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Inspection visit

Routine inspection

COMMONS AT UNION RANCH, THELicense 3927003662 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Unannounced Annual visit made out to this facility on 07/07/2025 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated Administrator, Sheryl Bravo, who was briefly interviewed at this time. Current census was 103 residents. It was learned that there were (10) residents under the care of hospice at this time while other residents were receiving services through home health as well. This facility does have a hospice waiver approved for (25) residents and does have a program on file to address dementia care for residents at any given time. It was learned that there were (4) residents deemed to be bedridden at this time. This facility does have a fire clearance to be able to accept/or retain up to (10) residents deemed to be bedridden at this time. A tour of this facility was conducted. Administrator certificate was observed to be present for facility designated Administrator Sheryl Bravo. The expiration date was set for 03/03/2024. All documents have already been submitted to renew at this time. Kitchen area was toured. Cabinets and drawers were reviewed. Food preparation stations, dishwashing station, and other areas intended for meal preps were toured. Food supply was reviewed for adequate 2-day perishable and 7-day nonperishable quantities at this time. This LPA did observe additional food storage units which were present and functional at this time. A tour of the dining area, living area, and all other areas intended for resident use was conducted. Medication rooms, located on each floor, were reviewed. Policies and procedures involving dispensing, documenting, and overall administration of resident medications were discussed with the facility designated medication technicians at this time. The medication carts were observed to be locked and made inaccessible to the residents at this time. A tour of the resident bedrooms and restrooms was conducted. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. It was learned that there were several different floor plans for residents on the Assisted Living portion of this facility. Hot water temperatures were taken and measured to make sure that they were within the allowed range of 105-120 degrees. Linen closet, located in the facility laundry area, was observed to contain a sufficient supply of towels, blankets, and linens to meet the needs of the residents at this time. A tour of the Memory Care unit, referred to as Connections for Living (CFL), was conducted. Fire extinguishers, located throughout this facility, were observed to have been annually inspected on 04/01/2025 by the local fire extinguisher company, Edison Fire Protection Co., and in compliance at this time. First aid kits were observed to be present and contained all of the required components at this time. Exterior grounds of this facility were toured. A review of the facility perimeter fence, side gates, and exits was conducted. A review of (7) facility resident files was conducted and noted on the following LIC 858. A review of (7) facility personnel files was conducted and noted on the following LIC 859. The following forms and documents were requested to be updated and submitted into CCL for review by this LPA: LIC 308 LIC 400 LIC 500 LIC 610 The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Codes. Appeal Rights were printed and a copy was given to the facility designated Administrator at this time. Exit Interview

Citations

2 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.

  • 1569.625(b)(2)Type B

    Based on record review, the licensee did not comply with the section cited above in [2] out of [7] facility personnel files did not contain initial/annual training hours which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87303(a)Type B

    Based on observation, the licensee did not comply with the section cited above in that the kitchen cabinet drawers were in need of repair and a broken chair was set out in the memory care courtyard which poses/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 July 7, 2025 inspection of COMMONS AT UNION RANCH, THE?

This was a inspection inspection of COMMONS AT UNION RANCH, THE on July 7, 2025. 2 citations were issued: 2 Type B.

Were any citations issued to COMMONS AT UNION RANCH, THE on July 7, 2025?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "Based on record review, the licensee did not comply with the section cited above in [2] out of [7] facility personnel fi..."

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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