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Inspection visit

complaint

BUCK SERENITY HOMESLicense 4868020852 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

continued from 9099-A..... During investigation, LPA reviewed R1’s Preplacement appraisal which indicates that, upon admission, the facility concluded that R1 required a two-person assist. The Preplacement appraisal also indicates that R1 needed a two-person assist when needing help with transferring in and out of bed and dressing. Licensee advised LPA that additional reason for eviction was that he was sick of R1’s responsible party’s demands. LPA advised licensee of regulation 87224 which provides the conditions under which a resident can be lawfully evicted. Licensee did not issue a formal written eviction notice, only a text message indicating his frustration and desire to have R1 find another home. R1 subsequently left the facility. However, R1 was not removed from the facility by licensee, R1 left of their own accord. So, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Copy of report read and given to administrator continued from 9099.... During the investigation, licensee advised LPA that they “could not handle” R1’s care any longer because R1 had “too many changes of condition". Licensee advised LPA during preplacement it was determined that R1 was only a one person assist, according to facility’s assessment. However, licensee claims that R1 was now requiring a two-person assist which is a higher level of care than previously identified. During investigation, LPA reviewed R1’s Preplacement appraisal which indicates that, upon admission, the facility concluded that R1 required a two-person assist. The Preplacement Appraisal also indicates that R1 needed a two-person assist when needing help with transferring in and out of bed and dressing. LPA reviewed R1’s Admission Agreement, which lists the basic services provided by the facility will include, at a minimum, assistance with bathing. LPA requested proof of facility providing showers to R1 but facility could not produce a shower log or any documentation of facility providing showers. Additionally, during the investigation, LPA conducted interviews. Witness (W1) reported to LPA that facility staff refused to give R1 showers due to R1’s large size and having to use a Hoyer lift; instead, they would give R1 bed baths. W1 reported to LPA that the only showers R1 received were provided by non-facility staff. Therefore, based on LPA’s interviews and record review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 Chapter 8, are being cited on the attached 9099-D. Copy of report read and given to administrator. Appeal rights given.

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.

  • 1569.269(a)(6)Type A

    §1569.269Enumerated rights(a) Residents of residential care facilities for the elderly shall have all of the following rights: (6) To care, supervision, and services that meet their individual needs...delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement has not been met as evidence by: Based on records review, observations and interviews conducted Licensee did not ensure to services needs were provided necessary to meet individual care needs which poses an immediate risk to the health and safety of residents in care.

  • 87464(f)(4)Type A

    Basic Services 87464(f)(4) Personal assistance and care...as indicated in the pre admission appraisal, with those activities of daily living such as...bathing... This requirement is not met as evidenced by: Based on record review and interviews Staff refused to give R1 showers due to R1’s large size and facility was not able to provide documentation of shower logs.

FAQ · About this visit

Common questions about this visit

What happened during the January 29, 2026 inspection of BUCK SERENITY HOMES?

This was a complaint inspection of BUCK SERENITY HOMES on January 29, 2026. 2 citations were issued: 2 Type A (serious).

Were any citations issued to BUCK SERENITY HOMES on January 29, 2026?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "§1569.269Enumerated rights(a) Residents of residential care facilities for the elderly shall have all of the following r..."

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.

SourceView on CCLDView original report

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