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Inspection visit

Routine inspection

BERT LILLEEN CARE HOMELicense 4868011753 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Contreras arrived unannounced to conduct a required annual inspection and was greeted by licensee Lilia Saddi. Facility is a Residential Care Facility for the Elderly that has a fire clearance approved for six residents in which four can be ambulatory and two non-ambulatory. Approved hospice waiver for two residents. Upon arrival, LPA observed staff (S1) was fingerprint cleared but was not associated to Guardian Roster (Deficiency cited, see 809D) LPA and admin toured the building and grounds which was found to be clean and in good repair. Facility was clean and at a comfortable temperature. LPA observed all walkways and exits to be unobstructed. All required postings were in a highly visible area. Fire extinguishers were charged and last inspected 2/03/2025. Fire alarms and carbon monoxide detector were tested and operational. Outdoor emergency exit clear from obstruction. Signal system and alarms throughout facility were functional. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable foods. During inspection, facility was in process of replacing new refrigerator. While food was being taken out of previous refrigerator, LPA observed various frozen meats and foods to not have expiration dates noted . In addition, LPA observed multiple canned items to be expired (Technical Violation given). LPA observed medication including chest congestion medicine and Delsym to not be properly stored and accessible to residents on top of kitchen counter sink. Opened box of expired medications observed to be in garage not centrally stored or locked (Deficiency cited, see 809D). Continued to 809-C.... continued from 809C... LPA observed medication to be pre-poured for the following medication pass . LPA had conversation with admin that medication cannot be pre-poured from its original container (Technical Violation given). All bedrooms were equipped with lighting, a night stand and chest of drawers. All bedrooms were clean and in good repair. LPA observed cameras in resident master bedroom and resident room 3. Licensee stated cameras in room 3 were requested by the resident family but was not able to provide documentation. Master bedroom camera was placed by licensee. Licensee was not able to provide documentation but stated resident gave verbal permission. Licensee stated cameras have audio and video recording. LPA had conversation with licensee that cameras and audio recording cannot be placed in private areas (Deficiency cited, see 809D). Facility had an ample supply of linens, towels and extra hygiene products for residents. Resident bathroom had required bath mat and grab bar. Water temperature measured at 111.1 degrees F at faucets accessible to residents which is within the allowable range of 105 to 120 degrees F. LPA will return at another date to complete annual. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given and discussed with Administrator. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and report given to Licensee.

Citations

3 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.

  • 87465(h)(2)Type A

    Based on observation, the licensee did not comply with the section cited above in that cough medication including Delsym and Chest Congestion Relief found on top of kitchen counter sink. Box of expired medications found in garage not locked or centrally stored which poses an immediate health, safety or personal rights risk to persons in care.

  • 87468(a)(1)Type B

    Based on LPA and licensee observation and interview , the licensee did not comply with the section cited above in that two resident bedrooms was observed to have camereras with video and recording audio without CCL waiver exception which poses a potential health, safety or personal rights risk to persons in care.

  • 87355(e)(3)Type B

    Based on LPA and licensee record review the licensee did not comply with the section cited above inwhich poses 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 November 13, 2025 inspection of BERT LILLEEN CARE HOME?

This was a inspection inspection of BERT LILLEEN CARE HOME on November 13, 2025. 3 citations were issued: 1 Type A (serious) and 2 Type B.

Were any citations issued to BERT LILLEEN CARE HOME on November 13, 2025?

Yes, 3 citations were issued (1 Type A, 2 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section cited above in that cough medication including Delsym..."

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