Mariah's Garden Home Care
RCFE
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 assistance with daily living activities such as bathing, dressing, meals, and medication management in a home-like setting. RCFEs are not hospitals or skilled nursing facilities — they do not provide round-the-clock medical care.
1910 Crestwood Drive · San Bruno, 94066
Quick facts
Quality snapshot
Updated April 25, 2026Compared to 214 California RCFE 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
Frequency9thDeficiencies 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
Mariah's Garden Home Care scores D. Better than 38% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: bottom 4%. Repeats: top 0%. Frequency: bottom 9%.
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_general / small beds (214 facilities).
Citation severity over time
↓ improvingWeighted severity score per month · 24 months
Weighted score (24mo)
63
Last citation
Aug 25
Finding distribution
20 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.
What training are all staff required to complete?22 CCR §87411
All direct-care staff must complete:
- 10 hours initial training within the first four weeks of employment.
- 4 hours annual in-service every year thereafter.
- Administrator certificate from a CDSS-approved program — 80 hours for first-time, 40 hours renewal every 2 years.
Ask on tour: Ask when the last staff training was completed and how it's tracked.
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
- 415600988
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Zepeda, Marie D
Inspections & citations
6
reports on file
20
total deficiencies
10
Type A (actual harm)
Other visitAugust 19, 2025Type A2 deficiencies
Plain-language summary
During an unannounced annual inspection on August 19, 2025, the facility was found to be clean, safe, and well-maintained, with proper bathroom safety features, secure medication storage, and appropriate food supplies. The facility was assessed a $100 civil penalty because it failed to complete the required background clearance transfer process for one staff member. The administrator was informed of the violation and provided with appeal rights.
View full inspector notes
On August 19, 2025 Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA meet with the administrator, Maria Zepeda and LPA explained the purpose of the visit. LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. LPA toured the facility inside and outside including all of resident rooms, common areas, and kitchen area. The indoor and outdoor passageways were free of obstruction. Facility is clean and odor-free. Comfortable temperature is maintained and lighting is sufficient for comfort. The facility has 3 shared bedrooms (2 female rooms and 1 male room), 2 full- bathrooms and bedrooms were equipped with the required furniture for residents to use. Bathrooms are equipped with grab bars and non-skid mat. Hot water temperature was measured at 110-118 degrees Fahrenheit. LPA observed medications, toxins and sharps were locked and inaccessible to residents. 2 days for perishables and & 7 days non-perishable were observed to be present. A review of (6) resident files was conducted and noted on the LIC 858. A review of (3) staff files was conducted and noted on the LIC 859 A civil penalty of $100.00 is being assessed today as the facility did not complete the process of requesting a transfer of criminal clearance record for S1. 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 the report and appeal rights were provided.
Regulation
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the facility did not request a transfer of criminal clearance records for S1 which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/20/2025 Plan of Correction 1 2 3 4 The administrator will submit the documents to CCL by 8/20/2025 to request a transfer of criminal clearance records for S1.
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 6 out of 6 residents did not have an updated reappraisal which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/26/2025 Plan of Correction 1 2 3 4 The administrator will provide a copy of the updated reappraisal for all the residents to CCL 8/26/2025.
InspectionAugust 14, 2024No deficiencies
Inspector: Murial Han
Plain-language summary
A state licensing analyst made an unannounced inspection visit on August 14, 2024, as a follow-up to a required annual inspection from the previous week. The analyst toured the facility, reviewed resident records and emergency drills, and found no violations.
View full inspector notes
On August 14, 2024, Licensing Program Analysts (LPAs) Murial Han arrived unannounced to conduct an annual continuation for an annual required inspection conducted on August 7, 2024. LPA met with administrator, Maria Zepeda and LPA explained the purpose of the visit. During today's visit, LPAs toured the facility, reviewed resident records and emergency drills. No deficiencies cited today. This report is reviewed and discussed with the administrator. A copy is provided.
Other visitAugust 14, 2024No deficiencies
Inspector: Murial Han
Plain-language summary
A follow-up inspection on August 14, 2024 found that the facility had corrected all previous deficiencies related to cleanliness, safety, and proper storage of hazardous materials like medications and cleaning chemicals. The inspector observed that the kitchen, bathrooms, living areas, and resident rooms were clean and tidy, and that dangerous items were locked and kept away from residents. No new violations were cited.
View full inspector notes
On August 14, 2024, Licensing Program Analyst (LPA), Murial Han conducted an unannounced Plan Of Correction visit. LPA met with the administrator and explained the purpose of today's visit. During the visit, LPA toured the facility, observed medications, chemicals, sharps, and disinfectants are locked and inaccessible to residents in care. LPA observed the kitchen, living room, bathroom and resident rooms are cleaned and tidy. LPA observed the environment is comfortable. The following deficiencies are cleared: 8 7303(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. 87309(a)- (a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients 87555(b)(25)- (b) The following food service requirements shall apply: (25) Soaps, detergents, cleaning compounds or similar substances shall be stored in areas separate from food supplies. 87555(b)(27)- (b) The following food service requirements shall apply: (27) All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. 80075(k)(1)- 80075 Health Related Services No deficiency is cited today. This report is reviewed and discussed with the administrator. A copy is provided.
InspectionAugust 7, 2024Type A5 deficiencies
Inspector: Murial Han
Plain-language summary
During an unannounced annual inspection on August 7, 2024, inspectors found multiple cleanliness and safety issues including dirty and sticky stairs, unsecured chemicals and sharp objects in the kitchen, fruit flies, soiled furniture, and cluttered resident rooms. The facility was assessed a $750 civil penalty for three repeat violations, and the inspector was unable to complete the full inspection on that day and scheduled a return visit.
View full inspector notes
aOn August 7, 2024 Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA met with caregiver, Maria Clementina Zepeda Areas and explained the purpose of today's visit. The administrator, Maria Zepeda arrived later and assisted with the inspection. LPA toured the facility inside and outside including the bedrooms (3 shared bedrooms), 2 full- bathrooms, kitchen, living and dining rooms. Bedrooms were equipped with the required furniture for residents to use. Bathrooms are equipped with grab bars and non-skid mat. Facility temperature is comfortable. Hot water temperature was measured at 105-106 degrees F. During the tour, LPA observed stairs to the garage were dirty and sticky, sharps and chemicals were not locked in the kitchen, unknown brown/crumbs on the kitchen floor, medication cabinet has a lock with the key on it, fruit flies in the kitchen area, vegetables were placed on the kitchen floor, dirty dishes in the sink, resident room was not tidy with two dirty wheelchair wheels on the dresser, clothes hanging all over the place, unused mattress in one of the resident's room, the brown couch in the living room has soiled towels, an empty box, and the dining room table is messy and sticky with many stains and brown particles. A total civil penalty of $750.00 is being assessed today for 3 repeat violation. LPA is unable to complete the annual inspection today and will return on another day to complete it. This report is reviewed and discussed with the administrator. A copy of the report and appeal rights were provided.
Regulation
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 as LPA observed living room, resident's room, stairwell, kitchen and dining room was not cleaned which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/08/2024 Plan of Correction 1 2 3 4 The administrator/licensee will develop a plan to ensure the facility is cleaned, safe, sanitary and in good repair at all times and will submit a copy of…
Regulation
(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed chemical, sharps and disinfectants were not locked and accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/08/2024 Plan of Correction 1 2 3 4 The administrator/licensee will develop a plan to ensure compliance and will provide a copy of the plan to CCL by 8/8/2024. Civil Penalty is being a…
Regulation
(b) The following food service requirements shall apply: (25) Soaps, detergents, cleaning compounds or similar substances shall be stored in areas separate from food supplies.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed a bottle of window cleaner placed next to a rack of vegetables and fruits which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/08/2024 Plan of Correction 1 2 3 4 The administrator/licensee will develop a plan to ensure food safety is observed at all times and will provide a copy of the plan to CCL by 8/8/2024.
Regulation
(b) The following food service requirements shall apply: (27) All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed fruit flies in the kitchen, the bathroom and the living room, coffee machine, garbage can, kitchen floor, etc to be dirty with sticky particles and brown crumbs which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/08/2024 Plan of Correction 1 2 3 4 The adminstrator will develop a plan to ensure compliance and will provid…
Inspector finding
80075 Health Related Services 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 the medication cabinet has a lock on it with the key attached which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/08/2024 Plan of Correction 1 2 3 4 The administrator/licensee will develop a plan to ensure compliance and the plan shall include staff trai…
InspectionAugust 29, 2023Type A13 deficiencies
Inspector: Murial Han
Plain-language summary
During a routine unannounced inspection on August 29, 2023, inspectors found multiple deficiencies including toxins and sharp objects stored unlocked and accessible to residents, one resident given a medication not prescribed by their doctor, missing medication documentation for all six residents, dirty and unsanitary conditions in bathrooms and kitchen areas, and inadequate emergency drills and staff training records. Bathrooms also lacked nonskid mats and hot water temperature was below the required standard. The facility was cited for these violations and advised that failure to correct them could result in civil penalties.
View full inspector notes
On August 29, 2023 Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA met with administrator and explained the purpose of today's visit. LPA toured the facility inside and outside including the bedrooms (3 shared bedrooms), 2 full- bathrooms, kitchen, living and dining rooms. Bedrooms were equipped with the required furniture for residents to use. Bathrooms are equipped with grab bars, but no nonskid mats. Facility temperature is comfortable. Hot water temperature was measured at 94-95 degrees F. LPA observed stairs to the garage were dirty and sticky, garbage can in the kitchen was dirty, garbage can and toilet paper holder in the female bath/shower room were dirty and rusty. During the Central stored medication review, LPA observed, toxins and sharps objects were not locked and accessible to residents. Resident #1 (R1) was given a medication that was not prescribed by the physician and 6 out of 6 resident's medication records have omissions from 8/26/2023 - 8/29/2023 AM and the administrator stated that the medications were given by staff failed to sign it. Emergency drills, and staff training records were reviewed and observed to be inadequate. Food supplies were observed to be adequate. Facility is equipped with smoke detectors and carbon monoxide detectors. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Staff records were reviewed and contained criminal clearance, first aid / CPR certificate, Health Screening with TB test result and criminal record statement. LPA reviewed resident's files contained resident's identification and emergency information, admission agreement, medical assessment, LIC 602 (Physician Order), Appraisal Needs and Service Plan, etc. During today's inspection, there was 3 residents present and 3 were out in the community as their physician's order indicated that they are able to leave the facility unattended. 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. A copy of this report and Appeal Rights were provided.
Regulation
(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients.
Inspector finding
Based on (observation) (interview) (record review), the licensee did not comply with the section cited above as LPA observed sharps and chemicals stored underneath the kitchen sink was not locked and was accessible to residents which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/30/2023 Plan of Correction 1 2 3 4 The administrator will develop a plan to ensure compliance. The administrator will submit a copy of the plan and a photo to proof in c…
Regulation
(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are…
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as resident #1 (R1) was given a medication that was not prescribed by the physician which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/30/2023 Plan of Correction 1 2 3 4 The administrator will discuss and review R1's medication with R1's physician and will reconcile the medication list accordingly. The administrator will provide a copy…
Regulation
(d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to communicate his/her symptoms clearly, facility staff designated by the licensee, shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (3) The date and …
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed 6 out of 6 resident's medication record did not indicate that medications were administered from 8/26/2023 to 8/29/2023 AM which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/30/2023 Plan of Correction 1 2 3 4 The administrator will develop a plan to ensure compliance and the plan shall include staff training. The admini…
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 did not conduct fire drills at least quarterly for each shift which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/30/2023 Plan of Correction 1 2 3 4 The administrator will submit a signed and dated statement to ensure compliance to CCL by 8/30/2023.
Regulation
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 as LPA observed stairwell going down to the garage was sticky and dirty, the garbage can in the kitchen was dirty, the garbage can and the toilet paper holder in the female bathroom were dirty and rusty which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/07/2023 Plan of Correction 1 2 3 4 The administrator will provide photos to pr…
Regulation
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. (1) Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed the kitchen floor was dirty in between the medication cabinet and the food cart which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/07/2023 Plan of Correction 1 2 3 4 The administrator will submit photo to proof that the above observation was corrected and will submit a copy of a plan to ensure compliance to CCL by …
Regulation
(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degre…
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed water temperature in resident's bathrooms and kitchen were measured at 94-96 degrees F which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/07/2023 Plan of Correction 1 2 3 4 The administrator will provide proof that the above observation was corrected to CCL by 9/7/2023.
Regulation
(e) Water supplies and plumbing fixtures shall be maintained as follows: (3) Taps delivering water at 125 degree F (52 degrees C) or above shall be prominently identified by warning signs.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above LPA observed the water was measured at 94 degrees F which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/07/2023 Plan of Correction 1 2 3 4 The administrator will provide proof that the above observation was corrected to CCL by 9/7/2023.
Regulation
(e) Water supplies and plumbing fixtures shall be maintained as follows: (5) Non-skid mats or strips shall be used in all bathtubs and showers.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA did not observe any non-skid mats or strips in resident's bathrooms/ shower rooms which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/07/2023 Plan of Correction 1 2 3 4 The administrator will develop a plan to ensure compliance and will provide proof to CCL of compliance by the plan of correction due date of 9/7/2023.
Regulation
(e) Each person who provides employee training under this section shall meet the following education and experience requirements: (1) A minimum of five hours of initial, or certified continuing, education or three semester units, or the equivalent, from an accredited educational institution, on topics relevant to medication management.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the staff training records revealed only the date and hours of completion which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/07/2023 Plan of Correction 1 2 3 4 The administrator will develop a plan to ensure compliance and will submit a copy of the plan to CCL by the plan of correction due date of 9/7/2023.
Regulation
(e) Each person who provides employee training under this section shall meet the following education and experience requirements: (2) The person shall meet any of the following practical experience or licensure requirements: (A) Two years of full-time experience, within the last four years, as a consultant with expertise in medication management …
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the administrator stated that staff training was completed by reading and reviewing RCFE workbook which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/07/2023 Plan of Correction 1 2 3 4 The administrator will develop a plan to ensure compliance and will submit a copy of the plan to CCL by the plan of correction due date of 9/7/20…
Regulation
(e) Each person who provides employee training under this section shall meet the following education and experience requirements: (3) The licensed residential care facility for the elderly shall maintain the following documentation on each person who provides employee training under this section: (C) The times, dates, and hours of training provid…
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above the staff training records revealed only the date and hours of completion which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/07/2023 Plan of Correction 1 2 3 4 The administrator will develop a plan to ensure compliance and will submit a copy of the plan to CCL by the plan of correction due date of 9/7/2023.
Regulation
(b) The following food service requirements shall apply: (27) All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed kitchen floor was dirty which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/07/2023 Plan of Correction 1 2 3 4 The administrator will develop a plan to ensure compliance and will submit a copy of the plan to CCL by 9/7/2023.
ComplaintDecember 9, 2021No deficiencies
Inspector: Murial Han
Plain-language summary
During a routine annual inspection on December 9, 2021, inspectors found the facility met standards for infection control, medication safety, food supply, first aid, and general maintenance, with no violations cited. Inspectors observed proper COVID-19 procedures, adequate personal protective equipment and cleaning supplies, appropriate storage of medications and hazardous materials, and correct spacing of beds in shared rooms. The facility was asked to submit updated emergency disaster plans and lease documentation to the regional office by December 14, 2021.
View full inspector notes
On 12/9/2021, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA observed COVID-19 signs posted by the entrance. LPA was greeted by the Administrator, Marie Zepeda. LPA explained the purpose of the visit. LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed: entry procedures, staff training and policies, resident and staff daily monitoring records (LPA recommended to document the temperature that was taken for the staff instead of check mark), containment strategies. there are 5 residents at the facility (2 females and 3 males). PPE supply and the environmental cleaning supply are adequate, bathrooms are equipped with liquid soap and paper towels, hand washing instruction is posted by the hand washing stations. Trash cans are recommended to have foot operated lids. The beds in the shared bedrooms are 6"ft apart from each other. Medications, toxins and sharps are stored appropriately and inaccessible to resident, a comfortable temperature is maintained, lighting is sufficient for comfort and safety and food supply was checked and observed to be sufficient. First-aid kit is inspected and complete. During today's inspection, LPA Han requested for the following documents to be submitted to the Regional Office by 12/14/2021: - LIC 610E Updated Emergency Disaster Plan - Lease Agreement - LIC 308 Designation of Administrative Responsibility No deficiency cited today; this report is reviewed and discussed with the Administrator. A copy is provided.
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.
Family reviews
No reviews yet — be the first to share your experience
No published reviews yet. Use the button above to share your experience.