Araville Residential Care Home Ii
RCFE · Memory Care
A Residential Care Facility for the Elderly (RCFE) is a non-medical residential care home licensed by California CDSS under Health & Safety Code §1560. Residents receive help with daily living activities such as bathing, dressing, and medication management. An RCFE with a Memory Care designation is additionally required by California Title 22 (§87705 and §87706) to provide specialized staff training in dementia care, individualized care plans for residents with cognitive impairment, and appropriate supervision protocols — requirements that go beyond a standard RCFE license.
1136 Vermont Avenue · San Bruno, 94066
Quick facts
Quality snapshot
Updated April 26, 2026Compared to 182 California RCFE memory care facilities of similar size, over the last 36 months.
Source: California Department of Social Services, Community Care Licensing Division. View raw inspection records →
Quality grade· click to show how this was calculated
Severity4thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency0thDeficiencies per inspection
Tick mark at 50% = peer median · higher percentile = better facility
Quality grade· click to show how this was calculated
Weighted citations per bed
Repeat deficiencies as share of total
Deficiencies per inspection
Tick mark at 50% = peer median · higher percentile = better facility
Araville Residential Care Home Ii scores D. Better than 35% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: bottom 4%. Repeats: top 0%. Frequency: bottom 0%.
Each metric is converted to a 0–100 percentile within the peer set (higher = better). The composite grade averages all four. Peer set: CA / rcfe_memory_care / small beds (182 facilities).
Citation severity over time
↓ improvingWeighted severity score per month · 24 months
Weighted score (24mo)
115
Last citation
Jul 25
Finding distribution
21 total · 36 monthsScope × Severity (CMS A–L)
The rules that apply to this facility
California Title 22 requirements for this facility, with the specific regulation and a suggested question for each.Rules this facility has been cited for are shown first.
What dementia-care training must staff complete?Cited Jul 202422 CCR §87705 / HSC §1569.625
Because this facility markets dementia or Alzheimer's care, state law mandates higher training standards:
- 12 hours initial dementia training — 6 hours before a staff member works independently with residents, 6 more within the first 4 weeks.
- 8 hours annual dementia in-service — required every year thereafter.
- Administrator CE — the 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: Ask how dementia training records are kept — families may request documentation.
How many staff must be on duty overnight?22 CCR §87415
Based on 6 licensed beds:
One qualified staff member must be on call and physically on premises at all times overnight.
Violation pattern to watch for:A facility that documents a staff member as "on call" but with that person physically off-site — when the law requires on-premises presence — is in violation of this section.
Ask on tour: Ask the facility to walk you through their overnight staffing plan and confirm whether on-call staff are on premises or off-site.
What health conditions can this facility legally accept or refuse?22 CCR §87612–87615
Restricted — allowed with physician order + care plan
- Supplemental oxygen
- Insulin and injectable medications
- Indwelling or intermittent catheters
- Colostomy / ileostomy
- Stage 1 and Stage 2 pressure injuries
- Wound care (non-complex)
- Incontinence
- Contractures
Prohibited — facility must refuse or discharge
- Stage 3 or Stage 4 pressure injuries
- Feeding tubes (PEG, NG, or J-tube)
- Tracheostomies
- Active MRSA or communicable infections requiring isolation
- 24-hour skilled nursing needs
- Total ADL dependence with inability to communicate needs
A hospice waiver (HSC §1569.73) can allow continued care for residents on hospice who would otherwise fall into a prohibited category.
Ask on tour: Ask whether your loved one's specific care needs are restricted or prohibited, and what the facility's process is if needs change after admission.
What must this facility report to the state — and how fast?22 CCR §87211 / WIC §15630
- ImmediateElopement, fire, epidemic outbreak, or poisoningImmediately
- 2 hoursAbuse with serious bodily injury2-hour phone report + 2-hour written report — to the California Department of Social Services (CDSS), Adult Protective Services, and law enforcement
- 24 hrsAbuse without serious bodily injuryWithin 24 hours
- Next dayDeath of a residentPhone by next working day; written within 7 days
- Next dayInjury requiring medical treatment beyond first aidPhone by next working day; written within 7 days
- WrittenBankruptcy, foreclosure, eviction, or utility shutoff noticeWritten notice to CDSS and residents — $100/day penalty (max $2,000) for failure
Your enforcement lever:Incidents that aren't reported on time are themselves a separate violation. If you believe a reportable event wasn't filed, you can submit a complaint directly to the California Department of Social Services (CDSS).
How does CDSS enforce these rules?22 CCR §87755–87777 / HSC §1569.58
- 1Notice of DeficiencyWritten citation with a correction deadline. Facility must submit a Plan of Correction.
- 2Civil PenaltyStarts at $50/day for non-serious; $150/day for serious deficiencies — immediately, with no grace period. Repeats escalate to $150 first day + $50/day, then $1,000 first day + $100/day.
- 3Suspension of AdmissionsFacility cannot accept new residents until violations are corrected.
- 4Temporary Suspension or RevocationEmergency suspension for imminent danger; full revocation after administrative hearing.
- 5Exclusion OrderAdministrator and operator can be barred from all CDSS-licensed facilities — not just this one.
See how these rules have been applied to this specific facility:
View state inspection record and citationsState records
California Dept. of Social Services · Community Care Licensing- License number
- 415600855
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Paniza, Dorie & Lamberto
Inspections & citations
4
reports on file
22
total deficiencies
16
Type A (actual harm)
2
dementia-care citations
InspectionJuly 1, 2025Type A11 deficiencies
Plain-language summary
A routine unannounced inspection on July 1, 2025 found the facility adequately furnished with sufficient food and supplies, proper safety equipment like grab bars and locked medication storage, and appropriate temperature and lighting; however, a bathroom had a strong urine odor and the facility was cited for two repeat violations from the prior year's inspection, resulting in a $500 civil penalty. The inspector reviewed resident and staff files and requested additional documentation be submitted.
View full inspector notes
On July 1, 2025 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. Upon arrival, LPA met with caregiver, Mila De Villa and explained the purpose of today's visit. The administrator and the assistant administrator arrived shortly thereafter and assisted with the inspection. Current census is 5 residents. A tour of the facility was conducted with caregiver. This is a single story facility with 6 bed rooms (1 staff rooms, 4 private rooms and 1 shared rooms). Living room, dining area, kitchen and all other areas intended for resident use were observed to be furnished and able to meet the needs of the residents. The indoor and outdoor passageways were free of obstruction. Food supplies were sufficient of 2- days perishables and 7- days of non-perishables. Showers were observed equipped with non-skid mats and grab bars. LPA observed the bathroom next to R5's room had a strong urine odor. Comfortable temperature is maintained and lighting is sufficient for comfort. Bed sheets, linens, and towels were observed to be sufficient and able to meet the needs of the residents at this time. Central storage for medications, sharps and chemicals were observed to be locked and inaccessible to residents in care. 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 Hot water temperature in the bathroom and kitchen and fire extinguisher were checked. A review of (5) resident files was conducted and noted on the LIC 858. A review of (2) staff files was conducted and noted on the LIC 859. LPA requested for a copy of the control of property to be submitted to CCL 7/2/2025. A civil penalty of $500 is being assessed today for 2 repeat violations that were cited during the annual inspection last year. Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in additional civil penalties. This report is reviewed and discussed with the administrator/licensee. A copy of this report and the appeal rights were provided.
Regulation
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (11) A health screening as specified in Section 87411, Personnel Requirements - General.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed S2 did not have a health screen record which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/02/2025 Plan of Correction 1 2 3 4 The administrator will submit a plan to ensure compliance and the plan shall indicate the date that S2 will complete the health screen process and it shall be no later than 7/8/2025. The administr…
Regulation
(a) Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall, as specified in this article 8: (2) Perform a pre-admission appraisal.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above LPA observed R1 and R2 were admitted in June 2025 without a pre-admission appraisal which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/02/2025 Plan of Correction 1 2 3 4 The manager will complete the pre-admission appraisals for R1 and R2 and submitted by 7/2/2025. The manager will develop a plan to ensure compliance and submit it to C…
Regulation
(a) Prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment, signed by a licensed medical professional acting within the scope of their practice and made within the last year, to be kept in the resident's record.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as R1 was admitted in June 2025 without a recent medical assessment. which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/02/2025 Plan of Correction 1 2 3 4 The manager will complete medical assessment and submitted by 7/2/2025. The manager will develop a plan to ensure compliance and submit it to CCL by 7/2/2025.
Regulation
(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following: (A) Communicable tuberculosis.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as R1 was admitted in June 2025 without a TB status which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/02/2025 Plan of Correction 1 2 3 4 The manager will complete medical assessment and submitted by 7/2/2025. The manager will develop a plan to ensure compliance and submit it to CCL by 7/2/2025.
Regulation
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill,…
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed the emergency drills were not conducted accordingly which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/02/2025 Plan of Correction 1 2 3 4 The house manager and Licensee will develop a plan to ensure compliance and will provide a copy of the plan to CCL by 7/2/2025.
Regulation
(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (1) Postural supports shall be limi…
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as R1 has bed rails by the head and foot of the bed which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/02/2025 Plan of Correction 1 2 3 4 The house manager and the licensee will develop a plan to ensure compliance and will provide a copy of the plan and written order to CCL by 7/2/2025.
Regulation
(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (3) A written order from a physicia…
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as R1 has postural support without a written order which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/02/2025 Plan of Correction 1 2 3 4 The house manager and the licensee will develop a plan to ensure compliance and will provide a copy of the plan and written order to CCL by 7/2/2025.
Regulation
(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above LPA observed the bathroom next to R5 has a very strong urine odor which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/08/2025 Plan of Correction 1 2 3 4 The house manager and the licensee will develop a plan to ensure compliance and will provide a copy of the plan CCL by 7/8/2025.
Regulation
(a) A licensee of a facility that has internet service shall provide at least one internet access device, such as a computer, smart phone, tablet, or other device, that can support real-time interactive applications, is equipped with videoconferencing technology, including microphone and camera functions, and is dedicated for resident use.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA did not observe any internet access device at the facility which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/08/2025 Plan of Correction 1 2 3 4 The house manager and the licensee will develop a plan to ensure compliance and will provide a copy of the plan to CCL by 7/8/2025.
Regulation
(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, th…
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed R3, R4 and R5's reappraisals were not updated accordingly which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/08/2025 Plan of Correction 1 2 3 4 The house manager and the licensee will develop a plan to ensure compliance and will provide a copy of the plan and the updated reappraisals to CCL by 7/8/2025.
Regulation
87307 Personal Accommodations and Services (a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility...
Inspector finding
LPA observed a bed and personal belongings in the garage and according to the administrator and staff, the bed is for a male caregiver to rest and he sleeps in the living room. Deficient Practice Statement 1 2 3 4 Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed a bed and personal belongings in the garage for a male caregiver which poses/posed a potential health, safety or personal rights risk to persons in care. POC…
ComplaintMarch 17, 2025· SubstantiatedCitation on file
Inspector: Murial Han
Substantiated — CDSS found a violation and issued a citation. Full citation details are on file with the state.
InspectionJuly 17, 2024Type A4 deficiencies
Inspector: Murial Han
Plain-language summary
During a routine unannounced inspection on July 17, 2024, inspectors found the facility's physical environment—including bedrooms, bathrooms, kitchen, and outdoor areas—clean and properly equipped to care for residents, with safe water temperatures and secure storage of medications and chemicals. The facility had adequate food, linens, and supplies to meet residents' needs. One deficiency was cited under state regulations, and the facility was asked to submit documentation of liability insurance, property control records, and administrator certification by July 18, 2024.
View full inspector notes
On July 17, 2024 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. Upon arrival, LPA met with caregiver, Mila De Villa and explained the purpose of today's visit. The administrator and the assistant administrator arrived shortly thereafter and assisted with the inspection. Current census is 4 residents. A tour of the facility was conducted with caregiver. This is a single story facility with 6 bed rooms (2 staff rooms, 2 private rooms and 2 shared rooms). Living room, dining area, kitchen and all other areas intended for resident use were observed to be furnished and able to meet the needs of the residents. The indoor and outdoor passageways were free of obstruction. Food supplies were sufficient of 2- days perishables and 7- days of non-perishables. Toilet, hand washing and bathing areas were observed clean and in operating condition. Showers were observed equipped with non-skid mats and grab bars. Comfortable temperature is maintained and lighting is sufficient for comfort. Bed sheets, linens, and towels were observed to be sufficient and able to meet the needs of the residents at this time. Central storage for medications, sharps and chemicals were observed to be locked and inaccessible to residents in care. 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 Hot water temperature in the bathroom and kitchen were measured at 105- 115 degrees Fahrenheit. Fire extinguisher was checked. A review of (4) resident files was conducted and noted on the LIC 858. A review of (3) staff files was conducted and noted on the LIC 859. LPA requested for a copy of the Liability Insurance, control of property, and administrator certification to be submitted by 7/18/2024. Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. . This report is reviewed and discussed with the administrator and the assistant administrator. A copy of this report and the appeal rights were provided.
Regulation
(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fi…
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above based on the LIC 602, 4 out of 4 residents are non-ambulatory and the facility is approved for 2 non-ambulatory residents which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/18/2024 Plan of Correction 1 2 3 4 The administrator and the assistant administrator will contact the physicians and obtain an updated LIC 602 for both residents. I…
Regulation
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill,…
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the facility was not able to provide documents to proof that emergency drills were conducted after Oct 31, 2023 which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/18/2024 Plan of Correction 1 2 3 4 The administrator and the assistant administrator will develop a plan to ensure compliance and will submit a copy of the plan to CCL by …
Regulation
(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (3) A written order from a physicia…
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as 3 out of 4 residents observed to have half bed rails without a physician's order which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/18/2024 Plan of Correction 1 2 3 4 The administrator and the assistant administrator will provide a plan/physician order to ensure compliance and submit a copy of the plan to CCL by 7/18/2024.
Regulation
(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care …
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as 1 resident with diagnosis dementia did not have an updated medical assessment which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/24/2024 Plan of Correction 1 2 3 4 The administrator and the assistant administrator will provide a plan to ensure compliance and submit a copy of the plan to CCL by 7/24/2024.
ComplaintNovember 18, 2023Type A6 deficiencies
Inspector: Charlie Yang
Plain-language summary
An unannounced annual inspection was conducted on November 18, 2023, and the facility was found to be in compliance with state regulations—medications and hazardous materials were properly locked and inaccessible to residents, living areas were appropriately furnished and maintained, and the kitchen had adequate food supplies. The inspector reviewed resident and staff files, observed that grab bars and safety equipment were in place, and confirmed proper hot water temperatures throughout the facility. The facility was cited for deficiencies that required updated documentation to be submitted to the state.
View full inspector notes
Unannounced annual visit made out to this facility on 11/18/2023 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility live-in caregivers, Rodrigo Mumanglag and Elma Dajao, who were briefly interviewed at this time. This LPA requested that they go ahead and contact the facility designated Administrator, Dorie Paniza, to inform her that CCL was present at this time for an annual visit. She was unable to be present at today's annual visit but gave consent for her present caregivers to sign all documents at this time. Current census was 6 residents. There was one resident under the care of hospice at this time according to statements made by the facility caregivers. This facility does have an approved hospice waiver to be able to accept and retain up to (2) hospice residents at any given time. Tour of this facility was conducted. A tour of the facility kitchen area was conducted. Drawers and cabinets were opened and the items enclosed were reviewed at this time. Drawers housing knives and sharps were observed to be locked and made inaccessible to the residents at this time. Cleaning agents, bleach, and other supplies were observed to be locked and made inaccessible to the residents at this time. A review of the facility food supply was conducted. A review of the facility's 2-day perishable foods and 7-day nonperishable foods was conducted to make sure that there were sufficient quantities on hand at all times. Medication cabinet, located in the facility staff room, was reviewed. Policies and procedures involving handling, dispensing, and documentation of the resident medications were discussed with the facility staff at this time. A review of the facility Medication Administration Record and dispensing log was conducted. Medication cabinet was observed to be locked and made inaccessible to the residents at this time. Living room, dining area, and all other areas intended for resident use were observed to furnished and maintained in compliance at this time and able to meet the needs of the residents. A tour of the resident bedrooms was conducted. Furniture and furnishings were observed to be sufficient 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 and able to meet the needs of the residents at this time. A tour of the resident restrooms was conducted. Grab bars and non skid mats were observed to be presentand in good repair at this time. Hot water temperatures were taken to make sure that they measured within the allowed range of 105-120 degrees at all times. Laundry area, located in the garage, was observed to be unlocked but did not house any detergents, soaps, or bleach at this time. It was learned that all cleaning and laundry supplies were separately locked and made inaccessible to the residents at all times. Linen closet was reviewed. Bed sheets, linens, and towels were observed to be sufficient and able to meet the needs of the residents at this time. A tour of the garage area was conducted. Additional food storage units were observed to be present and in good repair at this time. Additional nonperishable food supplies were observed to be present along with emergency food supplies as well. First aid kit, located in kitchen area, was observed to be present and contained all of the required components at this time. Fire extinguisher was observed to be placed in the kitchen area at this time. A tour of the exterior grounds for this facility was conducted. A review of the facility perimeter fence, side gates, and exits was conducted. A review of (6) resident files was conducted and noted on the LIC 858. A review of (4) resident staff files was conducted and noted on the LIC 859. The following forms and documents were requested to be updated and submitted into CCL in order to update this facility file: LIC 308 LIC 400 LIC 500 LIC 610 The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Codes. Appeal Rights were printed and a copy was given to the facility representative at this time. Exit Interview
Regulation
(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fi…
Inspector finding
Based on the record review, the licensee did not comply with the section cited above in [1] out of [6] residents was deemed to be bedridden at this time but this facility does not have an approved bedridden fire clearance which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 11/19/2023 Plan of Correction 1 2 3 4 The facility representative stated that a bedridden fire clearance will be requested by this facility and an addendum to this facility's pro…
Regulation
(b) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the physician's primary diagnosis and secondary diagnosis, if any and results of an examination for communicable tuberculosis, other contagious/infectious or contagious diseases or other medical conditions which would preclude car…
Inspector finding
Based on the record review, the licensee did not comply with the section cited above in [1] out of [6] residents did not have a proper TB clearance on their medical assessment which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 11/19/2023 Plan of Correction 1 2 3 4 The facility representative stated that an updated medical assessment will be completed for the resident to reflect proper TB clearance. A statement of correction, along with the update…
Regulation
(c) The licensee shall arrange a meeting with the resident, the resident's representative, if any, appropriate facility staff, and a representative of the resident's home health agency, if any, when there is significant change in the resident's condition, or once every 12 months, whichever occurs first, as specified in Section 87467, Resident Parti…
Inspector finding
Based on observation and record review, the licensee did not comply with the section cited above in [4] out of [6] residents did not have an updated annual appraisal performed to address any changes in residents' care and supervision needs which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 11/25/2023 Plan of Correction 1 2 3 4 The facility representative stated that re-appraisals will be requested by this facility unto the resident's attending phy…
Regulation
(b) The following food service requirements shall apply: (26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises.
Inspector finding
Based on observation, the licensee did not comply with the section cited above since there was not a sufficient supply of nonperishable food items to meet the required 7-day requirement at all times which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 11/19/2023 Plan of Correction 1 2 3 4 The facility representative stated that additional food items will be purchased in order to satisfy the required 7-day nonperishable food supply at all times. A s…
Regulation
(a) The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing with blood or urine specimens, and is able to administer his/her own medication including medication administered orally or through injection, or has it administered by an appropriately skilled professio…
Inspector finding
Based on observation and record review, the licensee did not comply with the section cited above in that a resident diagnosed with diabetes was unable to conduct their own glucose testing and insulin injections at this time and were solely reliant on the facility staff to perform them which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 11/19/2023 Plan of Correction 1 2 3 4 The facility representative stated that a reappraisal of this diabetic resid…
Regulation
(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care …
Inspector finding
Based on record review, the licensee did not comply with the section cited above in [1] out of [6] residents did not have an updated annual medical assessment which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 11/25/2023 Plan of Correction 1 2 3 4 The facility representative stated that an updated medical assessment will be completed and submitted into CCL for review by the assigned LPA. A statement of correction, along with the updated annual me…
Federal summary
CMS Care CompareNot a CMS-certified facility
California RCFEs (residential care facilities for the elderly) are licensed by the state, not by CMS. CMS data only applies to skilled nursing facilities or to CCRCs that operate a licensed SNF wing.
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