Routine inspection·March 24, 2026

Citations

5 citations recorded^*CCLD

• 1569.69Type B

  HEALTH AND SAFETY CODE... the employee shall complete 10 hours of initial training. This training shall consist of 6 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, & 4 hrs of other training or instruction, as described in subdivision (f), which shall be completed within the first two weeks of employment.This requirement is not met, as staff #2 has not received required 10 hours of medications training, which poses a potential health, safety or presonal rights risk.

• 1569.69(b)Type B

  HEALTH AND SAFETY CODEEach employee who received training and passed the examination required in paragraph (5) of subdivision (a), and who continues to assist with the self-administration of medicines, shall also complete 8 hours of in-service training on medication-related issues each...12 month period. This requirement is not met, as staff #3 has received only 4 hours of annual medication training. Licensee failed to ensure that staff receive required 8 hours of annual medication training, which poses a potential health, safety or personal rights risk.

• 87309(a)Type A

  Ensure hazardous items are locked and not unattended

  STORAGE SPACE & ACCESS...the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances... other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met. as paint is stored in unlocked storage shed in backyard. Licensee failed to ensure that toxics are inaccessible to clients, which poses an immediate health and safety risk to clients in care.

• 87465(h)(6)Type B

  Record centrally stored prescriptions and refill data

  INCIDENTAL MEDICAL CAREA record of centrally stored Rx medications for each resident shall be maintained and include... pharmacist, drug name, strength and quantity, dates filled, started & expiration, prescription number and instructions. This requirement is not met, as Centrally Stored Medication Records reflect incorrect dates filled, expiration dates, quantities, Rx numbers, and some meds are not recorded on CSMR. Licensee failed to maintain accurate CSMRs, which poses a potential health, safety or personal rights risk to clients in care.

• 87468(b)(1)(A)Type B

  Signed rights acknowledgement in resident record

  PERSONAL RIGHTSThe licensee shall have each resident and the resident's representative sign a copy of these rights, and the signed copy shall be included in the resident's record.This requirement is not met, as Personal Rights forms are incomplete or missing for 3 out of 6 clients. Licensee failed to ensure that complete Personal Rights forms are maintained for all clients, which poses a potential health, safety or personal rights risk. Clients #3 and #4, have incomplete Personal Rights forms, and there is no Personal Rights form for client #5.