Elisabeth Care Home.
A small home, reviewed on public record.
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.
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.
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
Elopements, fires, epidemic outbreaks, and poisonings must be reported immediately. Abuse with serious bodily injury requires a 2-hour phone report + 2-hour written report to CDSS, Adult Protective Services, and law enforcement. Abuse without serious bodily injury must be reported within 24 hours. A resident death requires a phone call by the next working day and a written report within 7 days. Injuries requiring medical treatment beyond first aid, and bankruptcy/foreclosure/utility shutoff notices, must also be reported. Incidents not reported on time are a separate violation — families may file a complaint directly with CDSS.
Ask on tour
“When was the last incident report filed with CDSS, and may I see your incident log summary for the past 12 months?”
Questions to ask before you visit.
A short pre-tour checklist tailored to Elisabeth Care Home's record and state requirements.
The facility has 8 serious citations on file across all inspections — can you provide your corrective-action plan 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.
Three 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.
Five deficiencies related to Title 22 §87705 or §87706 dementia-care requirements appear in the inspection record — can you provide the written dementia-care program required by §87705 and walk through how it addresses each cited deficiency?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Every inspection visit, verbatim.
10 inspections in the public record, most recent first. Plain-language summaries open first — click into any row for the full citation text.
2026-05-27Other VisitType B · 5 findings
“Based on observation, the licensee did not comply with the section cited above in by hot water temperature in all shared bathrooms including kitchen sink was not regulating at minmum 105 degrees F. Water temperature measured at 100.9 which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/28/2026 Plan of Correction 1 2 3 4 Administrator will raise the water temperature on water heat and re-check. Send a photo of water temperature and submit a photo to CCLD by POC due date. While at facility Administrator adjusted the water heater and water measured at 108.7 Deficiency cleared during visit. Repeat Violation. Assessed civil penalty $250.00 for today.”
“Based on observation, the licensee did not comply with the section cited above in by having a lock on side exit gate which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/28/2026 Plan of Correction 1 2 3 4 Administrator removed the lock during visit. Deficiency cleared.”
“Based on observation, interview, record review, the licensee did not comply with the section cited above in by not conducting quarterly fire drills with staff for each staff including but not limited to all staff on different shifts which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/03/2026 Plan of Correction 1 2 3 4 Administrator agrees to self-certify by reading and understanding the regulation moving forward and send self-certification to CCLD by POC due date. In addition, conduct fire drills with staff and have staff signatures as participating in the exercised drills.”
“Based on observation, the licensee did not comply with the section cited above in by not having a tv monitor, gardening shovel, rake, other items located outside in backyard which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/03/2026 Plan of Correction 1 2 3 4 Administrator agrees to remove and clean the back yard, send a photo to CCLD by POC due date. While at the facility Administrator removed the shovel, rake, umbrella pole and tv monitor to the garage. Deficiency cleared. Repeat Violation. Assessed civil penalty $250.00 for today.”
“Based on interview and record review, the licensee did not comply with the section cited above in S3 had expired First Aid expired which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/03/2026 Plan of Correction 1 2 3 4 Administrator will send a copy of First Aid certificate for S3 to CCLD by POC due date.”
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On 05/27/2026 at 2:00 PM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Licensee/Administrator/Caregiver, Obed D'Autruche and explained the purpose of the visit. The facility’s fire clearance was approved for capacity of six (6) residents. All may be non-ambulatory, one (1) bedridden, two (2) hospice. Administrator Certificate # 7008942740 expires 01/15/2028. LPA toured facility with Mr.D'Autruche including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of five (5) total bedrooms which four (4) bedrooms are occupied by the residents and one (1) bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 100.9 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one-week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. LIC809-C Continued... 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 Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 05/29/2025. Emergency Disaster Plan was last posted on 05/27/2026. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 03/28/2026. LPA reviewed two (2) residents records. LPA reviewed four (4) staff records and 4 of 4 have current first aid training and associated to the facility. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 3:10pm lock on side gate At 3:12pm gardening shovel/rake sitting up against backyard fence and black metal laying on ground up against the house At 3:13pm a television sitting on ground outside by garbage cans Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 06/03/2026: LIC 308 Designation of Administrative Responsibility - Reviewed LIC 309 Administrative Organization - Reviewed Updated LIC 500 Personnel Report LIC 610E Emergency Disaster Plan - Reviewed Liability Insurance - Reviewed Current Administrator’s Certificate - Reviewed Exit interview conducted, a copy of this report provided, LIC421FC civil penalties along with Appeal rights.
2025-06-13Annual Compliance VisitNo findings
Plain-language summary
On June 13, 2025, inspectors conducted a follow-up visit to verify corrections from an earlier inspection and found that while some issues had been fixed, three deficiencies remained uncorrected past the deadline. The facility was assessed $600 in civil penalties for the failure to correct these issues on time and will face additional daily penalties until they are resolved. An exit interview was held with the administrator.
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On 06/13/2025 at 2:30 PM, Licensing Program Analyst (LPA) L. Alexander conducted an unannounced Proof of Correction (POC) visit and met with Licensee/Administrator, Obed D’Autruche. LPA explained the purpose of the visit to Licensee. On 05/28/2025, LPA L. Alexander conducted an Annual Inspection in which deficiencies were cited. The POC due date was 06/11/2025. Facility has the following deficiencies that was cleared : CCR 87465(d) CCR 87303(e)(2) Facility has the following deficiencies that was not cleared : 3. CCR 87412(a) $100.00 x’s 2 days = $200.00 4. HSC 1569.625(b)(2) $100.00 x’s 2 days = $200.00 5. CCR 87465(e) $100.00 x’s 2 days = $200.00 Civil Penalties in the total amount of $600.00 is assessed today for failure to meet POC date for deficiencies. Facility is subject to ongoing daily civil penalties until deficiencies is corrected. Exit interview conducted. A copy of this report, appeal rights and LIC421FC provided.
2025-05-28Other VisitType B · 7 findings
Plain-language summary
During an unannounced annual inspection on May 28, 2025, inspectors found the facility met most safety and care standards, but noted several maintenance issues: wooden materials and debris stored in the backyard, a bed with bedding in the garage, uncleaned flooring in rear bathrooms, and broken flooring in the rear bathroom. The facility was also asked to submit updated paperwork including insurance documentation and emergency plans by early June 2025.
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“Based on observation, the licensee did not comply with the section cited above in by having backyard cleaned up, flooring repaired in rear bedroom which poses a potential health and safety or risk to persons in care. POC Due Date: 06/11/2025 Plan of Correction 1 2 3 4 Administrator agreed to clean yard, remove items from back yards, and repair the broken wood in rear bedrooms by sending a photo to CCLD by POC due date.”
“Based on observation, the licensee did not comply with the section cited above in by not having the floor surfaces clean including but not limited to bathroom and shower floors in rear bedrooms which poses a potential health and safety risk to persons in care. POC Due Date: 06/11/2025 Plan of Correction 1 2 3 4 Administrator agreed to clean all flooring including rear bedrooms and bathrooms by sending a photo to CCLD by POC due date.”
“Based on observation, the licensee did not comply with the section cited above in by not having the water temp. measuring between 105-120 degree F. The water temperatures measured 126, 128.7 and 128 degree F in rear bathroom which poses a potential health and safety risk to persons in care. POC Due Date: 06/11/2025 Plan of Correction 1 2 3 4 Administrator will adjust water temp. and send a photo to CCLD by pOC due date.”
“Based on interview and record review, the licensee did not comply with the section cited above in by not having on file including but not limited to application, First Aid/CPR, and employee documents for S4 which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/11/2025 Plan of Correction 1 2 3 4 Administrator agreed to submit S4 documents to CCLD by POC due date.”
“Based on record review, the licensee did not comply with the section cited above in by not having annual trainings for S1, S2 and S3 which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/11/2025 Plan of Correction 1 2 3 4 Administrator agreed to complete staff trainings and submit training certificates to CCLD by POC due date.”
“Based on record review, the licensee did not comply with the section cited above in by not having a physician's report for R1 that indicates that R1 can administer their own prescription and non-prescription medications which poses a potential health and safety risk to persons in care. POC Due Date: 06/11/2025 Plan of Correction 1 2 3 4 Administrator to submit an updated Physician's Report for R1 to CCLD by POC due date.”
“Based on observation and record review, the licensee did not comply with the section cited above in by having R1's doctor's orders on file for prescription and non-prescription medications including but not limited to vitamins and herbal supplements which pose a potential health and safety risk to persons in care. POC Due Date: 06/11/2025 Plan of Correction 1 2 3 4 Administrator agreed to submit a copy of doctor's orders for all prescription and non prescription medications for R1 to CCLD by POC due date.”
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On 05/28/2025 at 3:10 PM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Licensee/Administrator, Obed D'Autruche and explained the purpose of the visit. The facility’s fire clearance was approved for capacity of six (6) non-ambulatory and where one (1) bedridden resident can reside in Bedroom #1. Hospice waiver approved for two (2) residents. Administrator certificate #7008942740 expires 01/15/2026. LPA toured facility with Obed including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of five (5) total bedrooms which one (1) bedroom is occupied by one (1) resident and two (2) bedrooms are occupied by live-in staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 74 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 126, 128 and 128.7 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Sharps were locked and inaccessible to residents. LIC809-C Continued... 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 LIC809-C Continued... Smoke and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 05/08/2024. Emergency Disaster Plan was last posted on 05/28/2025. Emergency disaster drill was last conducted on 03/15/2025. LPA reviewed one (1) resident's records. LPA reviewed three (3) staff records and three (3) of four (4) have current first aid training and associated to the facility. LPA reviewed a sample of resident’s medications. THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: LPA observed wooden coat rack, piece of wood lumbar, and other materials along the outside fence and back yard LPA observed a bed with sheets/blanket/pillows located in the garage LPA observed the flooring in rear bathrooms and shower were not clean LPA observed piece of wood flooring broken at rear bathroom Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 06/04/2025: Updated LIC 500 Personnel Report LIC 610E Emergency Disaster Plan - Reviewed Certificate of Liability Insurance The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.
2024-09-19Other VisitNo findings
Plain-language summary
This was a follow-up visit on September 19, 2024, to verify that the facility had completed corrections ordered after a prior compliance meeting on September 3, 2024. The facility failed to submit required staff training certificates and admission procedures by the September 17 deadline, and the administrator's request for a three-day extension was denied; the state assessed a $200 penalty for this non-compliance and warned that daily penalties would continue until the deficiencies were corrected.
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On 09/19/2024, at 9:10 AM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct Case Management - Proof of Correction (POC) visit. LPA met with Licensees/Administrator, Obed & Magdala D'Autruche and explained the purpose of the visit. During the Non-Compliance Conference (NCC) meeting on 09/03/2024 the Licensees agreed to do the following in order to bring the facility in compliance. Licensee to complete a total of 6 hours (2 hours minimum for each training course) of training that included: Reporting Requirements, Administrator Qualifications and Criminal Record Clearance. Trainings are to be provided by a Community Care Licensing approved vendor. Certificate of completion due 09/17/2024. Administrator to send a copy of Admissions procedures for new residents to the Department to be mailed by 09/17/2024. The Licensee/Administrator requested an extension to the due date 09/17/2024 for 3 additional days in which LPA L. Alexander denied the request. The reason for additional days was not justifiable to show progress and effort in restoring compliance. LIC809-C Continued... 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 LIC809-C Continued... Civil Penalties in the total amount of 2 days X $100.00 = $200.00 is assessed today for failure to meet POC date. Facility is subject to ongoing daily civil penalties until deficiencies is corrected. Exit interview conducted. A copy of this report, appeal rights provided and LIC421FC provided.
2024-07-26Other VisitNo findings
Plain-language summary
This was a follow-up visit on July 26, 2024, to verify that a previous violation had been corrected. The facility had been cited a week earlier for having unauthorized residents living there, and inspectors confirmed that those individuals had been removed and the problem was resolved. No new violations were found during this visit.
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On 07/26/2024, at 9:00 AM, Licensing Program Analysts (LPAs) L. Alexander and L. Holmes arrived unannounced to conduct Proof of Correction (POC) visit. LPAs met with Licensees/Administrator, Obed & Magadala D'Autruche and explained the purpose of the visit. LPAs toured the entire facility including all bedrooms, bathrooms and garage. Licensees were cited and assessed immediate civil penalties on 07/17/2024 for CCR 87355(e). LPAs did not observe any additional individuals at the facility that weren't associated in Guardian. Magadala e-mailed LPA on 07/18/2024 to advise that her family relatives were removed from the facility and are no longer residing at the facility. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
2024-07-17Other VisitNo findings
Plain-language summary
On July 17, 2024, inspectors visited the facility to follow up on a previous complaint and to check on an uncorrected deficiency related to a request for a foley catheter exception that had been cited in May 2024. The facility had not provided the required supporting documents for this exception request within the required timeframe, and was assessed $3,000 in civil penalties; the facility will face additional daily penalties until this deficiency is corrected. The administrator provided documents during the visit and committed to sending a revised exception request letter and staff training records to the licensing program.
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On 07/17/2024 Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct a Case Management - Deficiency. LPA met with Obed D'Autruche , and explained the purpose of the visit. LPA arrived to facility to conduct a complaint investigation (Control#15-AS-20240711093341) and during the visit LPA also discussed the deficiency not cleared. LPA discussed the deficiency and not receiving requested supported documents for foley catheter exception request which was cited on 05/29/2024. Administrator and Licensee gave several pages of documents in which LPA scanned with personal portable printer. LPA advised that documents will have to be reviewed. Licensee stated that they will send a revised exception request letter and a list of staff training to LPA via e-mail today. Facility has the following deficiencies that was not cleared : 87616(b) = 30 days X $100.00 = $3,000.00 Civil Penalties in the total amount of $3,000.00 is assessed today for failure to meet POC due date for deficiencies. Facility is subject to ongoing daily civil penalties until deficiencies is corrected. Exit interview conducted. A copy of this report, appeal rights and LIC421FC provided.
2024-07-17Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
A complaint alleged that staff refused to adjust the temperature in a resident's room during hot weather and removed his personal air conditioning unit without explanation. The investigation found conflicting accounts: the resident reported that a staff member refused his request to turn on the air conditioning, while staff stated they were willing to help but the resident had asked for cold air constantly; the resident said his personal AC unit was removed after a hospital stay without notice, but staff did not provide clear information about when or why this occurred. The inspector determined there was insufficient evidence to confirm whether violations took place.
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LIC9099-C Continued... LPA interviewed S1 that stated R1 wants the air to be cold and circulating all the time. S2 stated that R1 had a "private AC" but they took it out because it was expensive. S2 stated that R1's blinds are closed. S1 stated that on 07/09/2024 him and S2 were away from the facility but caregiver S3 was at the facility. S1 stated that he received a call from R1 regarding the temperature and that he spoke with S3. S1 stated that S3 said "...I don't know how to adjust the temperature..." S1 stated that he also spoke with his daughter, S4, who went and adjusted the temperature control. S1 stated when he returned back to the facility later that day, the temperature was good. LPA interviewed R1 that stated on 07/09/2024 his room was hot during the excessive heat conditions during the last couple of weeks. R1 stated that S1 was gone from the facility with guests and that he called S1 3 times that day and no answer. R1 stated that they requested to S3 if they could turn the air temperature on but S3 refused. R1 stated "I need a lot of air." R1 stated that they had their own "Energy Efficient" personal AC that included a fan and humidifier which was installed by W2 in their bedroom. R1 stated after he was discharged and returned back from his last hospitalization, 05/21/24 thru 05/28/24, his personal AC was gone without any notice or explanation to why it was removed. R1 stated that his room is hotter than all the other rooms in the house, the location where his room is facing and that there is no cross ventilation in his bedroom. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation are UNSUBSTANTIATED . Exit interview conducted and a copy of this report was provided.
2024-06-18Annual Compliance VisitNo findings
Plain-language summary
This was a follow-up inspection on June 18, 2024, to verify that the facility had corrected violations from a previous inspection. The facility had not corrected a deficiency by the required deadline and was assessed a $600 civil penalty; the facility remains subject to daily penalties until the violation is fixed.
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On 06/18/2024, at 4:15 PM, Licensing Program Analysts (LPAs) L. Alexander and L. Holmes arrived unannounced to conduct Proof of Correction (POC) visit. LPAs met with Licensee, Magadala D'Autruche and explained the purpose of the visit. Magadala phoned Administrator, Obed D'Autruche to inform. Obed arrived at the facility shortly after. Administrator requested an extended due date from 06/05/24 to 06/12/24 in which LPA L. Alexander granted. Facility has the following deficiencies that was not cleared : 87616(b) = 6 days X $100 = $600.00 Civil Penalties in the total amount of $600.00 is assessed today for failure to meet POC date for deficiencies. Facility is subject to ongoing daily civil penalties until deficiencies is corrected. Exit interview conducted. A copy of this report, appeal rights provided and LIC421FC provided.
2024-05-29Other VisitType B · 7 findings
Plain-language summary
During a routine annual inspection on May 29, 2024, inspectors found the facility's administrator certificate had expired in January 2024, though the administrator said he had submitted a renewal application in April. The facility itself was in good condition with safe temperatures, working smoke and carbon monoxide detectors, locked medications, and adequate food and lighting, but some required documents needed to be updated and submitted to the licensing agency by June 5, 2024.
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“Based on observation, interview and record review, the licensee did not comply with the section cited above in by not having Administrator Certificate submitted before it expired and renewal documentation available not limited to CE which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/05/2024 Plan of Correction 1 2 3 4 Administrator will submit all renewal certification documentation to CCLD by POC due date.”
“Based on record review, the licensee did not comply with the section cited above in by not having a Physician's Report for R3 which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/05/2024 Plan of Correction 1 2 3 4 Administrator agree to submit R3's Physician's Report to CCLD by POC due date”
“Based on observation and record review, the licensee did not comply with the section cited above in by not having doctor's orders for bed rails for R1 and R3 which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/05/2024 Plan of Correction 1 2 3 4 Administrator agree to submit doctor's order for bed rails for R1 and R3 to CCLD by POC due date.”
“Based on interview and record review, the licensee did not comply with the section cited above in by not having documentation in R1's file for oxygen use sent to local fire dept. which poses a potential health and safety risk to persons in care. POC Due Date: 06/05/2024 Plan of Correction 1 2 3 4 Administrator agree to submit a copy of letter sent to local fire dept for R1's oxygen use.”
“Based on observation, the licensee did not comply with the section cited above in by not having a No Smoking Oxygen in use signage which poses a potential health and safety risk to persons in care. POC Due Date: 06/05/2024 Plan of Correction 1 2 3 4 Administrator agree to submit a photo of signage on R1's door to CCLD by POC due date.”
“Based on interview and record review, the licensee did not comply with the section cited above in by not notifying Licensing of R1's Hospitalizations and ER visits which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/05/2024 Plan of Correction 1 2 3 4 Administrator agree to self-certify that they read the regulation and understand moving forward to comply with the regulations.”
“Based on record review, the licensee did not comply with the section cited above in by not having a exception request for R1's Foley Catheter which poses a potential health and safety risk to persons in care. POC Due Date: 06/05/2024 Plan of Correction 1 2 3 4 Administrator agree to submit to CCLD an exception request for R1's Foley Catheter and provide all completed documentations by POC due date.”
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On 05/29/2024 at 1:05 PM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Obed D'Autruche and explained the purpose of the visit. The facility’s fire clearance was approved for capacity of 4 (four) and hospice waiver for 2 (two). Administrator Certificate # 6030033740 expired 01/15/2024. Administrator stated that he submitted his renewal application which was dated 04/01/2024. LPA toured facility with Obed including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms which 2 bedrooms are occupied by the residents and 3 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 77 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 113.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 05/08/2024. Emergency Disaster Plan was last posted on 05/29/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 03/28/2024. LIC809-C Continued... 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 LIC809-C Continued... LPA reviewed 3 residents records. LPA reviewed 3 staff records and 3 of 3 have current first aid training and associated to the facility. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 06/05/2024: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Current Administrator’s Certificate Exit interview conducted. Appeal Rights and a copy of this report provided.
2023-09-11Other VisitNo findings
Plain-language summary
On September 11, 2023, state licensing staff visited to follow up on documents requested three months earlier during the facility's annual inspection. The facility had not submitted updated liability insurance documentation by the deadline, and staff confirmed the facility did not have current liability insurance coverage. The facility was cited for these violations and warned that failure to correct them could result in penalties.
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On 09/11/2023 Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct a Case Management visit. LPA met with Co-Administrator/Caregiver, Magdala D'Autruche, and explained the purpose of the visit. Back on 06/27/2023 during 1-Year Annual Required Inspection , LPA L. Alexander requested updated facility documents to be submitted by 07/04/2023. Administrator, Obed D'Autruche , failed to submit documents by requested due date. During phone call and interview LPA observed that the Administrator does not have current Liability Insurance. The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided
7 older inspections from 2021 are not shown above.
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