StarlynnCare

California · Bay Point

Willow Glen Residence

RCFE

A Residential Care Facility for the Elderly (RCFE) is a non-medical residential care home licensed by California CDSS under Health & Safety Code §1560. Residents receive assistance with daily living activities such as bathing, dressing, meals, and medication management in a home-like setting. RCFEs are not hospitals or skilled nursing facilities — they do not provide round-the-clock medical care.

2040 Mendocino Drive · Bay Point, 94565

Quick facts

Licensed beds5
Memory careNot listed
Last inspectionJul 2025
Last citationOct 2024
Operated byLevi Soliven Villareal
Map showing location of Willow Glen Residence

Quality snapshot

Updated April 25, 2026

Compared to 214 California RCFE facilities of similar size, over the last 36 months.

Source: California Department of Social Services, Community Care Licensing Division. View raw inspection records →

Quality grade· click to show how this was calculated

Severity
57th

Weighted citations per bed

Repeats
100th

Repeat deficiencies as share of total

Frequency
52th

Deficiencies per inspection

Tick mark at 50% = peer median · higher percentile = better facility

Willow Glen Residence scores B. Better than 70% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 57th percentile. Repeats: top 0%. Frequency: 52th percentile.

Each metric is converted to a 0–100 percentile within the peer set (higher = better). The composite grade averages all four. Peer set: CA / rcfe_general / small beds (214 facilities).

Citation severity over time

↓ improving

Weighted severity score per month · 24 months

May 24peer medianApr 26

Weighted score (24mo)

6

Last citation

Oct 24

Finding distribution

2 total · 36 months

Scope × Severity (CMS A–L)

IsolatedPatternWidespreadJKLGHID2EFABCSev 4 · IJSev 3Sev 2Sev 1

View inspections & citations

The rules that apply to this facility

California Title 22 requirements for this facility, with the specific regulation and a suggested question for each.

What training are all staff required to complete?22 CCR §87411

All direct-care staff must complete:

  • 10 hours initial training within the first four weeks of employment.
  • 4 hours annual in-service every year thereafter.
  • Administrator certificate from a CDSS-approved program — 80 hours for first-time, 40 hours renewal every 2 years.

Ask on tour: Ask when the last staff training was completed and how it's tracked.

How many staff must be on duty overnight?22 CCR §87415

Based on 5 licensed beds:

One qualified staff member must be on call and physically on premises at all times overnight.

Violation pattern to watch for:A facility that documents a staff member as "on call" but with that person physically off-site — when the law requires on-premises presence — is in violation of this section.

Ask on tour: Ask the facility to walk you through their overnight staffing plan and confirm whether on-call staff are on premises or off-site.

What health conditions can this facility legally accept or refuse?22 CCR §87612–87615

Restricted — allowed with physician order + care plan

  • Supplemental oxygen
  • Insulin and injectable medications
  • Indwelling or intermittent catheters
  • Colostomy / ileostomy
  • Stage 1 and Stage 2 pressure injuries
  • Wound care (non-complex)
  • Incontinence
  • Contractures

Prohibited — facility must refuse or discharge

  • Stage 3 or Stage 4 pressure injuries
  • Feeding tubes (PEG, NG, or J-tube)
  • Tracheostomies
  • Active MRSA or communicable infections requiring isolation
  • 24-hour skilled nursing needs
  • Total ADL dependence with inability to communicate needs

A hospice waiver (HSC §1569.73) can allow continued care for residents on hospice who would otherwise fall into a prohibited category.

Ask on tour: Ask whether your loved one's specific care needs are restricted or prohibited, and what the facility's process is if needs change after admission.

What must this facility report to the state — and how fast?22 CCR §87211 / WIC §15630
  • ImmediateElopement, fire, epidemic outbreak, or poisoningImmediately
  • 2 hoursAbuse with serious bodily injury2-hour phone report + 2-hour written report — to the California Department of Social Services (CDSS), Adult Protective Services, and law enforcement
  • 24 hrsAbuse without serious bodily injuryWithin 24 hours
  • Next dayDeath of a residentPhone by next working day; written within 7 days
  • Next dayInjury requiring medical treatment beyond first aidPhone by next working day; written within 7 days
  • WrittenBankruptcy, foreclosure, eviction, or utility shutoff noticeWritten notice to CDSS and residents — $100/day penalty (max $2,000) for failure

Your enforcement lever:Incidents that aren't reported on time are themselves a separate violation. If you believe a reportable event wasn't filed, you can submit a complaint directly to the California Department of Social Services (CDSS).

How does CDSS enforce these rules?22 CCR §87755–87777 / HSC §1569.58
  1. 1Notice of DeficiencyWritten citation with a correction deadline. Facility must submit a Plan of Correction.
  2. 2Civil PenaltyStarts at $50/day for non-serious; $150/day for serious deficiencies — immediately, with no grace period. Repeats escalate to $150 first day + $50/day, then $1,000 first day + $100/day.
  3. 3Suspension of AdmissionsFacility cannot accept new residents until violations are corrected.
  4. 4Temporary Suspension or RevocationEmergency suspension for imminent danger; full revocation after administrative hearing.
  5. 5Exclusion OrderAdministrator and operator can be barred from all CDSS-licensed facilities — not just this one.

See how these rules have been applied to this specific facility:

View state inspection record and citations

State records

California Dept. of Social Services · Community Care Licensing
License number
075600012
License type
RESIDENTIAL CARE ELDERLY
License status
LICENSED
License expires
Not yet indexed
Licensed beds
5
Operator
Levi Soliven Villareal

Inspections & citations

8

reports on file

9

total deficiencies

3

Type A (actual harm)

InspectionJuly 17, 2025
No deficiencies

Plain-language summary

A licensing inspector conducted an unannounced annual inspection on July 17, 2025, and found the facility in compliance with no violations; the facility was empty at the time but had adequate safety features including working smoke and carbon monoxide detectors, grab bars in bathrooms, and appropriate temperature controls. The inspector requested documentation of administrative responsibility, personnel records, and an emergency plan to be submitted within one week.

View full inspector notes

On 7/17/2025 at 5:00pm, Licensing Program Analyst (LPA) L. Hall conducted an unannounced annual required inspection. LPA met with Levi Villareal, Administrator, and explained the purpose of the visit. Facility does not have any residents at this time. LPA toured the facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area, garage and backyard. The facility consists of four (4) bedrooms and two (2) bathrooms. One (1) bedroom occupied by staff. No bodies of water observed. A comfortable temperature is maintained at 76 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 102.9 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars. There is a minimum of 7-day supply of non-perishable and 2-day of perishable foods. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 10/2/2024. First aid kit was observed to be complete. Continued on LIC809C. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Continued from LIC809. LPA observed there were not facility records to review. LPA requested the following documents to be submitted to CCLD by 7/24/2025. LIC 308 Designation of Administrative Responsibility LIC 500 Personnel Report LIC 610E Emergency Disaster Plan (last page) No deficiencies cited during inspection. Exit interview conducted and a copy of this report provided.

InspectionOctober 2, 2024Type B
2 deficiencies

Inspector: Laura Hall

Plain-language summary

During an unannounced annual inspection on October 2, 2024, the facility was found to lack liability insurance and did not have required facility records available for review. The inspector noted that the building itself—including bedrooms, bathrooms, kitchen, lighting, temperature control, grab bars, smoke detectors, and carbon monoxide detectors—was in acceptable condition, though the fire extinguisher had not been serviced since August 2023. The facility was required to submit missing administrative documents and proof of corrections by October 8, 2024.

View full inspector notes

On 10/2/2024 at 11:30am, Licensing Program Analyst (LPA) L. Hall conducted an unannounced annual required inspection. LPA met with Levi Villareal, Administrator, and explained the purpose of the visit. Facility does not have any residents at this time. LPA toured the facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area, garage and backyard. The facility consists of four (4) bedrooms and two (2) bathrooms. No bodies of water was observed. A comfortable temperature is maintained at 76 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 108.2 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars. There is a minimum of 7-day supply of non-perishable and 2-day of perishable foods. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 08/29/2023. First aid kit was observed to be complete. The following deficiencies were observed: LPA observed facility does not have liability insurance. Continued on LIC809C. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Continued from LIC809. LPA observed there were not facility records to review. LPA requested the following documents to be submitted to CCLD by 10/8/2024. LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan (9 pages) Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy of the appeal rights and this report provided.

Type B

Regulation

On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,00…

Inspector finding

Based on observation, interview, and record review, the licensee did not comply with the section cited above in having liability insurance which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/09/2024 Plan of Correction 1 2 3 4 Administrator agreed to obtain liability insurance for the facility and submit a copy to CCLD by POC date.

Type BCCR §87412(a)

Regulation

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information:

Inspector finding

Based on observation and record review, the licensee did not comply with the section cited above in having personnel records current and complete which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/09/2024 Plan of Correction 1 2 3 4 Administrator agreed to complete staff files and submit self-certification that the files are completed to CCLD by POC date.

Other visitAugust 23, 2023
No deficiencies

Inspector: Laura Hall

Plain-language summary

On August 23, 2023, inspectors conducted a routine one-year inspection of the facility and found no violations. The four-bedroom home had adequate lighting, working smoke and carbon monoxide detectors, grab bars in bathrooms, and appropriate food supplies on hand, though the administrator's certificate had expired. The facility had no residents at the time of the visit.

View full inspector notes

On 8/23/2023 at 12:05PM, Licensing Program Analysts (LPAs) L. Hall and L. Alexander conducted an unannounced 1-Year Required inspection. LPAs met with Levi Villareal, Administrator, and explained the purpose of the visit. The Administrator certificate is pending and expired 3/26/2023. Facility does not have any residents at this time. LPA toured the facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area, garage and backyard. The facility consists of four (4) bedrooms and two (2) bathrooms. No bodies of water was observed. A comfortable temperature is maintained at 76 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 109.7 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars. There is a minimum of 7-day supply of non-perishable and 2-day of perishable foods. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 08/23/2022. First aid kit was observed to be complete. Continued on LIC809. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Continued from LIC809. LPA did not review any staff files. LPA requested the following documents to be submitted to CCLD by 8/30/2023. Resident Roster LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan (9 pages) Liability Insurance No deficiencies cited during this visit. Exit interview conducted and a copy of this report provided.

Other visitNovember 9, 2022
No deficiencies

Inspector: Laura Hall

Plain-language summary

During an unannounced visit on November 9, 2022, inspectors found that the facility still did not have a qualified administrator on staff, continuing a violation first identified in August 2022. The facility had been given multiple opportunities to correct this since August, with extended deadlines in September and October, but had not hired or recertified an administrator by the inspection date. The state assessed a civil penalty of $1,400 and will charge an additional $100 per day until the facility hires a qualified administrator.

View full inspector notes

On 11/09/2022 at 10:55AM, Licensing Program Analyst (LPA), L. Hall arrived unannounced to conduct a Case Management visit. LPA met with Licensee, Levi Villareal and explain the purpose of the visit. LPA visited the facility on 8/3/2022 and observed that the facility did not have a qualified Administrator employed. LPA cited and assessed ongoing civil penalties under section 87405(a) Administrator – Qualifications and Duties. Licensee was given a plan of correction date. Licensee telephone LPA on 9/19/2022 to request an extension for the plan of correction which LPA granted until 10/17/2022. LPA conducted another visit on 10/19/2022 and gave a new POC date of 10/26/2022. On today’s date Licensee have not hired an Administrator or have not recertified as the Administrator. A civil penalty of $1400.00 will be assessed on today’s date from 10/27/2022 to 11/09/2022. Facility is subject to ongoing civil penalties of $100.00 per day until the deficiency is corrected. Exit interview conducted. A copy of this report, LIC421FC, and appeal rights provided.

Other visitOctober 19, 2022Type B
1 deficiency

Inspector: Laura Hall

Plain-language summary

During an unannounced follow-up visit on October 19, 2022, inspectors found that the facility still did not have a qualified administrator on staff, continuing a violation first observed in August 2022. The facility had been given until October 17 to hire or certify an administrator but failed to do so, and the owner was informed he would be cited again with additional financial penalties assessed. An administrator is responsible for overseeing daily operations and resident care.

View full inspector notes

On 10/19/2022 at 1:25PM, Licensing Program Analyst (LPA), L. Hall arrived unannounced to conduct a Case Management visit. LPA met with Licensee, Levi Villareal and explained the purpose of the visit. LPA visited the facility on 8/3/2022 and observed that the facility did not have a qualified Administrator employed. LPA cited and assessed ongoing civil penalties under section 87405(a) Administrator – Qualifications and Duties. Licensee was given a plan of correction date that was not met. Licensee telephoned LPA on 9/19/2022 to request an extension for the plan of correction which LPA granted until 10/17/2022. On today’s date Licensee have not hired an Administrator or have not recertified as the Administrator. LPA explained to Licensee that he will be recited today and if not corrected civil penalties will be assessed. Exit interview conducted. A copy of this report and appeal rights provided.

Type BCCR §87405(a)

Regulation

87405 (a) All facilities shall have a qualified and currently certified administrator...The administrator shall... be on the premises a sufficient number of hours... there shall be coverage by a designated substitute... This requirement was not met as evidence by:

Inspector finding

Based on observation and record review, the licensee did not comply with the section cited above in having a current administrator certificate which poses a potential health, safety or personal rights risk to persons in care.

InspectionAugust 19, 2022Type A
1 deficiency

Inspector: Laura Hall

Plain-language summary

On August 19, 2022, a state licensing inspector conducted a case management visit after being unable to enter the facility on two previous occasions—the gate was locked, the doorbell didn't work, and the licensee didn't respond to phone calls or messages. The facility was cited for not having accessible entry procedures and assessed a $500 civil penalty. The licensee was required to submit an updated plan of operation for dementia care.

View full inspector notes

On 8/19/2022 at 1:00PM, Licensing Program Analyst (LPA), L. Hall arrived unannounced to conduct a Case Management visit. LPA met with Licensee, Levi Villareal and explain the purpose of the visit. LPA attempted to visit the facility on 8/3/2022 for an annual inspection and on 8/18/2022 for a POC visit. On both occasions LPA was not able to enter the facility. LPA was not able to open the gate to get to the front door of the facility. LPA observed a doorbell attached to the gate but it was not operable. LPA called the facility several times while standing outside of the gate as well as left a message. Licensee did not open the gate or return LPA's call. Licensee will submit an addendum to the plan of operation for dementia care. Civil penalty of $500.00 will be assessed on today's date. Deficiency is cited from Title 22 California Code of Regulations (see 809D). A $500.00 civil penalty is assessed for deficiency # 87755(a). Failure to submit proof of correction by due date may result in additional civil penalties. Exit interview conducted. A copy of this report, LIC9098, LIC421M, and appeal rights provided.

Type ACCR §87755(a)

Regulation

87755 Inspection Authority of the Licensing Agency (a) Any duly authorized officer, employee... of the licensing agency may... enter and inspect the entire premise... at any time, with or without advance notice. This requirement was not as evidence by:

Inspector finding

Based on LPA's observation the Licensee did not comply with the section cited above in facility being accessible for Department, which poses a potential health and safety risk for persons in care.

InspectionAugust 19, 2022
No deficiencies

Inspector: Laura Hall

Plain-language summary

On August 19, 2022, inspectors returned to check whether the facility had fixed three problems found during a previous inspection: failing to request a hospice waiver, not having an administrator plan in place, and not completing a resident's file. The facility had not corrected any of these issues, and the state assessed civil penalties totaling $900 and gave the facility 30 days to hire a new administrator or have the current one become certified.

View full inspector notes

On 8/19/2022, at 1:00PM, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct proof of correction (POC) visit. LPA met with Levi Villareal, Licensee, and explained the purpose of the visit. Facility has the following deficiencies that were not cleared : 87632(a), LPA have not received documents to request a hospice waiver from Licensee after annual inspection visit 8/11/2022. 87405(a), LPA have not received plan on what facility would do until they hire an Administrator or recertify as Administrator, after annual inspection visit 8/11/2022. LPA gave 30-days (9/19/2022) for Administrator new hire. 87506(a), LPA did not receive self-certification stating that R1's file was complete and on today's date R1's file is still not complete after annual inspection visit 8/11/2022. Civil Penalties for 87632(a) in the amount of $700 assessed immediately for the period of 8/13/2022 - 8/19/2022. Civil Penalties for 87405(a) in the amount of $100 assessed immediately for the period of 8/19/200 - 8/19/2022. Civil Penalties for 87506(a) in the amount of $100 assessed immediately for the period of 8/19-2022 - 8/19/2022. Continued on LIC809C. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Continued from LIC809. Civil Penalties in the total amount of $900 is assessed today for failure to meet POC date for deficiencies. Facility is subject to ongoing civil penalties until deficiency is corrected. Exit interview conducted. A copy of this report, appeal rights provided and LIC421FC provided.

InspectionAugust 3, 2022Type A
5 deficiencies

Inspector: Laura Hall

Plain-language summary

On August 11, 2022, state inspectors conducted an unannounced infection control inspection and found several violations: cleaning chemicals (Ajax, Windex, Raid) stored in an unlocked cabinet under the kitchen sink, a resident on hospice care without the facility having the required waiver, missing required documents in that resident's file including a care plan and personal rights documentation, and an expired administrator certificate. The facility was also cited for the administrator not fulfilling required duties and was ordered to submit missing personnel and emergency disaster plan documents by August 18, 2022.

View full inspector notes

On 8/3/2022 at 09:25AM, Licensing Program Analyst (LPA), L. Hall arrived unannounced to conduct a 1-year annual infection control inspection. Upon arrival LPA rang doorbell that is located outside of locked entry gate. LPA called facility 3xs and the voicemail box was full. LPA was able to see a recycling bin outside of facility. No cars were present. LPA was able to peak through fence and saw the blinds were open. LPA will attempt visit at a later date. On 8/11/2022 at 11:25AM, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct an Infection Control Inspection. LPA met with Levi Villareal, Administrator and explained the purpose of the visit. Upon entry, LPA's temperature was not checked. LPA observed screening station and COVID-19 signs posted near screening station. LPA toured facility including but not limited to common areas, bathrooms, bedrooms, kitchen, garage and back yard. All hand washing stations were equipped with soap and paper towel. Hand washing posters were posted at hand washing stations. Hot water temperature in the shared clients’ bathroom was measured at 116.2 degrees Fahrenheit. Fire extinguisher last serviced on 7/19/2019. There is a minimum of 7-day non-perishables and 2-day perishables foods. Continued on LIC809C. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Continued from LIC809. During record review, LPA observed facility has a copy of the mitigation plan on file. LPA observed food and paper supplies are sufficient. The following deficiencies were observed: -At 10:42AM, LPA observed Ajax, windex, and raid in unlocked cabinet under kitchen sink. -At 11:55AM, LPA observed R1 on hospice care. Facility does not have hospice waiver. -At 12:05PM, LPA observed while reviewing R1's file that the file is missing the following documents: personal rights, personal safeguard, Identification and emergency information, and a care plan for hospice services. The following documents are outdated appraisal needs and services plan, and physician's report. -At 12:15PM, LPA observed that Administrator certificate expired on 2/19/2022. -At 12:20PM, LPA observed that Administrator was not following requirement duties for Administrator. LPA request the following documents to be submitted to CCLD by 8/18/2022. LIC 500 Personnel Report LIC 610E Emergency Disaster Plan The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in Civil Penalties. Exit interview conducted. A copy of this report provided and appeal rights provided.

Type ACCR §87309(a)(1)

Regulation

87309 Storage Space (a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. (1) Storage areas for poisons, and firearms and other dangerous weapons shall be locked.

Inspector finding

Based on observation, the licensee did not comply with the section cited above in having Ajax, Raid, and Windex accessible in unlocked cabinet under kitchen sink which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/12/2022 Plan of Correction 1 2 3 4 Administrator agreed to make disinfectants inaccessible to residents in care and submit photo to CCLD by POC date. Administrator locked disinfectants in hallway closet during visit. Deficiency cleared…

Type ACCR §87632(a)

Regulation

87632 Hospice Care Waiver (a) In order accept or retain terminally ill residents and permit them to receive care from a hospice agency, the licensee shall have obtained a facility hospice care waiver from the Department. To obtain this waiver the licensee shall submit a written request for a waiver to the Department on behalf of any residents who …

Inspector finding

Based on observation and record review, the licensee did not comply with the section cited above in having a hospice waiver approved by the department on file and there is a hospice resident residing in facility which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/12/2022 Plan of Correction 1 2 3 4 Administrator agreed to submit a request for a hospice waiver to CCLD by POC date

Type BCCR §87405(a)

Regulation

87405 Administrator - Qualifications and Duties (a) All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be one and the same person. The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate a…

Inspector finding

Based on observation and record review, the licensee did not comply with the section cited above in having a certified Administrator employed at facility which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/18/2022 Plan of Correction 1 2 3 4 Licensee agreed to submit a plan to hire an Administrator or to recertify as the Administrator for the facility and submit a copy of the plan to CCLD by POC date.

Type BCCR §87405(d)

Regulation

87405 Administrator Qualifications. (d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply.

Inspector finding

Based on observation, interview, and record review, the licensee did not comply with the section cited above in following the administrator duties for facility which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/18/2022 Plan of Correction 1 2 3 4 Licensee agreed to review regulation 87405 and submit a self-certification that the regulation has been reviewed and facility will abide by the regulation. Self-certification shall be submitted to CCLD b…

Type BCCR §87506(a)

Regulation

87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff.

Inspector finding

Based on observation and record review, the licensee did not comply with the section cited above in having R1's file is complete and up-to-date which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/18/2022 Plan of Correction 1 2 3 4 Licensee agreed to complete R1's file and submit a self-certification that the file has been completed by POC date.

Federal summary

CMS Care Compare

Not a CMS-certified facility

California RCFEs (residential care facilities for the elderly) are licensed by the state, not by CMS. CMS data only applies to skilled nursing facilities or to CCRCs that operate a licensed SNF wing.

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