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Inspection visit

Routine inspection

SARAH'S RETIREMENT HOME FOR DD SENIORSLicense 4968030012 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

At approximately 8:30 AM, Licensing Program Analyst (LPA) Robert Frank arrived unannounced to conduct a Required 1 Year visit. House Manager (HM) Kyra Perez arrived at 8:45 AM. Sarah's Retirement Home for DD Seniors is Licensed as a Residential Care Facility for the Elderly (RCFE). The facility is a single story ranch house. The facility has an approved fire clearance for six (6) non-ambulatory residents. The facility has a Hospice Waiver for two (2) residents. Upon arrival, LPA was informed that there was four (4) residents in care and two (2) staff members on-site. At approximately 8:50 AM, LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. At approximately 9:00 AM, LPA toured the facility with HM Perez. All exits were clear and unobstructed. The facility's two (2) fire extinguishers were last serviced and tagged on 1/21/2026. The facility was sufficiently lighted. LPA inspected four (4) resident bedrooms and found all to have sufficient lighting and furnishings as required per Title 22 Regulations. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for residents. Toxins were observed to be stored inaccessible to residents. Facility has an infection control plan as required. The facility has a required emergency disaster plan. The facility is conducting fire and emergency drills quarterly with the last disaster drill having been conducted on 12/12/2025. The facility is not keeping a required disaster drill log for drills prior to August 2025. A Technical Violation will be issued. The facility does have emergency food and supplies to meet the "72 hour shelter in place" requirements. Hot water temperatures for all sinks in facility were found to be within Title 22 regulations of 105 to 120 degrees Fahrenheit. Facility smoke detectors and carbon monoxide detectors were tested and observed to be operational. Continued on 809-C... ...Continued from 809 At approximately 9:50 AM, LPA reviewed four (4) resident files. Four (4) of four (4) resident files were observed with all required documentation. LPA reviewed four (4) staff files. One (1) of four (4) staff files (for staff member S2) was observed not to have proof of required annual training. This deficiency will be cited. One (1) of four (4) staff files (for staff member S1) was observed not to have a required LIC 503 Health Screening and proof of a negative Tuberculosis test. This deficiency will be cited. Two (2) of four (4) staff files were observed with all required documentation including First Aid and CPR certification and proper training documentation. LPA spot checked Medication for two (2) residents. LPA observed all medications to be centrally stored, secure and with proper documentation. Resident's monies for personal and incidental (P&I) items were audited and observed to match the P&I logs. Licensee Sarah Lawrence’s Administrator Certification 7036265740 is current with an expiration date of 10/31/2026. LPA requested the following documents be submitted to Community Care Licensing by 2/23/2026: LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Proof of Liability Insurance Documents required to change Administrator on file (copy of documents required left with HM Perez) Request to change Email Address on file 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, LIC 9102, Plan of Corrections, 811 Confidential Names and Appeal Rights discussed and provided to HM Perez. Signature on form confirms receipt of documents.

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.

  • 1569.625(b)(2)Type B

    Based on observation & record review, the licensee did not comply with the section cited above in that one (1) of four (4) staff files (for staff member S2) was observed not to have proof of required annual training. which poses a potential health, safety or personal rights risk to persons in care.

  • 87411(f)Type B

    Health screening and fitness requirements

    Based on observation & record review, the licensee did not comply with the section cited above in that one (1) of four (4) staff files (for staff member S1) was observed not to have a required LIC 503 Health Screening and proof of a negative Tuberculosis test which 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 January 23, 2026 inspection of SARAH'S RETIREMENT HOME FOR DD SENIORS?

This was an inspection of SARAH'S RETIREMENT HOME FOR DD SENIORS on January 23, 2026. 2 citations were issued: 2 Type B.

Were any citations issued to SARAH'S RETIREMENT HOME FOR DD SENIORS on January 23, 2026?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "Based on observation & record review, the licensee did not comply with the section cited above in that one (1) of four (..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

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