California · Menlo Park

Sandhill Assisted Living LLC.

RCFE · Memory Care6 bedsDementia-trained staff(650) 492-9429
Peer rank
Top 44% of California memory care
See full peer rank →
Facility · Menlo Park
A 6-bed RCFE · Memory Care with 18 citations on file.
Licensed beds
6
Last inspection
Jul 2026
Last citation
Jul 2026
Operated by
Sandhill Assisted Living LLC
Snapshot

A small home, reviewed on public record.

Peer Comparison

Compared to 141 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
9th%
Weighted citations per bed.
peer median
0
100
Repeat rank
Not enough repeat citations
among peers to rank.
Repeat deficiencies as share of total.
Frequency rank
59th%
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.

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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 Aug 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 Sandhill Assisted Living LLC's record and state requirements.

01 /

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.

02 /

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.

03 /

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.

Full Inspection Record

Every inspection visit, verbatim.

16 inspections in the public record, most recent first. Plain-language summaries open first — click into any row for the full citation text.

16
reports on file
18
total deficiencies
13
severe (Type A)
2026-07-01
Other Visit
Type A · 7 findings
Type A22 CCR §87506(A)
Verbatim citation text · 22 CCR §87506(A)

Based on interview, record review and interviews, during the inspection, resident's records were missing from resident's files such as LIC 602 assessments, and reappraisals. Deficient Practice Statement 1 2 3 4 Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above based on observation, record review and interviews, during the inspection, resident's records were missing from resident's files and the administrator had to retrieve them from her phone which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/02/2026 Plan of Correction 1 2 3 4 The administrator will develop a plan of correction to ensure all resident records are readily available to facility staff and to licensing agency staff. The administrator will submit a copy of the plan of correction to CCL by 7/2/2026.

Type A22 CCR §87303(e)(2)
Verbatim citation text · 22 CCR §87303(e)(2)

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed the hot water temperature was measured at 128-130 degrees F which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/02/2026 Plan of Correction 1 2 3 4 The administrator will adjust the hot water temperature accordingly and will submit a plan of correction to ensure the hot water temperature is within range. The administrator will provide a copy of the plan of correction to CCL by 7/2/2026.

Type A
Verbatim citation text

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/02/2026 Plan of Correction 1 2 3 4 The administrator will submit a plan to ensure drills are completed at least quarterly for each shift and will submit a copy of the plan of correction to CCL by 7/2/2026.

Type A22 CCR §87608(a)(5)(B)
Verbatim citation text · 22 CCR §87608(a)(5)(B)

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed R2 has bed rails that extend the entire length of the bed which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/02/2026 Plan of Correction 1 2 3 4 The administrator will remove the full bed rail immediately and provide photo afterwards. The administrator will develop a plan of correction to ensure full bed rails are not being used and will submit a plan of correction by 7/2/2026.

Type B22 CCR §87355(j)
Verbatim citation text · 22 CCR §87355(j)

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in LPA observed S1 did not have a copy of the criminal record maintained in the personnel file which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/09/2026 Plan of Correction 1 2 3 4 The administrator will develop a plan of correction to ensure criminal records are file in all staff personnel files and provide a copy of the plan to CCL by 7/1/2026.

Type B22 CCR §87458(c)(5)
Verbatim citation text · 22 CCR §87458(c)(5)

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed R3's medical assessment for Ambulatory Status was blank. which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/09/2026 Plan of Correction 1 2 3 4 The administrator will follow-up with R3's PCP to obtain an updated ambulatory status and the administrator will provide a copy of it to CCL by 7/9/2026.

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

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed R1 and R3 did not have an updated reappraisal. which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/09/2026 Plan of Correction 1 2 3 4 The administrator will develop a plan of correction to ensure all the residents have an updated reappraisals and will provide a copy of the plan of correction and a copy of the reappraisal for R1 and R3 by 7/9/2026.

Read raw inspector notes

On July 1, 2026, Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. Upon entry, LPA met with house manager, Enrico Ortega and explained the purpose of today's visit. The administrators, Susan Tilma and Ricardo Aban arrived shortly thereafter and assisted with the inspection. LPA received a tour from the house manager and observed the indoor and the outdoor passageways are free of obstruction. This is a single story facility with 7 bedrooms (5 resident rooms and 2 staff room) and 4 bathrooms. There were 5 residents and 3 staff present during the visit. The facility is observed to be spacious, clean, and odor-free with comfortable temperature. Hot water temperature in the kitchen and resident's bathroom was measured at 128-130 degrees F. LPA observed medication, sharps, and toxins were locked and inaccessible to resident's in care. 2 days of perishables and 7 days of nonperishable foods were observed for the residents. Facility is equipped with smoke detectors and carbon monoxide detectors. Fire drill records were observed to be insufficient. A review of (5) resident files was conducted and noted on LIC 858. A review of (3) staff files was conducted and noted on LIC 859. 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. This report was reviewed with Administrators, Ricardo Aban, and Susan Tilma and a copy of the report along with Appeal Rights were provided.

2025-07-10
Other Visit
No 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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Read full citation text
Read raw inspector notes

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.

2025-04-10
Other Visit
No 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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Read raw inspector notes

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.

2025-02-19
Complaint Investigation
Substantiated
Type A · 1 finding
Inspector · Grace Donato
Type A22 CCR §87411(a)
Verbatim citation text · 22 CCR §87411(a)

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.

2024-08-22
Other Visit
No findings
Inspector · Grace Donato

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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Read raw inspector notes

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.

2024-08-01
Other Visit
No findings
Inspector · John Calandra

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.

2024-08-01
Annual Compliance Visit
Type B · 2 findings
Inspector · John Calandra

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.

Read full citation text (2)
Type B22 CCR §87307(d)(7)
Verbatim citation text · 22 CCR §87307(d)(7)

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.

Type B22 CCR §87705(l)(1)
Verbatim citation text · 22 CCR §87705(l)(1)

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.

2024-07-25
Other Visit
Type A · 2 findings
Inspector · John Calandra

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.

Read full citation text (2)
Type A22 CCR §87465(a)(6)
Verbatim citation text · 22 CCR §87465(a)(6)

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.

Type A
Verbatim citation text

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.

2024-05-24
Other Visit
No findings
Inspector · Grace Donato

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.

2024-03-22
Complaint Investigation
No findings
Inspector · Grace Donato
2024-02-22
Other Visit
Type A · 3 findings
Inspector · Grace Donato

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.

Read full citation text (3)
Type A22 CCR §87405(d)(1)
Verbatim citation text · 22 CCR §87405(d)(1)

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.

Type A22 CCR §87465(a)(6)
Verbatim citation text · 22 CCR §87465(a)(6)

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.

Type A22 CCR §87555(b)(26)
Verbatim citation text · 22 CCR §87555(b)(26)

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.

2024-02-22
Complaint Investigation
Mixed
Type A · 2 findings
Inspector · Grace Donato

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.

Read full citation text (2)
Type A22 CCR §87465(d)(2)
Verbatim citation text · 22 CCR §87465(d)(2)

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.

Type A22 CCR §87411(c)
Verbatim citation text · 22 CCR §87411(c)

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.

Read raw inspector notes

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.

2024-01-16
Other Visit
No findings
Inspector · Grace Donato

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.

2023-12-21
Other Visit
No findings
Inspector · Grace Donato

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.

2023-11-06
Other Visit
Type A · 1 finding
Inspector · Grace Donato

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.

Read full citation text (1)
Type A22 CCR §87211(a)(1)(D)
Verbatim citation text · 22 CCR §87211(a)(1)(D)

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.

2023-10-04
Annual Compliance Visit
No findings
Inspector · Grace Donato

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

4 older inspections from 2022 are not shown above.

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