California · Fremont

Merisol Care.

RCFE · Memory Care6 bedsDementia-trained staff(510) 894-2326
Peer rank
Top 92% of California memory care
See full peer rank →
Facility · Fremont
A 6-bed RCFE · Memory Care with 33 citations on file.
Licensed beds
6
Last inspection
Jun 2026
Last citation
Jun 2026
Operated by
Mari, Antonia
Snapshot

Small Memory Care Home in Fremont's Ardenwood Area, reviewed on public record.

Merisol Care

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Map showing location of Merisol Care
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Peer Comparison

Compared to 152 California facilities with a similar number of beds.

RCFE memory care · 36-month window. Higher percentile = better performance on inspection record. Source: California Dept. of Social Services · Community Care Licensing.

Severity rank
5th%
Weighted citations per bed.
peer median
0
100
Repeat rank
10th%
Repeat deficiencies as share of total.
peer median
0
100
Frequency rank
9th%
Deficiencies per inspection.
peer median
0
100

Rankings based on 36-month CDSS inspection data. Severity and frequency: fewer citations = higher percentile. Repeat rate: lower repeat citation share = higher percentile.

FACILITY WATCH · FREE

Merisol Care has 33 citations on record. Know the moment anything changes.

New findings, complaint investigations, or status changes — emailed to you free.

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The Record

Citation history, plotted month by month.

33 deficiencies on record. Each bar is a month with a citation.

Peer median 31 · dashed
Last citation: JUN 2026. Compared against peer median (dashed).
peer median
JUN 2026
Aug 2024as of Jul 2026

Finding distribution

33 total · 36 months

Scope × Severity (CMS A–L)

Isolated
Pattern
Widespread
Sev 4 · IJ
J
K
L
Sev 3
G10
H
I
Sev 2
D23
E
F
Sev 1
A
B
C
The Rulebook

The rules that apply to this facility.

State requirements with the exact regulation citation, plain-language explanation, and a question to ask on tour. Rules this facility has been cited for appear first.

What dementia-care training must staff complete?22 CCR §87705 / HSC §1569.625
Cited Jun 2024+
Plain language

Because a facility markets dementia or Alzheimer's care, state law mandates higher training standards: 12 hours of initial dementia training (6 hours before a staff member works independently with residents, 6 more within the first 4 weeks), 8 hours of annual dementia in-service every year thereafter, and an 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

Can you show me each direct-care staffer's most recent dementia training certificate, and tell me when their next refresher is due?

Tour Prep

Questions to ask before you visit.

A short pre-tour checklist tailored to Merisol Care's record and state requirements.

01 /

The facility has 8 Type A deficiencies on record, indicating actual harm to residents — can you explain what incidents led to each of these citations and what corrective actions were implemented?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

02 /

CDSS cited the facility under §87705 or §87706 for dementia care — what was the specific nature of this violation, and what changes have been made to dementia care protocols since?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

03 /

With 24 total deficiencies across 6 inspections, what systemic changes has the operator, Antonia Mari, put in place to address recurring compliance issues?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

Full Inspection Record

Every inspection visit, verbatim.

6 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.

6
reports on file
33
total deficiencies
10
severe (Type A)
2026-06-03
Other Visit
Type A · 6 findings
Type A22 CCR §87309(a)
Verbatim citation text · 22 CCR §87309(a)

Based on observation, the licensee did not comply with the section cited above by having unlocked zinc oxide ointment and Thick-It powder which posed an immediate health and safety risk to persons in care. POC Due Date: 06/04/2026 Plan of Correction 1 2 3 4 Administrator locked the items during the visit. Deficiency cleared.

Type B
Verbatim citation text

Based on record review, licensee did not comply with the section cited above by not having sufficient coverage on the liability insurance which poses a potential health and safety risk to persons in care. POC Due Date: 06/11/2026 Plan of Correction 1 2 3 4 By POC date, the Administrator agrees to send proof of liability insurance to CCLD.

Type B22 CCR §87303(a)
Verbatim citation text · 22 CCR §87303(a)

Based on observation, the licensee did not comply with the section cited above by having a commode in the backyard, multiple light bulbs missing in R5's room and living room, and a handle missing in R3's bathroom drawer which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/12/2026 Plan of Correction 1 2 3 4 By POC date, the Administrator agrees to schedule a bulk pick up, install light bulbs, and repair the handle. Proof of correction will be sent to CCLD.

Type B22 CCR §87463(h)
Verbatim citation text · 22 CCR §87463(h)

Based on record review, the licensee did not comply with the section cited above. R2 and R5 does not have an updated medical assessment and R2 and R5's current medical assessment does not have ambulatory status which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/17/2026 Plan of Correction 1 2 3 4 By POC date, the Administrator agrees to obtain updated medical assessment and send proof to CCLD.

Type B22 CCR §87608(a)(5)(A)
Verbatim citation text · 22 CCR §87608(a)(5)(A)

Based on record review, the licensee did not comply with the section cited above by not having a half bed rail doctor's order for R2 which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/17/2026 Plan of Correction 1 2 3 4 By POC date, the Administrator agrees to obtain the half bed rail doctor's order and send proof to CCLD.

Type B22 CCR §87465(h)(6)
Verbatim citation text · 22 CCR §87465(h)(6)

Based on record review and interview, the licensee did not comply with the section cited above by not having doctor’s order for R2 and R4’s medication and by having R2’s record Centrally Stored Medication and Destruction Record (LIC622) not updated which poses a potential safety risk to persons in care. POC Due Date: 06/17/2026 Plan of Correction 1 2 3 4 By POC date, the Administrator agrees to obtain doctor’s order for the medications and ensures that the LIC622 is updated. Proof of correction will be sent to CCLD by POC date.

Read raw inspector notes

On 06/03/2026 at 11:35 AM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Antonia Mari, and explained the purpose of the visit. Administrator certificate is current. LPA toured facility with inside and out including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 7 total bedrooms which 6 bedrooms are occupied by the residents, and 1 bedroom is occupied by staff. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees Fahrenheit. The hot water temperature in the residents shared bathroom was measured at 107.6 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 08/04/2025. Fire drill was last conducted on 04/04/2026. At 12:35 PM, LPA reviewed 6 residents records. At 1:09 PM, LPA reviewed 3 staff records and all have first aid certification and associated to the facility. At 3:30 PM, LPA reviewed two samples of residents’ medications. Continue to 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 Continued from LIC809... Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 06/11/2026: LIC 500 Personnel Report LIC 610E Emergency Disaster Plan LIC9020 Register of Client/ Resident Roster THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 11:47 AM, LPA observed a commode in the backyard, multiple light bulbs missing in R5's room and living room, and a handle missing in R3's bathroom drawer. At 1:00 PM, LPA observed unlocked zinc oxide ointment and thick it. At 1:15 PM, record review revealed that R2 and R5 does not have an updated medical assessment and R2 and R5's current medical assessment does not have ambulatory status. At 2:30 PM, record review revealed that the facility does not have sufficient coverage on the liability insurance At 3:08 PM, record review revealed that R2 does not have a bed rail order. At 4:00 PM, LPA observed that there is no doctor’s order for R2 and R4’s medication and R2’s Centrally Stored Medication and Destruction Record (LIC622) not updated. The Facility was 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 with Administrator. Appeal Rights and a copy of this report provided.

2026-02-24
Other Visit
Type A · 2 findings

Plain-language summary

On February 24, 2026, the state conducted an unannounced inspection following a self-reported death at the facility; a resident on hospice care passed away on February 8, 2026. The inspection found two violations: a medication (Peridex) was observed stored in a bathroom rather than a secure location, and the facility did not report the death to the state until 10 days after it occurred, rather than promptly. The facility was cited for these violations and given an opportunity to correct them.

Type A22 CCR §87465(h)(2)
Verbatim citation text · 22 CCR §87465(h)(2)

Based on observation, the licensee did not comply by having unlocked medication of Peridex in the bathroom which posed an immediate safety risk to persons in care.

Type B22 CCR §87211(a)(1)(A)
Verbatim citation text · 22 CCR §87211(a)(1)(A)

Based on observation and record review, the licensee did not comply with the section cited above by not reporting the death of R1 within seven days of occurrence which poses a potential safety risk to persons in care.

Read raw inspector notes

On 02/24/2026 at 1:55 PM, Licensing Program Analyst (LPA) P.Manalo conducted an unannounced Case Management visit regarding a self-reported death report. The facility sent in a death report on 02/18/2026 that indicated that R1 passed away on 02/08/2026 at 1:05 PM. LPA met with Administrator (ADM), Antonia Mari, and explained the purpose of the visit. During the visit, LPA reviewed facility’s incident report, death report, physician report, appraisal needs and services plan, hospice binder, and Physician Orders for Life-Sustaining Treatment (POLST). LPA spoke with ADM who stated that R1 was on hospice and R1's health was declining. ADM stated that R1 on puree diet and was not consuming much. During the visit, LPA and ADM spoke with hospice agency to obtain progress notes of R1 while on hospice. LPA may return at a later time. The following deficiencies were observed: At 2:05 PM, LPA observed Peridex in the bathroom. At 2:25 PM, LPA observed that the death report was reported to CCLD on 02/18/2026 but R1 passed away on 02/08/2026. The Facility was 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 with staff. Appeal Rights, LIC421FC, and a copy of this report provided.

2025-10-07
Other Visit
Type B · 1 finding

Plain-language summary

On October 7, 2025, inspectors conducted a follow-up visit to check on a resident's admission and found three problems: the facility did not notify licensing that the resident was admitted to hospice care, the resident's medical condition (contracture) was not approved by the department before admission, and the hospice care records were incomplete and unavailable for review. The facility was cited for these violations and given time to correct them.

Type B22 CCR §87506(a)
Verbatim citation text · 22 CCR §87506(a)

Based on record review, the licensee did not comply with the section cited above by not having R1's complete hospice binder at the facility available for review which poses a potential safety risk to persons in care.

Read raw inspector notes

On 10/07/2025 at 9:05 AM, Licensing Program Analysts (LPAs) P.Manalo and K.Nguyen arrived unannounced to conduct a Case Management visit to follow up on the admission of Resident 1 (R1). Direct Care Staff, Emma Ang, contacted Teresita Collong and explained the purpose of the visit. Administrator was unavailable to come to today's visit and gave authorization for Teresita to sign the report. During the visit, LPAs reviewed R1's physician report, appraisal needs and services plan, and hospice binder. Record review showed that R1 was admitted to hospice on 09/24/2025. Physician report showed that R1 is non-ambulatory and has a contracture. LPAs observed the following deficiencies during the visit: Record review showed that R1 is on hospice and the facility did not send hospice notification to licensing. Physician report dated 09/22/2025 showed that R1 is diagnosed with contracture without prior exception approval from the department. Record review showed that R1's hospice binder is incomplete and not available for review during the visit. The Facility was 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 with staff. Appeal Rights and a copy of this report provided.

2025-06-20
Annual Compliance Visit
No findings

Plain-language summary

On June 20, 2025, a state licensing official made an unannounced visit to deliver an amended report following the facility's annual inspection from May 28, 2025. The official met with direct care staff to explain the purpose of the visit and provided a copy of the amended report. No new violations or concerns were identified during this follow-up visit.

Read raw inspector notes

On 06/20/2025 at 8:30 AM, Licensing Program Analyst (LPA) P.Manalo arrived unannounced to deliver an amended report from the annual visit that occurred on 05/28/2025. LPA met with Direct Care Staff, Teresita Collong, and explained the purpose of the visit. Amended report delivered. Exit interview conducted and a copy of this report provided.

2025-05-28
Annual Compliance Visit
Type A · 17 findings

Plain-language summary

During a routine annual inspection on May 28, 2025, inspectors found multiple deficiencies including unlocked cough medicine in the refrigerator, incomplete resident files missing required medical documents and forms, lack of emergency drills, bed rails in use without doctor's orders, staff without CPR certification, missing required facility posters, and insufficient first aid supplies and food inventory. Additional violations included PRN medications without doctor's orders, no documented staff training, uneven pavement near an exit, trash improperly stored outside, and the facility caring for two hospice residents when approved for only one. The facility was cited and given until June 4, 2025 to submit updated documentation and correct these violations.

Type A22 CCR §87202(a)
Verbatim citation text · 22 CCR §87202(a)

Based on observation, the licensee did not comply with the section cited above in the facility's side gate is locked. Staff interview indicated that the staff locks the gate at night which poses an immediate health and safety risk to persons in care. POC Due Date: 05/29/2025 Plan of Correction 1 2 3 4 The Administrator agrees to remove the lock and send proof to CCLD by POC date.

Type A22 CCR §87303(f)
Verbatim citation text · 22 CCR §87303(f)

Based on observation, the licensee did not comply with the section cited above by having trash bags filled with diapers outside the trash bin in the backyard side gate area which poses an immediate health and risk to persons in care. POC Due Date: 05/29/2025 Plan of Correction 1 2 3 4 The Administrator agrees to remove the trash bags and send proof to CCLD by POC date.

Type A
Verbatim citation text

Based on record review, the licensee did not comply with the section cited above by not having CPR Certification for S2 and S3 which poses an immediate health and safety risk to persons in care. POC Due Date: 05/29/2025 Plan of Correction 1 2 3 4 The Administrator agrees to obtain CPR certification for both staff and send proof to CCLD by POC date.

Type A22 CCR §87465(h)(2)
Verbatim citation text · 22 CCR §87465(h)(2)

Based on observation, the licensee did not comply with the section cited above in having Robitussin Cough Medicine unlocked in the fridge which poses an immediate health and safety risk to persons in care. POC Due Date: 05/29/2025 Plan of Correction 1 2 3 4 Administrator removed the medication from the fridge during the visit. Deficiency cleared.

Type B22 CCR §87303(a)
Verbatim citation text · 22 CCR §87303(a)

Based on observation, the licensee did not comply with the section cited above by having uneven pavement towards the side gate exit from the ramp which poses a potential health and safety risk to persons in care. POC Due Date: 06/11/2025 Plan of Correction 1 2 3 4 The Administrator agrees fix the uneven pavement and send proof to CCLD by POC date.

Type B22 CCR §87412(a)
Verbatim citation text · 22 CCR §87412(a)

Based on record review, the licensee did not comply with the section cited above by having all 3 files incomplete which poses a potential health risk to persons in care. POC Due Date: 06/11/2025 Plan of Correction 1 2 3 4 The Administrator agrees to make sure each staff has LIC501, LIC503, TB Test, and First Aid/ CPR Certification. Proof of correction will be sent to CCLD by POC date.

Type B
Verbatim citation text

Based on record review, the licensee did not comply with the section cited above by not having trainings conducted for all the staff which poses a potential health and safety risk to persons in care. POC Due Date: 06/18/2025 Plan of Correction 1 2 3 4 The Administrator agrees to have staff trainings conducted and send proof to CCLD by POC date.

Type B22 CCR §87468(d)
Verbatim citation text · 22 CCR §87468(d)

Based on observation, the licensee did not comply with the section cited above by not having the Personal Rights Poster and Ombudsman poster which poses personal rights risk to persons in care. POC Due Date: 06/18/2025 Plan of Correction 1 2 3 4 The Administrator agrees to obtain the posters and send proof to CCLD by POC date.

Type B22 CCR §87465(a)(8)
Verbatim citation text · 22 CCR §87465(a)(8)

Based on observation, the licensee did not comply with the section cited above by not having a complete First Aid Kit which poses a potential safety risk to persons in care. POC Due Date: 06/04/2025 Plan of Correction 1 2 3 4 The Administrator agrees to purchase a new First Aid Kit and send proof to CCLD by POC date.

Type B22 CCR §87465(c)(1)
Verbatim citation text · 22 CCR §87465(c)(1)

Based on observation, the licensee did not comply with the section cited above by not having a doctor's order for the PRN medications which poses a potential health and safety risk to persons in care. POC Due Date: 06/18/2025 Plan of Correction 1 2 3 4 The Administrator agrees to obtain doctor's order for the PRN medications and send proof to CCLD by POC date.

Type B22 CCR §87506(b)
Verbatim citation text · 22 CCR §87506(b)

Based on record review, the licensee did not comply with the section cited above by not having a complete file for each residents which poses a potential health and safety risk to persons in care. POC Due Date: 06/18/2025 Plan of Correction 1 2 3 4 The Administrator agrees to complete the residents' files including the Appraisal Needs and Services, Physician's Report, Emergency ID form, Consent Form etc. and send proof to CCLD by POC date.

Type B
Verbatim citation text

Based on record review, the licensee did not comply with the section cited above by not conducting emergency drills which poses a potential health and safety risk to persons in care. POC Due Date: 06/11/2025 Plan of Correction 1 2 3 4 The Administrator agrees to conduct emergency drills and send proof to CCLD by POC date.

Type B22 CCR §87608(a)(5)(A)
Verbatim citation text · 22 CCR §87608(a)(5)(A)

*****THIS IS AN AMENDED REPORT FROM VISIT 05/28/2025**** Based on record review, the licensee did not comply with the section cited above by not having half bed rail orders for R1, R2, R4, and R6 which poses a potential health and safety risk to persons in care. POC Due Date: 06/25/2025 Plan of Correction 1 2 3 4 The Administrator agrees to send proof of the half bed rail orders for the residents and send proof to CCLD by POC date.

Type B22 CCR §87608(a)(5)(B)
Verbatim citation text · 22 CCR §87608(a)(5)(B)

*****THIS IS AN AMENDED REPORT FROM VISIT 05/28/2025***** Based on record review, the licensee did not comply with the section cited above in having a full bed rail orders for R3 and R5 which poses a potential health and safety risk to persons in care. POC Due Date: 06/25/2025 Plan of Correction 1 2 3 4 The Administrator will request an exception for R3 for the full bed rail and will obtain a full bed rail order for R5 from hospice. Proof of correction will be sent to CCLD by POC date.

Type B22 CCR §87555(b)(26)
Verbatim citation text · 22 CCR §87555(b)(26)

Based on observation, the licensee did not comply with the section cited above by not having enough canned goods for the facility which poses a potential health and safety risk to persons in care. POC Due Date: 06/04/2025 Plan of Correction 1 2 3 4 The Administrator agrees to buy more canned goods and send proof to CCLD by POC date.

Type B22 CCR §87632(a)
Verbatim citation text · 22 CCR §87632(a)

Based on record review, the licensee did not comply with the section cited above by having two residents in hospice and only approved for one hospice waiver which poses a potential health and safety risk to persons in care. POC Due Date: 06/11/2025 Plan of Correction 1 2 3 4 The Administrator will request for an increase of hospice waiver and send proof to CCLD by POC date.

Type B22 CCR §87208(a)(7)(B)
Verbatim citation text · 22 CCR §87208(a)(7)(B)

Based on observation, the licensee did not comply with the section cited above by not having the facility sketch not matching the physical plant which poses a potential safety risk to persons in care. POC Due Date: 06/04/2025 Plan of Correction 1 2 3 4 The facility agrees to submit a LIC200, updated facility sketch, and have the fire inspectors inspect the facility. Proof of correction will be sent to CCLD by POC date.

Read raw inspector notes

On 05/28/2025 at 9:45 AM, Licensing Program Analyst (LPAs) P. Manalo and L. Fontanilla arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Administrator, Antonia Mari, and explained the purpose of the visit. Administrator certificate is current. LPA toured facility with inside and out including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 7 total bedrooms which 6 bedrooms are occupied by the residents and 1 bedroom is occupied by staff. There are no bodies of water observed. A comfortable temperature is maintained at 71 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 116.3 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 06/24/2024. Emergency Disaster Plan was last posted on 09/01/2024. At 10:07 AM, LPAs reviewed 6 residents records. At 10:32 AM, LPAs reviewed 3 staff records and all are associated to the facility. At 12:30, LPAs reviewed a sample of resident’s medications. Continue to 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 Continue from LIC809... Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 06/04/2025: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 10:00 AM, LPA observed Robitussin Cough Medicine unlocked in the fridge. At 11:03 AM, LPA observed that all the residents’ files were incomplete including the Appraisal Needs and Services, Physician's Report, Emergency ID form, Consent Form etc. At 11:32 AM, during record review and interview, there is no emergency drills conducted. At 12:07 PM, LPA observed that R3 and R5 have full bed rails with no doctor's order. At 12:08 PM, LPA observed that R1, R2, R4, R6 did not have doctor's order for the 1/2 bed rails. Continue to 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 Continue from LIC809-C... At 12:24 PM, LPAs observed that the facility's side gate is locked. Staff interview indicated that the staff locks the gate at night. At 12:30 PM, LPAs observed that that the PRN Medications did not have a doctor's order. At 12:32 PM, LPAs observed the facility does not have a full first aid kit. At 11:40 AM, LPAs observed that all 3 staff do not have CPR certification. At 11:43, LPAs observed that the facility did not have the Personal Rights poster and Ombudsman poster. At 11:52 AM, LPAs observed uneven pavement towards the side gate exit from the ramp. At 11:57 AM, LPAs observed that all 3 files were incomplete during record review. At 11:59 AM, during record review and interview, there was no training's documented for staff. At 12:00 PM, LPAs observed trash bags filled with diapers outside the trash bin in the backyard side gate area. At 12:10 PM, LPAs observed the facility has two hospice residents and only has a hospice waiver approved for one. At 12:12 PM, LPAs observed the facility did not have enough canned goods. The Facility was 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 with Administrator. Appeal Rights and a copy of this report provided.

2024-06-12
Annual Compliance Visit
Type A · 7 findings
Inspector · Jill Clancy-Czuleger

Plain-language summary

During an unannounced annual inspection on June 12, 2024, inspectors found several violations: medications were left unlocked, required medical assessments were missing or outdated for four residents, a staff member's records were not on file, the administrator's certificate had expired, a fire extinguisher had not been serviced since May 2023, and the complaint poster was the wrong size. The facility otherwise had adequate furnishings, supplies, food, and outdoor space, with proper lockups for knives and cleaning supplies.

Type A22 CCR §87412(a)
Verbatim citation text · 22 CCR §87412(a)

Based on interview record review, the licensee did not comply with the section cited aboveby not having a staff record for S2 which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 06/14/2024 Plan of Correction 1 2 3 4 Licensee agrees to complete a staff record for S2. Proof of correction will be sent to CCLD by POC date.

Type A22 CCR §87465(h)(2)
Verbatim citation text · 22 CCR §87465(h)(2)

Based on observation, the licensee did not comply with the section cited above by leaving the medication cabinet unlocked which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 06/14/2024 Plan of Correction 1 2 3 4 Licensee agrees to lock the medication cabinet and review the regulation. Proof of correction will be sent to CCLD by POC date.

Type A22 CCR §87458(a)
Verbatim citation text · 22 CCR §87458(a)

Based on record review, the licensee did not comply with the section cited above by not having a medical assessments done for R2 which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 06/26/2024 Plan of Correction 1 2 3 4 Licensee agrees to get medical assessments for all residents. Proof of correction will be sent to CCLD by POC date.

Type A22 CCR §87705(c)(5)
Verbatim citation text · 22 CCR §87705(c)(5)

Based on record review, the licensee did not comply with the section cited above by not having a updated medical assessment for R5 which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 06/26/2024 Plan of Correction 1 2 3 4 Licensee agrees to get medical assessment for resident 5. Proof of correction will be sent to CCLD by POC date.

Type B22 CCR §87202(a)
Verbatim citation text · 22 CCR §87202(a)

Based on observation, the licensee did not comply with the section cited above because the Fire Extinguisher has not been serviced or replaced since May 9th 2023 which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/26/2024 Plan of Correction 1 2 3 4 Licensee agrees to get the Fire Extinguisher serviced. Proof of correction will be sent to CCLD by POC date.

Type B22 CCR §87412(d)
Verbatim citation text · 22 CCR §87412(d)

Based on record review, the licensee did not comply with the section cited above by having expired administrator certificates for both the licensee and the administrator which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/26/2024 Plan of Correction 1 2 3 4 Licensee agrees to hire a licensed administrator. Proof of correction will be sent to CCLD by POC date.

Type B22 CCR §87468(c)(2)(A)
Verbatim citation text · 22 CCR §87468(c)(2)(A)

Based on observation, the licensee did not comply with the section cited above by having the PUB 475 the wrong size which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/03/2024 Plan of Correction 1 2 3 4 Licensee agrees to get a new poster in the correct size of 20” x 26” inches. Proof of correction will be sent to CCLD by POC date.

Read raw inspector notes

On 06/12/2024 at 09:20 am Licensing Program Analysts (LPA) J. Clancy-Czuleger arrived unannounced to do an annual inspection. LPA meet with Licensee Antonia Mari and explained the purpose of the visit. LPA inspected the facility inside out. There is no body of water. Physical plant is consistent with the facility sketch received by Central Application Bureau (CAB) and approved by the fire department. LPA inspected the living room, dining area, kitchen, bedrooms, hallways, bathrooms, side and backyards. Bedrooms were observed appropriately furnished with adequate lighting and drawers. Facility has sufficient towels, extra bed sheets and comforters. Equipment and supplies for residents' personal hygiene are available and on site. Dinner and silver wares were observed sufficient for residents' use. Food supplies checked and observed good for seven days of non-perishables. Facility was observed equipped with refrigerator, microwave, dishwasher, washer and dryer. Cabinet for knives, cleaning supplies, and central storage for medications were observed with locks. Activity supplies were available. Outdoor activity space was observed furnished with tables, chairs and shade. The facility has a mitigation plan. At 10:02 am LPA reviewed 6 residents records. At 10:45 am, LPA reviewed 3 staff records and 3 of 3 were fingerprint cleared and associated to the facility. Continued on LIC 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 ...Continued from LIC 809 The following deficiency was observed during the visit: Medication unlocked Complaint Poster incorrect size No updated medical assessment for R5 with dementia No medical assessment for R2, R3, R4 No staff record for S2 Administrator certificate expired/not renewed Fire Extinguisher has not been serviced or replaced since May 9th 2023 The Facility was cited, and citations can be found on the LIC 809-D. Exit interview conducted. Appeal Rights and a copy of this report provided.

1 older inspection from 2023 are not shown above.

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