Sandhill Assisted Living Llc.
Sandhill Assisted Living Llc is Ranked in the top 44% of California memory care with 19 CDSS citations on record; last inspected Jul 2025.
A small home, reviewed on public record.
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.
among peers to rank.
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 · BETA
Sandhill Assisted Living Llc has 19 citations on record. Know the moment anything changes.
New findings, complaint investigations, or status changes — emailed to you free.
Citation history, plotted month by month.
19 deficiencies on record. Each bar is a month with a citation.
Finding distribution
19 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 Sandhill Assisted Living Llc's record and state requirements.
The facility has 16 serious citations on file across all inspections — can you provide your corrective-action plans for each cited item, and show families any documentation of remediation steps taken?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Four complaints are on file with CDSS — were any substantiated, and what remediation did the facility take in response to substantiated findings?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
The July 10, 2025 inspection cited a deficiency under §87705 or §87706 — can you provide your corrective-action plan for that cited dementia-care requirement and show documentation of the steps taken to achieve compliance?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Every inspection visit, verbatim.
17 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.
2025-07-10Other VisitNo findings
Plain-language summary
An unannounced annual inspection on July 10, 2025 found the facility clean, well-maintained, and properly equipped with safety features including working smoke and carbon monoxide detectors, fire extinguishers, and secure storage for medications, sharps, and toxic materials. The home maintained appropriate room temperature, hot water temperature, and adequate food supplies, with complete medication records and up-to-date emergency drill logs. No deficiencies were cited.
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On 7/10/2025, LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Co-Administrator Ricardo Aban. LPA explained the purpose of the visit. LPA toured the facility inside and outside including all of resident rooms, garage, and kitchen area. Facility is a single story home with six resident bedrooms. LPA observed residents in the living room. While touring the facility it was observed that the room temperature was at 70 deg F. Hot water was also tested in the bathrooms and the temperature was 118 deg F. The facility is observed to be clean, odorless, and well maintained. Residents bedrooms were observed to be well organized and fully furnished with adequate lighting. Sharps and toxic materials were observed locked. Food supply in kitchen and garage refrigerator was observed with an adequate two day perishable and seven day non-perishable food supply. Carbon monoxide/ smoke detectors, and fire extinguisher were present throughout the facility. Facility has an updated log for emergency drill is done every quarter. Four resident records and four staff records were reviewed. Centrally stored medication was locked and inaccessible by residents. All medication was labeled and sorted by resident name. All medication logs are complete and updated. LPA received the following documents: Liability Insurance & LIC500. No deficiencies cited today. Report is reviewed and copy is provided.
2025-04-10Other VisitNo findings
Plain-language summary
On April 10, 2025, a state licensing analyst conducted an unannounced visit to deliver official documents related to a previous complaint investigation. The analyst met with the administrator and reviewed the findings with him. This was a routine administrative visit, not an inspection for violations.
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On April 10, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced case management visit to deliver a copy of amended LIC9099D. LPA met with Administrator, Ricardo Aban and explained the purpose of the visit. During the visit, LPA delivered a copy of LIC9099D in relation to complaint control: 14-AS-20250129110008. Report is reviewed with Administrator, Ricardo Aban and a copy is provided.
2025-02-19Complaint InvestigationSubstantiatedType A · 1 finding
“This requirement was not met as evidenced by: Based on interviews, observations and records review, there was not enough staff member scheduled to cater to the resident’s care which poses an immediate health, safety, and personal rights risk to persons in care.”
2024-08-22Other VisitNo findings
Plain-language summary
A licensing analyst made an unannounced visit on August 22, 2024 to check on the facility's compliance after a previous meeting about violations involving residents' personal rights, staff records, emergency procedures, and incident reporting. The facility was found to be following reporting requirements and had current first aid training and emergency drills conducted with the local fire department in July 2024. No violations were cited during this visit.
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On 8/22/24, Licensing Program Analysts (LPAa), Grace Donato & Kiran Jain conducted an unannounced case management- legal/non-compliance inspection to monitor the facility operation. LPA met with Administrator, Ricardo Aban and explained the purpose of the visit. A non-compliance conference was held on October 4, 2023. During non-compliance meeting, the following violations were discussed Personal Rights of Residents in All Facilities, Personnel Records, Emergency Drills, Reporting Requirements. During LPAs visit it was observed that residents just finished breakfast. No dogs in the facility. First Aid training's are updated. Emergency drill training was done using Fire Department of Menlo Park and was conducted on July 2024. Reporting requirements has been followed, Facility is constantly reporting incidents. No citations issued today. Report is reviewed with Administrator and a copy is provided.
2024-08-01Other VisitNo findings
Plain-language summary
A state inspector visited on August 1, 2024, to verify that the facility had corrected a medication-related problem identified in a previous inspection on July 25, 2024. The facility had completed the corrections, and the deficiency was cleared. The inspector left a copy of the report with the administrator.
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On August 1, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 3:00 PM to conduct a Plan of Correction(POC) visit in regards to a citation regarding medications and failure to correct issued on July 25, 2024. LPA Calandra was greeted by Ricardo Aban, Administrator and explained the purpose of the visit. As of August 1, 2024, the deficiency has been cleared. An exit interview was conducted this report was reviewed with Ricardo Aban, Administrator and a copy of the report left at the facility.
2024-08-01Annual Compliance VisitType B · 2 findings
Plain-language summary
During the facility's annual inspection in August 2024, inspectors found the building well-maintained with working smoke and carbon monoxide detectors, adequate food and supplies, and proper hot water temperatures. The facility received violations for not storing all food in covered containers, not recording hospice training sessions, having unscreened fireplaces, and not notifying licensing that exterior gates are locked. The administrator was informed of the violations and given information about appeal rights.
“Based on observation, the licensee did not comply with the section cited above in 2 out of 2 fire places which did not have screens, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/09/2024 Plan of Correction 1 2 3 4 Licensee/Administrator to submit proof of correction and a written plan outlining how this violation will be avoided in the future to licensing office by due date.”
“Based on observation and interview of the administrator, the licensee did not comply with the section cited above in 2 out of 2 fences which were observed to have locks on them and are locked according to the administrator, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/09/2024 Plan of Correction 1 2 3 4 Licensee/Administrator to submit proof of correction and a written plan outlining how this violation will be avoided in the future to licensing office by due date.”
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On August 1, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 8:30 am to complete the Annual 1-year required inspection started on July 25, 2024. LPA Calandra was greeted by Ricardo Aban, Administrator and explained the purpose of the visit. LPA Calandra toured the physical plant. This is a 1-story building with 6 bedrooms, two bathrooms, a staff bedroom and staff bathroom, garage, dining room, living room, kitchen, front and back yards. The facility was maintained at a comfortable temperature of 71 degrees Fahrenheit. No accessible bodies of water or hazards were observed. Hot water temperature was measured within the required range of 105-120 degrees Fahrenheit. The facility's fire extinguishers were last checked on June 1, 2024 and were observed to be fully charged. No food was observed to be expired except for one item which was discarded in the presence of the LPA. The facility had the required 7 days of non perishables and 2 days of perishables on site. The facility's smoke detectors and carbon monoxide detector were observed to be in working order. The facility's first aid kit had the required tweezers, bandages, scissors, thermometer, and guide. A Technical violation was provided for not ensuring that all food is stored in covered containers. A Technical violation was provided for not recording each hospice led training session. A Type B violation was provided for not having screened fireplaces. A Type B violation was also provided for not notifying licensing that exterior gates are locked. Deficiencies are cited under California Code of Regulations, Title 22, cited on the LIC 809-D. Failure to correct the deficiencies may result in civil penalties. An exit interview was conducted. This report was reviewed with Ricardo Aban, Administrator and a copy of the report along with Appeal rights left at the facility.
2024-07-25Other VisitType A · 2 findings
Plain-language summary
During a routine annual inspection on July 25, 2024, inspectors found that medications stored at the facility were not properly recorded in the facility's medication records, and the facility did not have backup supplies available in case of a power outage. Inspectors also noted that a key to the facility vehicle was not kept on site for emergencies. The facility has been directed to correct these issues.
“Based on record review, the licensee did not comply with the section cited above in 4 out of 5 Centrally Stored Medication records(CSMR) which were missing a total of 12 medications,which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/26/2024 Plan of Correction 1 2 3 4 Licensee/Administrator to submit proof of correction and a written plan outlining how this violation will be avoided in the future to licensing office by due date.”
“Based on observation, the licensee did not comply with the section cited above in 1 out of 1 boxes of supplies that shall be available to provide alternative resources during an outage, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/26/2024 Plan of Correction 1 2 3 4 Licensee/Administrator to submit proof of correction and a written plan outlining how this violation will be avoided in the future to licensing office by due date.”
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On July 25, 2024, Licensing Program Analysts(LPAs) John Calandra and Kiran Jain arrived at the facility to conduct the unnanounced Annual 1-year required inspection at 8:50 AM. LPAs Calandra and Jain were greeted by Inahxylene Ortega, Caretaker and explained the purpose of the visit. Enrico Ortega, Lead Caregiver arrived later along with Susan Tilma, Licensee and Ricardo Aban, Administrator. LPAs Calandra and Jain reviewed 5 resident records and 5 staff records. All were observed to be complete. LPAs Calandra and Jain also reviewed Centrally Stored Medications Records(CSMR). A review of Centrally stored medications indicated that medications for residents were properly labeled with instructions on dosage and times of day but did not match the Centrally Stored Medication Records(CSMR) kept at the facility. A Type A Violation was provided for not having medications for residents recorded in the Centrally Stored Medication Records kept at the facility. A Type A Violation was also provided for not having supplies available to provide alternative resources during an outage. A Technical Violation was provided for not having a key to the facility vehicle on site for emergencies. This Annual will be completed at a later date. Deficiencies are cited under California Code of Regulations, Title 22, cited on the LIC 809-D. Failure to correct the deficiencies may result in civil penalties. An exit interview was conducted. This report was reviewed with Ricardo Aban, Administrator and a copy of the report along with Appeal Rights left at the facility.
2024-05-24Other VisitNo findings
Plain-language summary
On May 24, 2024, the state conducted an unannounced inspection to monitor the facility's operations following a non-compliance meeting held in October 2023. The inspection found that the facility had addressed the previous violations: residents' personal rights protections were in place, staff first aid training was current, emergency drills had been recently completed, and incident reporting was being done properly. No violations were found during this visit.
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On 5/24/24, Licensing Program Analyst (LPA), Grace Donato conducted an unannounced case management- legal/non-compliance inspection to monitor the facility operation. LPA met with Administrator, Ricardo Aban and explained the purpose of the visit. A non-compliance conference was held on October 4, 2023. During non-compliance meeting, the following violations were discussed Personal Rights of Residents in All Facilities, Personnel Records, Emergency Drills, Reporting Requirements. During LPAs visit it was observed that residents were being prepped and breakfast is served in dining area.. No dogs in the facility. First Aid training's are updated. Emergency drill training was done using Gerboth Fire & Safety Inc. and has just been conducted. Reporting requirements has been followed, Facility is constantly reporting incidents. No citations issued today. Report is reviewed with Administrator and a copy is provided.
2024-03-22Complaint InvestigationNo findings
2024-02-22Other VisitType A · 3 findings
Plain-language summary
During an unannounced case management visit on February 22, 2024, inspectors found that the facility did not have enough food supplies for its current residents and that a newly admitted resident lacked required paperwork (though documentation was provided when requested). Staff were also not informed about the new resident's health conditions. The facility was cited for these deficiencies and notified that failure to correct them may result in penalties.
“Based on records review, R1 moved in and caregivers were not given any information regarding the resident, which poses an immediate health, safety, and personal rights risk to persons in care.”
“Based on records review, R1 does not have a Medication Administration Records (MAR) log, which poses an immediate health, safety, and personal rights risk to persons in care.”
“Based on observation, there was not enough supply of canned good and 7-day non-perishable foods, which poses an immediate health, safety, and personal rights risk to persons in care.”
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On 2/22/24, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced case management visit. LPA met with Caregivers Aljolyn Maquiddang & Susie Herrera then Administrator Rick Aban followed after. LPA explained the purpose of the visit. LPA toured the facility, and it was observed there is not enough food supply when the current census is six. There is not enough canned food and non-perishable foods. LPA also observed that a new resident (R1) doesn't have a the required paperwork. It was however produced when LPA asked for documentation. LPA interviewed a staff (S1) and it was mentioned that they are not aware about the health issues that R1 has. They were just informed that the facility will have a move in. LPA checked the Medication Administration Records (MAR) for R1 and there was documentation. Deficiencies are cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. Report was discussed and a copy of this report and the Appeal Rights are provided. This report was reviewed with and a copy of the report and appeal rights was provided.
2024-02-22Complaint InvestigationMixedType A · 2 findings
Plain-language summary
An investigation of complaints found that staff could not provide information about a resident's bowel movements or maintain records of this care, which is required; however, a separate allegation about a power outage and hospice visit could not be substantiated with enough evidence. The facility was cited for not having adequate documentation and staff knowledge to meet residents' care needs.
“Based on records review, two medications, Lasix & Tylenol, were given to R1 with no proper documentation that it was requested from the doctor, which poses an immediate health, safety, and personal rights risk to persons in care.”
“Based on interview, S1 stated that there were no logs for activities of daily living, which poses an immediate health, safety, and personal rights risk to persons in care.”
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Based on records review, a hospice visit log was provided, and it indicated that the visit’s happened on 11/25/2022, 11/29/2022, 11/30/2022. There was also a report that hospice was supposed to be at the facility on 11/27/2022 with an arrival time of 9pm. On this report it was noted that the power outage happened from 11:30pm to 2am. Based on interviews, the department has determined that 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 citations for today. Report is reviewed and copy is provided. 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 Regarding the allegation of staff are not competent to meet client's needs, RP stated that R1s abdomen was descended and staff was unable to tell the RP when the resident's last bowel movement was. S1 stated that there were no logs or documentation regarding the resident’s bowel movement. Unless they remember when it was. Therefore, based on the interviews conducted and information collected, the above allegations are determined to be SUBSTANTIATED. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC9099-D. Failure to correct the deficiencies may result in civil penalties.
2024-01-16Other VisitNo findings
Plain-language summary
On January 16, 2024, the state conducted a follow-up inspection to check whether the facility had corrected violations previously identified in a non-compliance meeting held in October 2023. The inspection found that the facility had updated first aid training, completed emergency drill training, removed dogs from the facility, and was properly reporting incidents as required.
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On 1/16/24, Licensing Program Analyst (LPA), Grace Donato conducted an unannounced case management- legal/non-compliance inspection to monitor the facility operation. LPA met with Administrator, Ricardo Aban and explained the purpose of the visit. A non-compliance conference was held on October 4, 2023. During non-compliance meeting, the following violations were discussed Pers onal Rights of Residents in All Facilities , Personnel Records, Emergency Drills, Reporting Requirements. During LPAs visit it was observed that residents were watching tv in the living room. The dogs are not in the facility anymore and were moved somewhere else. First Aid training's are updated. Emergency drill training was done using Gerboth Fire & Safety Inc. Reporting requirements has been followed, Facility is constantly reporting incidents. No citations issued today. Report is reviewed with Administrator and a copy is provided.
2023-12-21Other VisitNo findings
Plain-language summary
On December 21, 2023, state licensing staff made an unannounced visit to verify that a court-ordered exclusion of an individual from the facility was being followed. Staff confirmed the individual was no longer on the premises and found no issues during the facility tour.
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On 12/21/23 Licensing Program Analyst (LPA) Grace Donato conducted an unannounced case management visit. LPA met with Caregiver Aljolyn Maquiddang and explained the purpose of the visit. LPA checked if the Decision and Order to exclude and individual was followed effective today, 12/21/23. LPA toured and checked the facility and everything is clear. Individual is no longer in the premises. Report is reviewed and copy is provided.
2023-11-06Other VisitType A · 1 finding
Plain-language summary
On November 6, 2023, licensing staff conducted a health check visit and found that the facility failed to report a resident's change in condition—a rash noted in a doctor's report—to the state as required. The facility was also found to have only one caregiver on staff at the time of the visit and received a recommendation to schedule two caregivers and ensure coverage when staff call out. The facility was cited for not following state reporting requirements and faces potential penalties if the violation is not corrected.
“Based on record reviews licensee did not comply with the section cited above due an incident where there is a change in condition of R1 not reported to CCLD which poses a potential health, safety or personal rights risk to persons in care.”
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On 11/06/23, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced visit for case management visit for health checks. LPA met with Caregiver Susie Herrera. LPA explained the purpose of the visit. During the visit LPA observed the residents being prepped for lunch. Masking is required again in the facility. LPA also observed that there is only one caregiver on the premises. LPA reviewed three random resident files. LPA recommended the following: - have 2 caregivers scheduled every time, if there is a call out, make sure shift is covered. Upon review of resident file, LPA noticed that there was a change of condition for a resident (R1). A doctors report was noted saying that R1 had a rash. This change of condition wasn't reported to Licensing. Deficiency is being cited today as the facility did not ensure that residents R1s change in condition was reported to Licensing. Based on records review, R1 has rash and is still being monitored by the doctor. Facility is being cited for not following reporting requirements. Deficiencies are cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. Report was discussed and a copy of this report and the Appeal Rights are provided.
2023-10-04Annual Compliance VisitNo findings
Plain-language summary
During a non-compliance meeting on October 4, 2023, inspectors found that the facility's dog bit a family member, two staff members had expired CPR certifications, personnel records were not readily available, emergency drill logs were incomplete, and a resident who fell multiple times was not reported to the licensing agency as required. The facility owners agreed to a compliance plan and will receive more frequent inspection visits over the next two years to ensure they meet state regulations.
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On 10/4/23 San Bruno Regional Office conducted a non-compliance conference meeting with Licensees, Susan Tilma & Diana Covich. Present in the meeting was Regional Manager, Vivien Helbling, Licensing Program Manager, Jackie Jin, and Licensing Program Analyst, Grace Donato. During non-compliance meeting, the following violations were discussed, Personal Rights of Residents in All Facilities , Facility dog presented aggression toward a family member and bit the family member. Personnel Requirements – General and Personnel Records for records were not readily available in the facility . Administration and management of residential care facilities; substituted qualifications; employee scheduling, for two staff members doesn't have valid CPR training due to validity being expired. Emergency Plans for not having completed emergency drill log as required. Reporting Requirements for resident reported to Licensing that he/she fell several times and no incident report was submitted by the Licensee. During this meeting, it was discussed, Licensee will receive more frequent monitoring inspection visits to ensure compliance with this compliance plan and Title 22 Regulations for 2 years . Licensee was provided the link below for resources and guidance to improve facility operations: https://www.cdss.ca.gov/inforesources/community-care/resource-guide-for-providers
2023-08-16Annual Compliance VisitType A · 1 finding
Plain-language summary
A dog bit a visitor on the facility grounds on August 10, 2023, causing bruising on both lower legs. An inspector's follow-up visit found that the dogs had escaped from the garage through a metal gate that wasn't fully closed, then ran out when a staff member opened a kitchen door. The facility was cited for this incident and must correct the gate closure procedures to prevent future escapes.
“The requirement is not met as evidenced by facility dog presented aggression toward a family member and bit the family member which posed an immediately health risk for resident in care.”
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On August 16, 2023, Licensing Analyst (LPA) Murial Han conducted an unannounced case management visit to follow up on an incident that was reported by the facility. LPA met with caregiver Susie Herrera and explained the purpose of the visit. On August 11, 2023, facility reported to CCL that a dog bit a visitor and this happened on August 10, 2023 at 7:15PM. Facility staff immediately removed the dogs and provided first aide care to the family member which revealed no bleeding but bruising were noted on both lower legs. During today's case management visit, LPA conducted facility tour, interviewed resident, facility staff, and reviewed records. According to facility staff, the dogs stay in the garage and the garage is connected to the kitchen that is connected to the rest of the facility. To prevent the dogs from entering the kitchen, there is mental gate in front of the garage door and the kitchen and to prevent the dogs from leaving the kitchen and there is a sliding door that should remained closed at all times. On the day of the incident, staff #1 (S1) was in the kitchen and both dogs managed to get out of the garage and entered the kitchen as the mental gate was not closed all the way. When staff #2 (S2) gently open the kitchen door to show a family member of a call pendant device in the kitchen, both dogs ran out from the kitchen and one of them bit the family member. 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 Facility staff acknowledged that the mental gate should've been closed all the way to prevent these situation from happening. Deficient is cited under California Health and Safety Code on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. Report was discussed and reviewed with caregiver; Findings were discussed with administrator over the phone. A copy of this report and the Appeal Rights is provided.
2023-07-24Other VisitType A · 7 findings
Plain-language summary
An unannounced annual inspection found the facility clean and well-maintained with adequate food, linens, and supplies, but identified several documentation issues: two staff members lacked current CPR and First Aid training, some resident admission and assessment forms were missing required administrator signatures, and the facility had not conducted required emergency disaster drills. The facility was directed to correct these deficiencies and submit updated records.
“Based on 2 Personnel Files are not on file in the facility and is not readily available for checking which poses an immediate health and safety risk to residents.. POC Due Date: 07/25/2023 Plan of Correction 1 2 3 4 Submit plan of action to ensure that files are readily to available for checking. Make the files available in the facility.”
“Based on record review, the licensee did not comply with the section cited above because 2 staff members doesn't have valid CPR training which poses an immediate health and safety risk to residents or personal rights risk to persons in care. POC Due Date: 07/25/2023 Plan of Correction 1 2 3 4 Submit a plan on how the 2 staff members will get the training required.”
“Based on record review 2 personnel records were not readily available in the facility which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/25/2023 Plan of Correction 1 2 3 4 Submit a plan on how to make staff records readily available in the facility.”
“Based on record review 2 personnel records were not readily available in the facility which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/25/2023 Plan of Correction 1 2 3 4 Submit plan of action to ensure that files are readily to available for checking. Make the files available in the facility.”
“Based interview no emergency drill logs are available in the facility. Drills in the facility were done every 6 months instead of quarterly which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/25/2023 Plan of Correction 1 2 3 4 Submit a plan on action on when this drills are going to be scheduled and ensure that staff sign for the in service training.”
“Based on record review, the licensee did not comply with the section cited above due to 2 out 3 doesn’t have signature of Licensee/Administrator in the admission agreement. One resident doesn’t have signature on LIC 603 (Needs & Appraisals), another resident doesn’t have signature on LIC 621 (Personal Property & Valuables) which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/28/2023 Plan of Correction 1 2 3 4 Have all necessary documents signed by either party.”
“Based Deficient Practice Statement 1 2 3 4 Based on interview, a resident mentioned that he/she fell several times. No report was submitted to licnesing. The licensee did not comply with the section cited above in which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/25/2023 Plan of Correction 1 2 3 4 Provide a plan of action as to how to address incident reports.”
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LPA Grace Donato conducted an unannounced annual visit to the facility. LPA met with caregiver Susie Herrera. LPA toured the facility inside and outside with the caregiver. While touring the facility it was observed that the room temperature was at 78 deg F. Hot water was also tested and temperature was 110 deg F. Each resident rooms were checked. The residents have adequate amount of linens and incontinence care items. Adequate lighting is available in all rooms. All personal belongings are intact. All residents are comfortable and taken care of. Carbon monoxide monitor is working properly. All fire extinguishers have been checked. Bathrooms were observed to be in good repair equipped with non-skid mats and grab bars. There is also adequate amount of food. 2 days for perishables and & 7 days non-perishable. Medication review was done for all residents and all medications are accounted for and centrally stored medication records are updated. 3 staff records available in the facility were reviewed . All staff records reviewed has criminal record clearance and are associated with the facility. Based on record reviews, it was noted that 2 the facility staff does not have updated CPR & First Aid training. Personnel records are not maintained in the facility resulting for some documents being unavailable when needed. Resident records were checked. 2 out 3 doesn’t have signature of Licensee/Administrator in the admission agreement. One resident doesn’t have signature on LIC 603 (Needs & Appraisals), another resident doesn’t have signature on LIC 621 (Personal Property & Valuables). Licensee/Administrator was advised to have these records signed. All records that still have the Orchid Lan name should be updated to Sandhill Assisted Living. 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 Staff are scheduled either up until 7 pm or 10 pm. Administrator confirmed on phone that live-in staff take care of residents needing assistance after shift and is compensated for work done during that time. Facility doesn't have a record of Emergency Disaster drill log. LPA advised administrator that drill shall be completed quarterly. LPA requested licensee to submit the following and was received by 7/24/2023: LIC 308 Designation of Facility Responsibility LIC 500 Personnel Report Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC809-D. Failure to correct the deficiencies may result in civil penalties. Report is reviewed with caregiver and a copy is provided with appeal rights.
2 older inspections from 2022 are not shown in the free view.
2 older inspections from 2022 are not shown in the free view.
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