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Inspection visit

Complaint

ACORN OAKS MANOR IIILicense 3746045541 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

[CONTINUED FROM LIC 9099] LPA observation and interviews showed: The current facility (Acorn Oaks Manor III) is located at 6209 Acorn Street, San Diego, CA 92115. After this current facility’s licensure, Licensee had built another adjacent building/structure at 6211 Acorn Street. This new adjacent building sat so close to the current facility that it constricted the space just outside the side sliding-glass door of Bedroom #1 (of Acorn Oaks Manor III), creating a narrow hallway. Per San Diego Fire Rescue Department, this constriction was indeed severe enough to impair Bedroom #1’s continued status as a non-ambulatory room, as it was designated in the facility’s prior-approved fire clearance. By the start of CCLD’s complaint investigation, Licensee had already used a professional contractor to construct a second side-exit door coming out of Bedroom #1 which does not face towards 6211 Acorn Street. Based on photographs, interviews, and LPA observation, a preponderance of evidence exists to show that during the complaint time frame, 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 timely corrected upon Licensee’s constructive knowledge of the problem, and fully resolved by the start of CCLD’s investigation, no civil penalty was assessed/charged. An exit interview was conducted with Administrator/Licensee Alexander “Alex” Limpin, to whom a copy of this report, the LIC 9099-D page, and the Licensee/Appeal Rights (LIC9058 03/22) were provided. [CONTINUED FROM LIC 9099] 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 restrooms 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 5 of 5 residents (Resident #1 through Resident #5) in care.

FAQ · About this visit

Common questions about this visit

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

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

Were any citations issued to ACORN OAKS MANOR III 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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