Skip to main content

Inspection visit

complaint

FIVE ACRES AT LEISURE TOWN NORTHLicense 4868039841 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Continued from 9099-C. Based on LPA’s review of personnel files; there are a lack of records to indicate that Staff are properly trained to adminster and/or document medication records . The allegation that Staff are not properly trained to adminster medications is SUBSTANTIATED. The California Code of Regulations cited on the attached LIC9099D. Deficiencies are cited from the California Code of Regulations (CCRs). Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Continued from 9099-A The complaint also alleges Staff do not properly lock medications and the med cart is left unattended and unlocked. LPAs observed medications were found to be properly locked and secured and the med cart was locked inside the locked doors of the administrative office; therefore the allegations Staff do not properly lock medications and the med cart is left unattended and unlocked are UNSUBSTANTIATED. The complaint also alleges that the Administrator does not have proper certification. The Administrator James Sirokman has a valid RCFE Administrator’s Certificate #7014025740, which is effective to 07/01/2025, therefore the allegation the Administrator does not have proper certification is UNSUBSTANTIATED Finally, the complaint alleges that staff at the facility are not background cleared and have criminal records . A review of documentation show that 10 out of 10 staff have proper background clearance and are associated to the facility, therefore the allegation that staff at the facility are not background cleared and have criminal records is UNSUBSTANTIATED. .

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.

  • 87412(c)Type A

    87412(c):Personnel Records. Personnel records shall contain verification of required staff training and orientation, as specified. This requirement was not met as evidenced by:Based on LPA’s inspection on 6/3/2024 of personnel records that did not include proof of staff training which is an immediate risk to the Health & Safety of residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the June 3, 2024 inspection of FIVE ACRES AT LEISURE TOWN NORTH?

This was a complaint inspection of FIVE ACRES AT LEISURE TOWN NORTH on June 3, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to FIVE ACRES AT LEISURE TOWN NORTH on June 3, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87412(c):Personnel Records. Personnel records shall contain verification of required staff training and orientation, as..."

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

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

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