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Source: CA Community Care Licensing Division
FACILITY EVALUATION REPORT
COMPLAINT INVESTIGATION REPORT
The inspection conducted on 04/22/2025 was an unannounced 1-Year Required visit. The LPA observed that the facility maintained adequate safety measures, including proper hot water temperatures, functioning smoke/CO detectors, and complete first aid kits. All reviewed records and the facility environment appeared compliant with observed standards.
The facility underwent an unannounced Case Management visit and Health and Safety Check on 10/29/2024. The general tour revealed adequate lighting and sanitary conditions in observed areas. The primary deficiency noted was that the fire extinguisher inspection date was significantly overdue.
The facility underwent an unannounced Case Management visit and Health and Safety Check on 10/29/2024. The general tour revealed adequate lighting and sanitary conditions in observed areas. The primary deficiency noted was that the fire extinguisher inspection date was significantly overdue.
The facility was inspected for Case Management purposes following reports of an unusual incident and death. Multiple deficiencies were cited, all classified as Type A, indicating immediate health risks. Key issues involve deficiencies in medication record keeping, specifically regarding physician orders, centrally stored medication documentation, and completeness of medication records for a specific resident.
The inspection was a Case Management visit concerning Unusual/Incident Reports and a Death Report for residents R1 and R2. The primary deficiencies noted relate to the failure to provide updated medical assessments for resident R2, which is a recurring compliance issue. The facility must address these documentation gaps and provide required documentation by the Plan of Correction due date.
The inspection identified two primary deficiencies: unsecured chemicals and dangerous items in the facility's cabinets, and the presence of wood piles in the backyard. The chemical storage issue was noted as an immediate health and safety risk (Type A), while the wood piles constitute a potential risk (Type B). The facility was otherwise inspected and found to have adequate lighting and functioning safety equipment.
Bean, Lurinza
WHITE, BRITTANY D
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