Sunrise Assisted Living of Danville
RCFE · Memory Care
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 help with daily living activities such as bathing, dressing, and medication management. An RCFE with a Memory Care designation is additionally required by California Title 22 (§87705 and §87706) to provide specialized staff training in dementia care, individualized care plans for residents with cognitive impairment, and appropriate supervision protocols — requirements that go beyond a standard RCFE license.
1027 Diablo Rd · Danville, 94526
Quick facts
Quality snapshot
Updated April 25, 2026Compared to 25 California RCFE memory care 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
Severity25thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency38thDeficiencies per inspection
Tick mark at 50% = peer median · higher percentile = better facility
Quality grade· click to show how this was calculated
Weighted citations per bed
Repeat deficiencies as share of total
Deficiencies per inspection
Tick mark at 50% = peer median · higher percentile = better facility
Sunrise Assisted Living of Danville scores C. Better than 54% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 25th percentile. Repeats: top 0%. Frequency: 38th 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_memory_care / large beds (25 facilities).
Citation severity over time
↑ worseningWeighted severity score per month · 24 months
Weighted score (24mo)
41
Last citation
Dec 25
Finding distribution
7 total · 36 monthsScope × Severity (CMS A–L)
The rules that apply to this facility
California Title 22 requirements for this facility, with the specific regulation and a suggested question for each.Rules this facility has been cited for are shown first.
What dementia-care training must staff complete?Cited Jan 202422 CCR §87705 / HSC §1569.625
Because this facility markets dementia or Alzheimer's care, state law mandates higher training standards:
- 12 hours initial dementia training — 6 hours before a staff member works independently with residents, 6 more within the first 4 weeks.
- 8 hours annual dementia in-service — required every year thereafter.
- Administrator CE — the administrator must include 8 hours of dementia-specific continuing education in every 2-year recertification cycle.
Training must cover individualized care plans, behavioral expressions, appropriate supervision, and the facility's dementia care philosophy.
Ask on tour: Ask how dementia training records are kept — families may request documentation.
How many staff must be on duty overnight?22 CCR §87415
Based on 89 licensed beds:
One awake caregiver must be on duty, plus one additional caregiver on call who can respond within 10 minutes.
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
- 1Notice of DeficiencyWritten citation with a correction deadline. Facility must submit a Plan of Correction.
- 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.
- 3Suspension of AdmissionsFacility cannot accept new residents until violations are corrected.
- 4Temporary Suspension or RevocationEmergency suspension for imminent danger; full revocation after administrative hearing.
- 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 citationsState records
California Dept. of Social Services · Community Care Licensing- License number
- 079200294
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 89
- Operator
- Sunrise West Al Gp & Lp; Sunrise Senior Living Mgt
Inspections & citations
11
reports on file
8
total deficiencies
3
Type A (actual harm)
1
dementia-care citations
Other visitApril 16, 2026No deficiencies
Plain-language summary
On April 16, 2026, the state investigated a self-reported incident from March 20, 2026, when a resident with dementia was found walking alone in the parking lot; the facility's care plan did not require assistance for leaving, though staff were aware the resident's condition appeared to be declining and had requested an updated physician assessment. The resident's physician report at the time stated the resident could leave unassisted, creating conflicting information that the facility should have verified directly with the doctor. No violations were found, and the state advised the facility to clarify any conflicting medical information with physicians immediately.
View full inspector notes
On 04/16/2026 at 10:15 AM, Licensing Program Analyst (LPA) A. Gomez conducted a case management as a result of a self reported incident on 3/24/2026. LPA met with Sr General Manager, Abbie Apolinario and explained the purpose of the visit. It was reported that on 3/20/2026 at approximately 4:19PM R1 was found outside in the facility parking lot and stated that they were going for a walk. Staff were notified and redirected R1 inside. LPA reviewed R1s careplan and physicians report prior to the incident and observed that R1 did have a dementia diagnosis however their physicians report stated that they could leave unassisted. LPA observed that R1's careplan also did not note that R1 required assistance leaving. However Sr General Manager, Abbie Apolinario and Resident Care Director (RCD) Kimari Pinkney were both aware of R1's seemingly declining cognitive abilities and had requested an updated 602. LPA advised facility that in the future if there is conflicting information observed on residents physicians reports they should call and verify the information with the doctor right away. R1 no longer resides at the facility. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
InspectionDecember 16, 2025Type A4 deficiencies
Plain-language summary
During a routine annual inspection on December 8, 2025, inspectors found that medications for two residents were not stored in their original containers, soiled bedding was present in one resident's room, medications were stored unsecured in two residents' rooms, and dangerous items including knives and cleaning products were accessible in another resident's room. All five staff members reviewed had current first aid training. The facility was required to correct these deficiencies by a specified deadline.
View full inspector notes
Licensing Program Analyst (LPA) A Gomez arrived unannounced to conduct an Annual Continuation on this date starting at 9:00AM. LPA met with Resident Care Director, Kimari Pinkney and explained the reason of the visit. The facility's fire clearance was approved for all may be non-ambulatory which 10 may be bedridden. At 9:10am, LPA reviewed 6 residents records. At 11:00 am, LPA reviewed 5 staff records and 5 of 5 have current first aid training and associated to the facility. THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT ON 12/08/2025: During inspection of the med-tech cart LPA observed medications not stored in their original container for R1 and R9 LPA observed soiled bedding with an odor in R6's room LPA observed PRN medication in memory care in R8's room and prescription and PRN medications in R7's room Observed dangerous items in R10's room (ie. 2 Knives, windex) The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.
Regulation
(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage.
Inspector finding
Based on observation, the licensee did not comply with the section cited above in dangerous items in R10's room (ie. 2 Knives, windex) which poses an immediate safety risk to persons in care. POC Due Date: 12/16/2025 Plan of Correction 1 2 3 4 Dangerous items removed POC clear
Regulation
(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 accessible to persons other than employees responsible for the supervision of the centrally stored medication.
Inspector finding
Based on observation, the licensee did not comply with the section cited above in PRN medication in memory care in R8's room and prescription and PRN medications in R7's room which poses an immediate risk to persons in care. POC Due Date: 12/16/2025 Plan of Correction 1 2 3 4 Medications removed and an inservice conducted POC clear
Regulation
(C) Clean linen, including blankets, bedspreads, top bed sheets, bottom bed sheets, pillow cases, mattress pads, bath towels, hand towels and wash cloths. The quantity shall be sufficient to permit changing at least once per week or more often when indicated to ensure that clean linen is in use by residents at all times. The linen shall be in good …
Inspector finding
Based on observation, the licensee did not comply with the section cited above in soiled bedding with an odor in R6's room which posed a potential health and personal rights risk to persons in care. POC Due Date: 12/16/2025 Plan of Correction 1 2 3 4 Bedding removed and an inservice conducted POC clear
Regulation
(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers.
Inspector finding
Based on observation the licensee did not comply with the section cited above in medications not stored in their original container for R1 and R9 which posed a potential safety risk to persons in care. POC Due Date: 12/16/2025 Plan of Correction 1 2 3 4 Medications properly disposed of and an inservice conducted POC clear
Other visitDecember 8, 2025No deficiencies
Plain-language summary
During a routine annual inspection on April 26, 2026, inspectors found several medication and safety issues: medications stored outside their original containers for two residents, prescription and over-the-counter medications left accessible in resident rooms, soiled bedding in one room, and dangerous items including knives and cleaning products in another resident's room. The facility passed inspection of its buildings and grounds, which were clean, well-lit, and properly equipped with safety devices like smoke detectors and sprinklers. The inspector will return to review additional records and conduct interviews, and plans to issue citations for the deficiencies found.
View full inspector notes
Licensing Program Analyst (LPA) A Gomez arrived unannounced to conduct a 1-Year Annual Required inspection on this date starting at 8:00AM. LPA met with Sr General Manager, Abbie Apolinario and explained the reason of the visit. The facility's fire clearance was approved for all may be non-ambulatory which 10 may be bedridden. At 10:00 AM, LPA toured facility with Sr General Manager, including but not limited to apartments, bathrooms, kitchen, dining area, multiple activity rooms and courtyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 72 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the random residents’ bathroom were maintained at 109.3, 113.6, 111.9 and 107.8 degrees F. Residents’ bathrooms are equipped with grab bars and non-skid mats/non-skid shower pans. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication carts were inaccessible. Refrigerator temperature was maintained at 34 degrees F and freezer temperature is maintained at 0 degrees F. Smoke detectors, carbon monoxide and sprinklers were observed throughout the facility. Fire extinguisher was last serviced on 8/12/2025 . First aid kit was observed to be complete. Fire drill was last conducted on 11/27/2025. report continues on LIC809-C 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 THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: During inspection of the med-tech cart LPA observed medications not stored in their original container for R1 and R9 LPA observed soiled bedding with an odor in R6's room LPA observed PRN medication in memory care in R8's room and prescription and PRN medications in R7's room Observed dangerous items in R10's room (ie. 2 Knives, windex) LPA will return to review files and conduct interviews. LPA will cite for the deficiencies listed above upon return. No deficiencies cited at this time Exit interview conducted and a copy of this report provided.
Other visitDecember 2, 2025No deficiencies
Plain-language summary
On December 2, 2025, a licensing analyst made an unannounced visit to deliver an immediate exclusion letter for a staff member who no longer works at the facility. The Resident Care Director was informed of the exclusion. No deficiencies were cited during this visit.
View full inspector notes
On 12/2/2025 at 10:20AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct a case management visit to deliver an immediate exclusion letter. LPA met with Resident Care Director, Kimari Pinkney and explained the purpose of the visit. During visit, LPA hand delivered the immediate exclusion letter for S1 to Resident Care Director. Resident Care Director states that S1 no longer works at the facility. No deficiencies are being cited on this date.
ComplaintSeptember 4, 2025· UnsubstantiatedNo deficiencies
Inspector: Alona Gomez
Unsubstantiated — the California Department of Social Services (CDSS) investigated and did not find a violation.
Plain-language summary
A complaint investigation was conducted on August 27, 2025, regarding outbreak notification and food quality. The facility provided records showing that residents and families were notified of a potential norovirus outbreak on June 25 and July 1, 2025, and followed proper infection control procedures; residents interviewed also reported satisfaction with food quality. No violations were found.
View full inspector notes
On 8/27/2025 LPA spoke to Sr General Manager, Abbie Apolinario and received emails of correspondences with Local public health dated 6/27/2025. During the investigation LPA also observed that the facility followed their infection control procedure regarding outbreaks and notified the appropriate parties in a timely manner. According to records observed residents and responsible parties were notified of the potential outbreak on 6/25/2025 and received an additional update on 7/1/2025. At the time of the potential outbreak there were no confirmed cases of Noro Virus however the facility implemented infection control procedures as a precaution. On 9/4/2025 LPA interviewed R1, R2 and R3 regarding the facilities food quality. All residents expressed satisfaction with the quality of the food served. Therefore the above allegations are unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
ComplaintAugust 8, 2025· UnsubstantiatedNo deficiencies
Inspector: Alona Gomez
Unsubstantiated — the California Department of Social Services (CDSS) investigated and did not find a violation.
Plain-language summary
A complaint was investigated on June 5, 2025, and no violation was found. Staff were knowledgeable about the resident's care needs and had a complete care plan in place; the family hired an outside companion because the resident had wandering behavior that required one-on-one supervision beyond what staff could provide. The facility's billing records showed the resident owed an outstanding balance and did not qualify for a refund.
View full inspector notes
For the above allegations the following was found: On 6/5/2025 LPA interviewed S1, S2, and S3. S1 and S2 both stated that they worked with R1 at some point during their stay. Both staff were knowledgeable of R1's behaviors, conditions, and daily needs. Both staff expressed that R1 had wandering behavior and that it got to a point of R1's family hiring an outside companion because staff were unable to provide 1:1 care to R1 to ensure their safety. LPA also observed that R1 had a complete and updated care plan. LPA was unable to identify where care was not adequately provided. During the investigation LPA obtained detailed billing information for R1's stay however LPA could not confirm or confirm if the family received a copy because there were no correspondences available regarding billing statements being sent. However LPA spoke with the Business Office Coordinator who states that billing statements are included as a part of the package when eviction notices are issued. LPA observed an eviction notice dated 10/22/2024. Upon evaluation of the billing statement LPA observed that resident was admitted in July of 2023 with a daily room rate of $189, medication level 1 of $25 per day, and level 2 care of $72 per day. On 1/1/2024 the rate increased to $207 per day for the room and $27 per day for level 1 medication assistance. According to the billing statement R1's rent was typically not paid on time so late fees were also assessed. The detailed bill shows that there is a remaining balance of $9,288 still owed to the facility, therefore it appears that no refund is do. Therefore the above allegations are Unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview conducted and a copy of report provided.
InspectionApril 8, 2025No deficiencies
Plain-language summary
A state inspector visited the facility on April 8, 2025, following a priority complaint and found that hot water temperatures, food storage, refrigeration, medication security, fire safety equipment, and building exits all met requirements. No violations were cited during the inspection.
View full inspector notes
On 4/8/2025 at 2:00 PM, Licensing Program Analyst (LPA) A. Gomez conducted a Health & Safety inspection as a result of a priority 1 complaint. LPA met with Sr General Manager, Abbie Apolinario and explained the purpose of the visit. LPA toured facility including but not limited to the bedrooms, bathrooms, common area, kitchen, and outdoor area. Hot water temperature was measured at 115, 117.1 and 110.8 degrees F in random bathrooms. 7-day of non-perishable and 2-day of perishable food supplies were sufficient. Refrigerator temperature was observed at 40 and Freezer was measures at 0 degrees F. Resident's medications were kept locked in the med room. Smoke detectors are interconnected with the sprinkler system. Carbon monoxide detector observed. First-aid kit was complete. Fire extinguisher was observed to be full and last serviced on 3/14/2025. There are no accessible bodies of water observed. Indoor and outdoor passageways are free of obstruction. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
InspectionJanuary 29, 2025No deficiencies
Inspector: Alona Gomez
Plain-language summary
On April 26, 2026, a routine annual inspection found the facility in compliance with all state requirements. The inspector reviewed resident and staff records, checked safety equipment including fire extinguishers and smoke detectors, verified proper food storage and bathroom safety features, and toured the building without finding any violations.
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Licensing Program Analyst (LPA) A Gomez arrived unannounced to conduct a 1-Year Annual Required inspection on this date starting at 8:00AM. LPA met with Resident Care Director, Jeffery Jackson and explained the reason of the visit. The facility's fire clearance was approved for all may be non-ambulatory which 10 may be bedridden. At 10:00 AM, LPA toured facility with Resident Care Director, including but not limited to apartments, bathrooms, kitchen, dining area, multiple activity rooms and courtyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 73 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the random residents’ bathroom were maintained at 117.6, 115.8, 116.4 and 109.8 degrees F. Residents’ bathrooms are equipped with grab bars and non-skid mats/non-skid shower pans. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication carts were inaccessible. Refrigerator temperature was maintained at 35 degrees F and freezer temperature is maintained at -15 degrees F. Smoke detectors, carbon monoxide and sprinklers were observed throughout the facility. Fire extinguisher was last serviced on 1/25/2025 . Emergency Disaster Plan was last posted on 2/1/2024. First aid kit was observed to be complete. Fire drill was last conducted on 11/29/2024. At 8:50AM, LPA reviewed 6 residents records. At 9:30pm, LPA reviewed 6 staff records and 6 of 6 staff are fingerprint cleared. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
InspectionJanuary 11, 2024Type A2 deficiencies
Inspector: Alona Gomez
Plain-language summary
During a routine annual inspection on this date, inspectors found that a sharps container was left unlocked and accessible in a resident's room, cleaning supplies and other hazardous items were stored in resident apartments where they could be reached, and one staff member's health screening and TB test documentation were missing from their file—the facility removed the hazardous items and disposed of the sharps container during the inspection. The facility's overall conditions, including safety features, food storage, medication security, and most staffing records, met requirements. The facility has been asked to submit updated administrative and insurance documents by February 1, 2024.
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Licensing Program Analyst (LPA) A Gomez arrived unannounced to conduct a 1-Year Annual Required inspection on this date starting at 12:00pm. LPA met with Executive Director, Kirsten Korfhage and explained the reason of the visit. The facility's fire clearance was approved for all may be non-ambulatory which 10 may be bedridden. At 3:10pm, LPA toured facility with Executive Director, including but not limited to apartments, bathrooms, kitchen, dining area, multiple activity rooms and courtyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 72 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the random residents’ bathroom were maintained at 115.2 and 110.3 degrees F. Residents’ bathrooms are equipped with grab bars and non-skid mats/non-skid shower pans. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication carts were inaccessible. Refrigerator temperature was maintained at 36 degrees F and freezer temperature is maintained at -13 degrees F. Smoke detectors, carbon monoxide and sprinklers were observed throughout the facility. Fire extinguisher was last serviced on 10/14/2023 . Emergency Disaster Plan was last posted on 10/20/2023. First aid kit was observed to be complete. Fire drill was last conducted on 12/27/2023. At 12:40pm, LPA reviewed 5 residents records. At 3:25pm, LPA reviewed 5 staff records and 5 of 5 staff are fingerprint cleared. REPORT CONTINUES ON 809C 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 The Following Deficiencies were observed: At 1:42PM during facility tour LPA observed unlocked full sharps disposal container in R5's room in closet on the floor. ED had med-tech dispose of bin. Deficiency Cleared. Between 1:45PM and 2:03PM during facility tour LPA observed Virex cleaner, scissors, and prescription powder in R1's apartment . LPA also observed scissors and whiskey in R3's apartment. ED removed all items from residents apartments clearing the deficiency. At 3:30PM during staff file review LPA observed that S4 does not have a health screen or TB test on file. Updated copies of the following documents were requested for facility file and are to be submitted to CCLD by 2/01/2024: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan (9 pages) Liability Insurance Current Administrator’s Certificate The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiency by POC date may result in Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.
Regulation
(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s).
Inspector finding
Based on observation, the licensee did not comply with the section cited above in R1, R3, and R5 having dangerous items which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 01/12/2024 Plan of Correction 1 2 3 4 Executive Director removed all items during visit and will do a sweep of residents rooms to ensure there are no other dangerous items. Deficiency Cleared
Regulation
(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical 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 prior to or seven (7) days after e…
Inspector finding
Based on record review, the licensee did not comply with the section cited above in S4 not having a health screening or TB test on file which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/01/2024 Plan of Correction 1 2 3 4 By POC date Executive Director agrees to ensure all staff have the required health sceen and self certify to CCLD
Other visitOctober 19, 2023Type B1 deficiency
Inspector: Alona Gomez
Plain-language summary
On October 19, 2023, inspectors conducted a follow-up visit after a resident left the facility unassisted on September 20, 2023; staff located the resident at a neighbor's home and brought them back. The resident's physician had documented on September 14, 2023 that this resident could not leave the facility without assistance, and inspectors found the facility failed to ensure this requirement was met. The facility was cited for this violation.
View full inspector notes
On 10/19/2023 at 9:20am, Licensing Program Analysts (LPAs) A Gomez and L. Francisco arrived unannounced to conduct Case Management regarding an AWOL incident report received for Resident 1(R1) on 9/27/2023 visit. LPAs met with Kirsten Korfhage, Executive Director (ED), and explained the purpose of the visit. Incident report was for an AWOL for Resident (R1). Executive Director (Ed) self- reported that At about 2:45pm on 9/20/2023 R1 was not in their apartment. Community staff looked for R1 but they were not found. During community sweep it was identified that R1 had signed themself out of the community. ED drove to R1’s home and found that R1 had been picked up by R1’s neighbor who brought R1 back to the community. During record review, LPAs observed that physician's report dated 9/14/2023 stated that R1 cannot leave the facility unassisted. LPAs collected the following documents during visit: R1's Physicians Report The deficiency was observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to submit proof of corrections (POCs) by plan or correction due dates and any repeat violations within 12-month period may result in civil penalties. Deficiencies and plan and proof of corrections were discussed with Executive Director. Exit interview conducted. Appeal Rights and copy of this report provided.
Regulation
87468.2 ADDITIONAL PERSONAL RIGHTS OF RESIDENTS.... (a) In addition to the rights listed in Section 87468.1, ...residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are suffic…
Inspector finding
This requirement is not met as evidence by: based on record review, licensee did not comply with the section cited above. R1’s physician report states that R1 is not able to leave the facility unassisted which poses a potential health and safety risk to the residents in care.
ComplaintMay 23, 2022Type B1 deficiency
Inspector: Lizette Francisco
Plain-language summary
During an unannounced infection control inspection on May 23, 2022, inspectors found the facility maintained good overall practices including proper food supplies, hand-washing stations, disinfection of common surfaces, and adequate protective equipment for staff. However, two staff members did not have health screening and tuberculosis test records on file as required. The facility was asked to submit missing documentation and updated records by June 3, 2022.
View full inspector notes
On 5/23/2022 starting at 10:05 AM, Licensing Program Analysts (LPAs) L. Francisco and L. Fici arrived unannounced to conduct Infection Control Inspection. LPAs met with Executive Director Kirsten Korfhage and explained the purpose of the visit. During the Infection Control Inspection, LPAs toured facility with Executive Director including but not limited to front entrance, screening station, hand washing stations, random residents apartments, common areas, multiple activity rooms, kitchen and courtyard. Facility has a sufficient 2-day perishable and one week non-perishable food supply. Visitors policy is posted on the front entrance. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Common touched surfaces are disinfected at least once daily. Bathrooms are equipped with liquid soap, paper towel and trash bin with touchless lids. Facility staff were observed to be wearing proper PPE. Facility has a 30-day supply of PPEs maintained at central location and easily accessible for staff. At 11:10 AM, LPAs reviewed 6 staff records and 4 of 6 staff have health screening and TB test records on file. Facility has a mitigation plan and maintains record of routine screening for residents and staff digitally. THE FOLLOWING DEFICIENCY WAS OBSERVED DURING VISIT At 11:35 AM during record review, LPAs observed S1 and S2 does not have health screening and TB test on file REPORT CONTINUES ON 809C 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 Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 6/3/2022: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Current Administrator’s Certificate The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.
Regulation
(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical 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 prior to or seven (7) days after …
Inspector finding
Based on record review, the licensee did not comply with the section cited above. LPAs observed S1 and S2 does not have health screening and TB test on file which poses a potential healt and safety risk to persons in care. POC Due Date: 06/08/2022 Plan of Correction 1 2 3 4 By POC date, Administrator agrees to obtain a health screening and TB test for S1 and S2 and submit a copy of LIC 503 with TB test result to CCLD.
Federal summary
CMS Care CompareNot 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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