South County Retirement Home INC.

FACILITY EVALUATION REPORT

The facility underwent an unannounced Case Management - Legal/Non-compliance visit to ensure adherence to a previously submitted Compliance Plan. The inspector noted that all fire exit routes were clear, fall risk protocols were posted, and required logs were maintained. No deficiencies were cited during this inspection.

The facility underwent an unannounced annual inspection conducted by the LPA. The inspection covered various areas, including resident rooms, common areas, and operational systems. No deficiencies were noted during this visit, and the facility was found to be compliant with observed standards.

The inspection was a Case Management - Incident visit conducted following an incident report regarding a resident who passed away. The Licensing Program Analyst gathered necessary documentation, including ID, Emergency Information, and service plans. No specific deficiencies were cited in the provided report content.

The inspection was a Case Management visit conducted on 11/10/2025. The primary deficiency found relates to personnel requirements, specifically the hiring of an individual (S2) who was under the age of 18 at the time of employment. This violation is classified as Type A because it presents an immediate risk to the health, safety, or personal rights of the residents.

The inspection was a Case Management visit conducted on 11/10/2025. The primary deficiency found relates to personnel requirements, specifically the hiring of an individual (S2) who was under the age of 18 at the time of employment. This violation is classified as Type A because it presents an immediate risk to the health, safety, or personal rights of the residents.

The inspection was a Case Management visit conducted on 11/10/2025. The primary deficiency found relates to personnel requirements, specifically the hiring of an individual (S2) who was under the age of 18 at the time of employment. This violation is classified as Type A because it presents an immediate risk to the health, safety, or personal rights of the residents.

The facility underwent an unannounced Case Management visit to ensure adherence to a Compliance Plan following a previous non-compliance meeting. The inspection noted that the facility is undergoing renovations, and staff reported that renovations are being done one bedroom at a time. Overall, the report explicitly states that no deficiencies were cited per California Code of Regulations, Title 22.