St. Lourdes Home.
St. Lourdes Home is Ranked in the bottom 7% of California memory care with 21 CDSS citations on record; last inspected Jan 2026.
Small-Scale Memory Care in Hayward with Significant Compliance History, reviewed on public record.
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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.
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
St. Lourdes Home has 21 citations on record. Know the moment anything changes.
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Citation history, plotted month by month.
21 deficiencies on record. Each bar is a month with a citation.
Finding distribution
21 total · 36 monthsScope × Severity (CMS A–L)
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.
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?”
Questions to ask before you visit.
A short pre-tour checklist tailored to St. Lourdes Home's record and state requirements.
State records show 12 Type A deficiencies indicating actual harm to residents — what were the specific circumstances of these citations, what corrective actions were taken, and what systemic changes have been implemented to prevent recurrence?
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Two complaints are on file with CDSS — what were the subjects of these complaints, which were substantiated, and what outcomes resulted from the investigations?
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The facility has been cited under §87705 or §87706 for dementia care requirements — what specifically was cited, and how has staff training or resident supervision changed in response?
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Every inspection visit, verbatim.
6 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.
2026-01-21Other VisitNo findings
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LPA interviewed Ombudsman (OMB) on January 15, 2026 and staff (S1, S2) and licensee on this day, January 21, 2026. OMB confirmed wearing an identification (ID) with inscription 'Empowered Aging' and OMB's picture on it. OMB stated introducing self to the caregiver, was told the licensee was not at the facility and didn't allow OMB entry. S1 stated OMB came on January 9, 2026. S1 stated she didn't understand what OMB was saying but observed OMB wearing shirt with 'Empowered' print on it. S1 confirmed the licensee was not at the facility at that time and that she did not allow OMB to come in. S2 stated she was the facility when OMB came. S2 at first stated hearing OMB said 'Ombudsman' but later said not hearing it. The licensee confirmed he was not at the facility when OMB arrived and that S1 called him but OMB had left after the conversation with S1. Based on information gathered, the preponderance of evidence is met, therefore the allegation is substantiated. Deficiency is cited from Title 22 California Code of Regulations, and listed on 9099D. Failure to submit proof of correction by plan of correction due date and any repeat violation within 12 month period may result in civil penalty. Deficiency and plan and proof of correction were discussed with the licensee over the phone. Licensee authorized Norma Gano to sign and receive this report. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.
2025-08-13Annual Compliance VisitType A · 7 findings
Plain-language summary
This was a routine annual inspection on August 13, 2025. Inspectors found medications and potentially harmful items (scissors, hammers, screwdrivers) stored in unlocked locations throughout the facility, some staff had not completed required training, and several residents were being given medications that were not properly documented or were not on hand at the facility. The facility was assessed a civil penalty for these violations and given a deadline to correct them.
“Based on observation, the licensee did not comply with the section cited above in the following which pose an immediate health, safety andor personal rights risks to persons in care: Ca-Rezz incontinent wash, Hydrocortisone cream, lighter in unlocked closet in the hallway; scissors, mallet, hammer. screw drivers, lubricant in a plastic storage container in the backyard; Ca-Rezz in common bathroom; scissors in one of the residents' rooms. A $250.00 civil penalty is assessed. POC Due Date: 08/14/2025 Plan of Correction 1 2 3 4 Staff locked the items. In addition, administrator to in-service the staff and submit proof by 8/14/25.”
“Based on observation, the licensee did not comply with the section cited above in medications in kitchen drawer without lock which poses an immediate health and/or personal rights risks to persons in care. POC Due Date: 08/14/2025 Plan of Correction 1 2 3 4 Staff locked the medications. In addition, administrator to in-service the staff and submit proof by 8/14/25.”
“Based on observation and records review, the licensee did not comply with the section cited above in the following which pose immediate health and/or personal rights risks to persons in care: R3 has 1 medication on listed on After Visit Summary dated 8/05/25 but facility does not have medication; facility does not have 3 of R4's prescribed medications; R4's doctor's order for Tylenol (Acetaminophen) order is 325 mg but the one in facility's hand is 500 mg POC Due Date: 08/14/2025 Plan of Correction 1 2 3 4 Administrator to do the following and submit proof by 8/14/25. 1. Check with the doctor if the medications are no longer needed and obtain discontinued orders; otherwise, obtain the medications. 2. Obtain correct dosage for Tylenol.”
“Based on observation and record review, the licensee did not comply with the section cited above in administering multi Vitamins and Ferrous sulfate to R2 but these are not included on the medications/supplements listed on LIC602A dated 5/27/25 which pose an immediate health and/or personal rights risk to persons in care. POC Due Date: 08/14/2025 Plan of Correction 1 2 3 4 Administrator to check with the doctor if the medication/supplements are needed by R2. If so, obtain doctor's order. Otherwise, stop the administration. Proof to be submitted by 8/14/25.”
“Based on records review, the licensee did not comply with the section cited above in staff, S2 and S4, not having required postural support training for 2024 which posed a potential safety and/or personal rights risks to persons in care. POC Due Date: 08/27/2025 Plan of Correction 1 2 3 4 Administrator to have the staff trained and submit proof by 8/27/25.”
“Based on records review, the licensee did not comply with the section cited above in S3 & S5 not having the complete required 40 hours of training which poses a potential health, safety and/or personal rights risks to persons in care. POC Due Date: 08/27/2025 Plan of Correction 1 2 3 4 Administrator to have the staff complete the training. Proof to be submitted by 8/27/25.”
“Based on record review, the licensee did not comply with the section cited above in R4's two prescribed medications filled on 6/18/25 & one filled on 7/18/25 not listed on LIC622 Centrally Stored Medication and Destruction Record which pose a potential personal rights risk to persons in care. POC Due Date: 08/27/2025 Plan of Correction 1 2 3 4 Administrator to record the medications and submit copy of the LIC622 by 8/27/25.”
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On this day, August 13, 2025, at 12:40 pm, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with staff, Warlita Romero and Norma Gano. LPA called and spoke over the phone with Justino Balintona, licensee-administrator, and informed the reason for visit. LPA asked, and licensee-administrator authorized Norma Gano to be with LPA during inspection. Licensee-administrator arrived around 1:15 pm. LPA started inspection with Norma Gano and continued with licensee-administrator. LPA inspected the dining room, kitchen, bedrooms, bathrooms, living room, side and backyards. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications was locked. Facility has smoke and carbon monoxide detectors that were tested and observed in operating condition. Hot water temperature in the common bathroom was tested, and measured at 111.6 degrees Fahrenheit. Facility conducts drills and record showed last conducted July 12, 2025. Fire extinguisher checked and receipt showed purchased May 20, 2025. LPA reviewed 5 residents and 5 staff files, and interviewed 4 residents. Medications checked, and compared with doctor's orders and LIC622 Centrally Stored Medication and Destruction Records. Facility does not handle residents' cash resources. ...continued 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 LPA observed the following: -at 12:55 pm, medications in kitchen drawer without lock. -at 1:10 pm, Ca-Rezz incontinent wash, Hydrocortisone cream, lighter in unlocked closet in the hallway. -at 1:15 pm, Ca-Rezz in the common bathroom. -at 1:20 pm, unlocked scissors in the resident's room. -at 1:22 pm, Hydrocortisone cream, Ca-Rezz incontinent wash and shaving cream in another resident's room. -at 1:31 pm, scissors, mallet, hammer, screw drivers, lubricant in a plastic storage container in the backyard. -at 3:00 pm, staff (S2) does not have postural support training for 2024. -at 3:15 pm, staff (S3) who was hired in 2024 has only 16 hours of the total 40 hours required training. -at 3:20 pm, staff (S4) does not have postural support training for 2024. -at 3:32 pm, staff (S5) has not completed the required 40 hours of training within the required first 2 weeks of employment. -at 4:15 pm, resident (R2) has multi Vitamins and Ferrous sulfate administered but these are not included on the medications/supplements listed on LIC602A dated 5/27/25. -at 4:50 pm, resident (R3) has 1 medication on listed in After Visit Summary dated 8/05/25 but facility does not have the medication. -at 5:35 pm, resident's (R4) two prescribed medications filled on 6/18/25 and one filled on 7/18/25 not listed on LIC622 Centrally Stored Medication and Destruction Record. Facility does not have 3 of the prescribed medications. Tylenol (Acetaminophen) order is 325 mg but the one in facility's hand is 500 mg. LPA obtained copies of the following updated/current documents: 1. LIC308 Designation of Facility Responsibility 2. LIC500 Personnel Report 3. LIC610E Emergency Disaster Plan 4. $3M liability insurance certificate .......continued 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 Deficiencies are cited from Title 22 California Code of Regulations and listed on 809Ds. A $250.00 civil penalty is assessed for repeat violation of section 87309(a) within 12 month period and will continue for $100.00/day if not corrected. Failure to submit proof of corrections for the other deficiencies may result in civil penalties. Deficiencies and plan and proof of corrections were discussed with the licensee-administrator. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form, LIC421FC Civil Penalty Assessments, and copy of this report provided.
2025-02-28Annual Compliance VisitIJ · 2 findings
Plain-language summary
On February 28, 2025, inspectors arrived at the facility following an incident report that a resident with advanced cognitive disease had left the facility unassisted on February 27th and was found 3 blocks away with a forehead abrasion and bruise on his hand after being taken to the hospital. Inspectors found that while exit doors had auditory alarms, they were not armed, and also observed staff medications left in the living room and disinfectant spray in the dining area. The facility was cited for violations and assessed civil penalties of $500 and $250, with additional daily penalties if corrections are not made.
“-Based on observation , record review and interview, the licensee did not comply in R1 able to leave unnoticed and the auditory signals of all exit doors disarmed which posed an immediate risk to the person in care. R1 sustained injuries. Civil penalty is assessed.”
“-Based on observation, the licensee did not comply with the section above in unlocked staff medications and disinfectant spray which posed immediate risks to persons in care. This is a repeat violation”
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On this day, 2/28/25, at 11:05 am, Licensing Program Analyst (LPA) Delmundo arrived unannounced in response to the Unusual Incident Report (UIR) for resident (R1) submitted by the facility and received by LPA on 2/27/25. LPA was granted entry by staff, Norma Gano. LPA called and spoke over the phone with Justino Balintona, licensee-administrator, and informed the reason for visit. Licensee arrived at around 11:35 am. UIR indicated that on 2/27/25, the licensee noticed R1 was not in his room. The whole house was searched and the other resident's room's door leading to the outside was ajar and fence gate open. The immediate surroundings were searched and police assistance requested. R1 was located along the road 3 blocks from the facility with abrasion on the right forehead. R1 was brought to the hospital. LPA checked and observed all exit doors have auditory signals but unarmed. LPA also observed the following: staff's (S1 and S2) medications in the living room; disinfectant spray in the dining area. LPA met and interviewed R1. LPA observed bandage in R1's forehead and bruise in the left palm. LPA also interviewed the staff. LPA reviewed R1's file and obtained copy of LIC602A Physician's Report and LIC601 Identification and Emergency Contact Information. LIC602A showed R1 has major neuro cognitive disease and will be at risk if R1 leaves unassisted. .....continued 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 Deficiencies are cited from Title 22 California Code of Regulations and listed on 809Ds. A $500.00 civil penalty is assessed for deficiency section 87705(d) and $250.00 for repeat violation of section 87309(a) within 12 month period and will continue for $100.00/day for each if not corrected. Deficiencies and plan and proof of corrections were discussed with the licensee Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form, LIC421IM and LIC421FC Civil Penalty Assessments, and copy of this report provided.
2024-08-07Annual Compliance VisitType A · 7 findings
Plain-language summary
This was a routine annual inspection on August 7, 2024. Inspectors found multiple health and safety issues: moldy and rotten food in the refrigerator; medications stored unsecurely in resident rooms and common areas; hazardous cleaning products and expired food in an unlocked backyard storage area; broken bathroom fixtures and mildew; razors left in a common bathroom; and numerous medication discrepancies including missing prescribed drugs, wrong dosages, discontinued medications still being given, and medications being administered without doctor's orders. The facility was assessed a $500 civil penalty and required to submit a plan to correct these violations.
“Based on observation and record review, the licensee did not comply with the section cited above in having bedridden resident (R2) but facility is not licensed nor have bedridden fire clearance which poses an immediate safety and/or personal rights risk to persons in care. POC Due Date: 08/08/2024 Plan of Correction 1 2 3 4 Administrator stated will have the resident move out. Proof to be submitted by 8/08/24.”
“Based on observation, the licensee did not comply with the section cited above in the following which poses an immediate health, safety and/or personal rights risk to persons in care: Raid insect killer, gallons of liquid sanitizer in unlocked storage in the backyard; automotive agents, bug and windshield cleaner, stain remover in the backyard; staff's medications in the living room; razors in the bathroom; ointments and peritoneal cleanser in resident's room POC Due Date: 08/08/2024 Plan of Correction 1 2 3 4 Staff locked the items. In addition, administrator in-service the staff and submit copy of training topic with attendees signatures by 8/08/24.”
“Based on observation, the licensee did not comply with the section cited above in the following which pose an immediate health and/or personal rights risk to persons in care: rotten bitten melon leaves, asparagus, lettuce and cauliflower; expired canned good. POC Due Date: 08/08/2024 Plan of Correction 1 2 3 4 Staff threw the items. In addition, administrator in-service the staff and submit copy of training topic with attendees signatures by 8/08/24.”
“Based on observation and records review, the licensee did not comply with the section cited above in R1's Vitamins, ointments and stool softener, and R5's Quetiapine with no doctor's orders which pose an immediate health and/or personal rights risks to persons in care. POC Due Date: 08/08/2024 Plan of Correction 1 2 3 4 Administrator to obtain doctor's orders and submit copies; otherwise, stop the administration and submit proof by 8/08/24.”
“Based on observation, the licensee did not comply with the section cited above in the following which pose a potential health, safety and/ or personal rights risks to persons in care: ensuite bathroom's shower door with mildew; cabinets with heavily peeled varnish and soiled bathtub in the common bathroom; refrigerator's vegetable crispers with mold; broken drawer knobs in 2 resident rooms and missing drawer knob in the drawer by the hallway; rusted metal cart in the yard POC Due Date: 08/21/2024 Plan of Correction 1 2 3 4 Staff cleaned the vegetable crispers. In addition, administrator to do the following and submit pictures by 8/21/24: (1) Have the shower door and bathtub cleaned.; (2) Have the cabinets re-varnished.; (3) Replace the drawer knobs.; (4) Dispose the metal cart.”
“Based on observation and record review, the licensee did not comply with the section cited above in R2 who is dependent on staff with all ADLs which poses potential health, safety and/or personal rights risks to person in care. POC Due Date: 08/21/2024 Plan of Correction 1 2 3 4 Administrator stated he'll have R2 move out and submit proof.”
“Based on observation and records review, the licensee did not comply with the section cited above in the following which pose an immediate health and/or personal rights risks to persons in care: R1 has doctor's order for 3 medications but facility does not have them; some of R1's medication dosages and frequency of adminstration on the labels do not match the doctor's orders; R4 has order for 1 medication which facility does not have on hand; R5 has discontinued order for Lisinopril and facility administering this medication; R5 has order for Albuterol 2.5 mg but facility does not have this medication POC Due Date: 08/09/2024 Plan of Correction 1 2 3 4 Administrator to obtain correct doctor's orders, obtain the medications and/or discontinued orders, and submit copies by 8/08/24.”
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On this day, August 7, 2024, at 10:30 am, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with staff, Warlita Romero and Margarita Corazon Mariano. LPA called and spoke over the phone with Justino Balintona, licensee-administrator, and informed the reason for visit. LPA asked, and licensee authorized Warlita Romero to be with LPA during inspection. Licensee-administrator arrived after about 25 minutes. Facility has Infection Control Plan that was submitted on 8/19/22. LPA started inspection with Margarita Corazon Mariano and continued with administrator. LPA inspected the dining room, kitchen, bedrooms, bathrooms, living room, side and backyards. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications was locked. Facility has smoke and carbon monoxide detectors that were tested, and observed functional. Hot water temperature in the common bathroom was tested, and measured at 108 degrees Fahrenheit. Facility conducts drills and record showed last conducted 7/08/24. LPA reviewed 4 staff and 5 residents files, and interviewed 2 staff. Facility does not handle residents' cash resources. Medications checked, and compared with doctor's orders and LIC622 Centrally Stored Medication and Destruction Records. LPA observed the following: -at 10:42 am, refrigerator's vegetable crispers with mold, rotten bitter melon leaves, rotten asparagus and lettuce. ...continued on 809C (page 2) 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 Page 2 -at 10:52 am, Voltaren, athlete's foot and hydrocortisone ointments in the drawer in one of the resident's room, and CaRezz continent and Chloehexine gluconate rinse in the closet in this resident's room. -at 11:07 am and 11:09 am, broken drawer knobs in 2 resident rooms and missing drawer knob in the drawer by the hallway. -at 11:10 am, razors in the common bathroom. -at 11:12 am, bathroom cabinets with heavily peeled varnish and soiled bath tub. -at 11:17 am, ensuite bathroom's shower door with mildew. -at 11:20 am, Raid insect killer, gallons of liquid sanitizer, expired canned foods and rotten cauliflower in unlocked storage in the backyard. - at 11:24 am, automotive agents, bug and windshield cleaner, stain remover, rusted metal cart in the backyard. -at 11:38 am, staff's medications in the living room. -at 1:49 pm, resident's (R2) LIC602A Physician's Report revealed R2 is bedridden and dependent on others with all activities of daily living (ADLs). LPA observed R2 unable to reposition on his own. -at 2:50 pm, resident (R1) has doctor's order for Mupirocin (3x/day), Asprin 81 mg (1 tab/day), Colchicine, but facility does not have these meds. Acetaminophen 315 mg (PRN) but at facility's hand is 500 mg. HydrAlazine order is 50 mg 3x/day but at facilty's hand is 25 mg 3x/day. Quetiapine 25 mg 1 tablet daily but label on this medication is 2x/day. Vitamin D3's order is 25 mcg (1,000 IU) but on hand is 50 mcg (2,000 IU) and facility administers 50 mcg daily. Voltaren, multi Vitamins & stool softener have no order on file. -at 3:35 pm, resident (R4) has order for 2.5 mg Lisinopril but facility does not have this medication. -at 4:00 pm, resident (R5) has discontinued order for Lisinopril 20 mg but facility is administering this medication. Has order for Albuterol 2.5 mg but facility does not have this medication. Has Quetiapine 25 mg but no doctor's order on file. ....continued on 809C (page 3) 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 Page 3 LPA received the following updated/current documents on this day: 1. LIC308 Designation of Facility Responsibility 2. LIC500 Personnel Report 3. LIC610E Emergency Disaster Plan (9 pages) 4. $3M Liability Insurance certificate Deficiencies are cited from Title 22 California Code of Regulations, and listed on 809Ds. A $500.00 civil penalty is assessed for deficiency section 87202(a)(2). Failure to submit proof of corrections by plan of correction due dates, and any repeat violation within 12 month period may result in civil penalties. Deficiencies and plan and proof of corrections were discussed with the licensee-administrator. Exit interview conducted. Appeal Rights, LIC421IM Civil Penalty Assessment, LIC9098 Proof of Correction form and copy of this report provided.
2023-12-22Complaint InvestigationSubstantiatedType A · 1 finding
Plain-language summary
A complaint investigation found that the facility violated state regulations, and the violation was documented in a previous report. The facility failed to submit proof that it had corrected the problem by the required deadline, and it may face financial penalties if it does not comply or if similar violations occur again.
“Based on observation and record review the Licensee did not comply with the section cited above in administering over-the-counter medication to R1 which poses a potential health and safety risk for person in care.”
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Continued from LIC9099. Deficiency is cited per Title 22 California Code of Regulations and listed on LIC9099D. 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.
2023-08-02Annual Compliance VisitType A · 4 findings
Plain-language summary
A routine annual inspection was conducted on August 2, 2023, and found several violations: cleaning supplies were stored in an unlocked bathroom cabinet, a loose metal plate and wood plank posed a tripping hazard in a bedroom transition area, cleaning sprays were left in common areas and a resident bedroom, and three staff members lacked required dementia and health care training for 2022. Additionally, a resident was taking an over-the-counter medication (Melatonin) that was not listed on the current doctor's medication orders.
“Based on observation. the licensee did not comply with the section cited above for unlocked cleaning agents, disinfectants, wound& peritoneal cleansers which pose an immediate health abd safety risks to persons in care. POC Due Date: 08/03/2023 Plan of Correction 1 2 3 4 Licensee and staff locked all the items. In addition, licensee to in-service the staff, and submit copy of training topic with attendees signatures by 8/03/23.”
“Based on interview and record review, tthe licensee did not comply with the section cited above for having medication for R5 which is not listed on the most current list of doctor's order of medication which poses an immediate health and/or personal rights risks to person in care. POC Due Date: 08/03/2023 Plan of Correction 1 2 3 4 Licensee to check with the resident's physician, and obtain doctor's order if medication is needed. Proof to be submitted by 8/03/23.”
“Based on observation, the licensee did not comply with the section cited above for the transition metal plate and wood plank detached from the flooring which pose potential safety riisks to persons in care. POC Due Date: 08/16/2023 Plan of Correction 1 2 3 4 Licensee to have the plank and plate attached back to the flooring, and submit picture by 8/16/23.”
“Based on records review, the licensee did not comply with the section cited above in 3 out of 4 staff not having the required annual training which poses potential safety and/or ersonal rights risk to persons in care. POC Due Date: 08/16/2023 Plan of Correction 1 2 3 4 Licensee stated he'll have the staff complete the training. Proof to be submitted by 8/16/23.”
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On this day, August 2, 2023, at 12:00 p.m,, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with staff, Warlita Romero and Margarita Corazon Mariano. LPA called and spoke over the phone with Justino Balintona, licensee-administrator, and informed the reason for visit. LPA asked, and licensee authorized Warlita Romero to be with LPA during inspection. Licensee arrived after about 20 minutes. Facility has Infection Control Plan that was submitted on 8/19/22. LPA toured the facility inside out. LPA inspected the dining room, living room, kitchen, bedrooms, bathrooms, side and backyards. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications was locked. Facility has smoke and carbon monoxide detectors that were tested, and observed functional. Hot water temperature in one of the bathrooms was tested, and measured at 106.7 degrees Fahrenheit. Facility conducts drills and record showed last conducted 4/22/23. LPA reviewed 4 staff and 5 residents files, and interviewed 2 staff and 2 residents. Facility does not handle residents' cash resources. Medications checked, and compared with records and doctor's orders. LPA observed the following: -at 12:14 pm, All Purpose cleaning agents, Lysol and Purell surface cleaner, Comet in ensuite bathroom cabinet without proper lock. ...continued 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 -at 12:17 pm, transition metal plate and wood plank in the transition area between the room and ensuite bathroom detached from the flooring. -at 12:24 pm, Lysol and Glade sprays in the common bathroom. -at 12:27 pm, wound, peritoneal cleansers. skin protectant ointment, Glade spray and Natural Breeze spray in one of the resident bedrooms. -at 2:25 to 2:30 pm, staff (S2, S3 and S4) h as only 2 hours dementia training & no 4 hours postural support/restricted health/hospice training for 2022. -at 4:20 pm, R5 has Melatonin OTC medication but not listed on most current list of doctor's order of medications. LPA received the following updated/current documents on this day: 1. LIC308 Designation of Facility Responsibility 2. LIC500 Personnel Report 3. LIC610E Emergency Disaster Plan (9 pages) 4. $3M Liability Insurance certificate Deficiencies are cited from Title 22 California Code of Regulations, and listed on 809Ds. Failure to submit proof of corrections by plan of correction due dates, and any repeat violation within 12 month period may result in civil penalties. Deficiencies and plan and proof of corrections were discussed with the licensee. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.
2 older inspections from 2021 are not shown above.
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