Skip to main content
ReadyRule homepageReadyRule

Inspection visit

Non-compliance follow-up

BETSY'S II RCFELicense 4968020525 citations on this visit
5 citations recorded

Inspector’s narrative

What the inspector wrote

At approximately 8:40 AM, Licensing Program Analyst (LPA) Robert arrived unannounced to conduct a Non-compliance inspection. Administrator Edward Alicdan, arrived at approximately 9:15 AM. Licensee Luningning Alicdan arrived at 11:25 AM. On of 7/31/2024 licensee agreed to be on a Non-Compliance plan. The areas of concern were identified as: · Administrator Duties and Plan of Operation · Staff Training · Resident and staff records · Resident Care and Personal Rights · Insufficient Staffing · Failure to clear deficiencies timely · Medication Management · Failure to follow through with TSP Licensee was to ensure the following: · Follow through with responding to and participating with the Technical Support Program · Ensure compliance with areas including, but not limited to, staff training records, maintaining staff and resident records and pre-pouring of medication. · Ensuring personal rights of residents in care and ensuring resident needs are met. Today, LPA conducted the Non-Compliance inspection. Licensee found to be in compliance as pertains to responding to and participating with the Technical Support Program. Continued on 809-C... NCC...Continued from 809 LPA reviewed records pertaining to compliance with areas including staff training records, maintaining staff and resident records. During today's physical plant inspection, LPA made the following observations: In the storage room in the common area LPA observed an unsecured prescription medication. This deficiency will be cited. As this same deficiency was previously cited within the past year (1/13/2026) a Civil Penalty of $1000 will be issued. At approximately 11:45 AM, LPA reviewed five (5) resident files. Two (2) of five (5) resident files (for residents R1 & R2) were observed not to have signed Personal Rights documents. One (1) of five (5) resident files (for residents R2) was observed not to have a Pre-Placement Appraisal. LPA reviewed five (5) staff files. One (1) of five (5) staff files (for staff member S2) was observed not to have proof of the required twenty (20) hours of annual training. One (1) of five (5) staff files (for staff member S2) was observed to have a Medical Assessment or proof of a negative Tuberculosis (TB) test. These deficiencies will be cited. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency, on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Exit interview conducted. Copy of report, LIC-809Ds, Plan of Corrections, LIC 811 Confidential Names, LIC 9098 Self Certification, LIC 421IM and Appeal Rights discussed and provided to Licensee Alicdan. Signature on form confirms receipt of documents.

Citations

11 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.

  • 87303(a)Type B

    Based on observation, the licensee did not comply with the section cited above in that the kitchen cabinets were observed to be very dirty with some caked in dried grease or sauces which poses a potential health, safety or personal rights risk to persons in care.

  • 87309(a)Type B

    Based on observation, the licensee did not comply with the section cited above in that paint and clearing products were observed in the storage room in the common area and in the sink cabinet next to the storage room which poses a potential health, safety or personal rights risk to persons in care.

  • 87355(e)(3)Type B

    Based on observation & record review, the licensee did not comply with the section cited above in that Staff Member S1 was not associated to the facility in the Guardian Background Check System which poses a potential health, safety or personal rights risk to persons in care.

  • 87625(b)(3)Type B

    Based on observation, the licensee did not comply with the section cited above in that Room number one (1) was observed with a strong urine odor which poses a potential health, safety or personal rights risk to persons in care.

  • 1569.625(b)(2)Type B

    1569.625 Staff training; legislative findings; contents (b)(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training...This requirement is not met as evidenced by: Based on observation & record review, the licensee did not comply with the section cited above in that one (1) of (5) staff members (S2) did not complete their 2025 annual training which poses a potential health, safety or personal rights risk to persons in care.

  • 87411(f)Type B

    87411 Personnel Requirements – General (f) All personnel, including the licensee and administrator, shall be in good health...shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months...This requirement is not met as evidenced by: Based on observation & record review, the licensee did not comply with the section cited above in that staff member S2 did not have a medical assessment or proof of a negative TB test in their personal record which poses a potential health, safety or personal rights risk to persons in care.

  • 87457(c)Type B

    87457 Pre-Admission Appraisal (c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of their individual service needs...This requirement is not met as evidenced by: Based on observation & record review, the licensee did not comply with the section cited above in that resident R2 did not have a completed and signed pre-placement appraisal in their records which poses a potential health, safety or personal rights risk to persons in care.

  • 87465(h)(2)Type A

    87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not...This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above in that a prescribed medication was left unsecured in the storage room in the common area of the facility which poses an immediate health, safety or personal rights risk to persons in care.

  • 87468(b)(1)(A)Type B

    87468 Personal Rights (b) At the time the admission agreement is signed, a resident and the resident's representative shall be personally advised of and given a copy of: (1) The personal rights of residents specified in Sections 87468.1...This requirement is not met as evidenced by: Based on observation & record review, the licensee did not comply with the section cited above in that residents R1 & R2 did not have signed personal rights documents in their records which poses a potential health, safety or personal rights risk to persons in care.

  • 87618(b)(3)(E)Type B
  • 87307(e)(1)(A)Type B

FAQ · About this visit

Common questions about this visit

What happened during the May 6, 2026 inspection of BETSY'S II RCFE?

This was a other inspection of BETSY'S II RCFE on May 6, 2026. 5 citations were issued: 1 Type A (serious) and 4 Type B.

Were any citations issued to BETSY'S II RCFE on May 6, 2026?

Yes, 5 citations were issued (1 Type A, 4 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section cited above in that the kitchen cabinets were observe..."

What type of inspection was this?

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

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.