(c)(1)(A). [During LPA’s 01/14/2026 visit, R2 did not show any signs/symptoms of TB observable to a layperson.] Two (2) deficiencies were cited per California Code of Regulations, Title 22 (refer to the attached LIC 809-D page). Plans of Correction were jointly developed with the Licensee. An exit interview was conducted with Licensee/Administrator Alex Limpin, to whom a copy of this report, the LIC 809-D page, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during today’s visit.

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.

87307(a)(3)(D)Type B
General hygiene items required
87307 Personal Accommodations and Services: “(a)(3) Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available…the licensee shall assure provision of: (D) Hygiene items of general use such as soap and toilet paper.” This requirement was not met, as evidenced by: Based on interview and LPA observation, Licensee did not ensure that 1 of 2 shared bathrooms was stocked with toilet paper. This posed a potential health and personal rights risk to 10 of 12 residents (R1 though Resident #10) in care.
87464(f)(4)Type B
Personal assistance and care for required daily activities
87464 Basic Services: “(f) Basic services shall at a minimum include: (4) Personal assistance and care as needed by the resident…with those activities of daily living...” This requirement is not met, as evidenced by: Based on records and interviews, Licensee did not provide 3 of 12 residents (R1, R2, and R3) assistance with activities of daily living and care as needed by the resident. This posed a potential health and personal rights risk to persons in care.
87458(c)(1)(A)Type B
Record findings for communicable tuberculosis conditions
87458 Medical Assessment: “(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following: (A) Communicable tuberculosis.” This requirement was not met, as evidenced by: Based on records review, Licensee did not ensure that the pre-admission medical assessment for 1 of 12 residents (R2) included the test results of an examination for communicable tuberculosis. This posted a potential health risk to persons in care.
87468.2(a)(1)Type B
Right to personal privacy in daily care
87468.2 Additional Personal Rights of Residents in Privately Operated Facilities: “(a) …residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (1) To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications,...” This requirement was not met, as evidenced by: Based on interviews and LPA observation, Licensee did not ensure that 2 of 12 residents (R1 and R2) in this privately operated residential care facility for the elderly had a reasonable level of personal privacy in accommodations and personal care and assistance. This posed a potential personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 28, 2026 inspection of ACORN OAKS MANOR II?

This was an other inspection of ACORN OAKS MANOR II on January 28, 2026. 2 citations were issued: 2 Type B.

Were any citations issued to ACORN OAKS MANOR II on January 28, 2026?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "87307 Personal Accommodations and Services: “(a)(3) Equipment and supplies necessary for personal care and maintenance o..."

What type of inspection was this?

This was an 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 June 22, 2026. If you believe any information is inaccurate, report it here.

Follow-up on corrections·January 28, 2026