George Anne Home.
George Anne Home is Ranked in the bottom 1% on citation severity among California peers with 43 CDSS citations on record; last inspected Apr 2026.
A small home, reviewed on public record.
Compared to 152 California facilities with a similar number of beds.
RCFE memory care · 36-month window. Higher percentile = better performance on inspection record. Source: California Dept. of Social Services · Community Care Licensing.
among peers to rank.
Rankings based on 36-month CDSS inspection data. Severity and frequency: fewer citations = higher percentile. Repeat rate: lower repeat citation share = higher percentile.
FACILITY WATCH · BETA
George Anne Home has 43 citations on record. Know the moment anything changes.
New findings, complaint investigations, or status changes — emailed to you free.
Citation history, plotted month by month.
43 deficiencies on record. Each bar is a month with a citation.
Finding distribution
43 total · 36 monthsScope × Severity (CMS A–L)
The rules that apply to this facility.
State requirements with the exact regulation citation, plain-language explanation, and a question to ask on tour. Rules this facility has been cited for appear first.
Plain language
Because a facility markets dementia or Alzheimer's care, state law mandates higher training standards: 12 hours of initial dementia training (6 hours before a staff member works independently with residents, 6 more within the first 4 weeks), 8 hours of annual dementia in-service every year thereafter, and an administrator must include 8 hours of dementia-specific continuing education in every 2-year recertification cycle. Training must cover individualized care plans, behavioral expressions, appropriate supervision, and the facility's dementia care philosophy.
Ask on tour
“Can you show me each direct-care staffer's most recent dementia training certificate, and tell me when their next refresher is due?”
Questions to ask before you visit.
A short pre-tour checklist tailored to George Anne Home's record and state requirements.
The facility has 12 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.
Two complaints are on file with CDSS — were any substantiated, and what remediation did the facility take in response to substantiated findings?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
The facility has been cited twice under §87705 or §87706 for dementia-care deficiencies — can you provide the written dementia-care program required by §87705 and show families the corrective-action documentation for both cited deficiencies?
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. Click any row to expand — cited rows open automatically.
2026-04-23Other VisitType B · 2 findings
Plain-language summary
This was a follow-up inspection on March 24, 2026 to check whether the facility had fixed problems found in earlier visits. The facility successfully corrected four areas—staff training on dementia care, hospice care, and medication handling, and policies for residents with certain health conditions—but two problems remain: staffing requirements and protections for residents' personal rights.
“This requirement is not met, as health screening for staff #6 was not maintained and not submitted after citations issued on 9/3/24 and 8/27/25. Licensee failed to ensure that health screenings are maintained for all staff, which poses a potential health, safety or personal rights risk.”
“used by staff. This poses a potential health, safety or personal rights risk to clients in care.This was cited on 8/5/25 and 8/27/25 and not corrected. Clients' rooms will be reserved for clients' belongings only, and not for storage of facility equipment or supplies.”
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To follow up on deficiencies cited on 7/31/25 and 8/27/25, LPA Jeung met with home manager and reviewed documents submitted on 3/24/26 as corrections. The following deficiencies are corrected, and acknowledgement of corrections is issued--4 pages: - CCR 87611 General Requirements for Allowable Health Conditions Administrator acknowledged requirements for providing care for clients with allowable health condition(s) - HSC 1569.626 Documentation submitted shows that all staff received required initial or annual dementia training - HSC 1569.696 Documentation submitted shows that all staff received required initial or annual training on hospice care, restricted health conditions and postural supports - CCR 87465 (i)(1-4) Incidental Medical Care Administrator to ensure ongoing compliance for discarding/destroying medications Deficiencies cited on 8/5/25 and 8/27/25 still exist, and are being recited, as per California Code of Regulations, Title 22, and appear on following pages. - CCR 87411 (f) Personnel Requirements - CCR 87468.1 (a)(13) Personal Rights
2026-01-13Other VisitNo findings
Plain-language summary
The facility had an informal meeting with state licensing staff to discuss an ownership change, outstanding deficiencies from inspections in July and August 2025, and whether the administrator meets qualifications. The owner agreed to submit written plans showing how the facility will fix these deficiencies within ten days.
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An informal meeting was convened in the San Bruno regional office today. In attendance are: - Licensee Peter Gong - Licensing Program Manager April Cowan - Licensing Program Analyst Audrey Jeung - Licensing Program Analyst Murial Han - Licensing Program Analyst Grace Donato The following concerns are discussed: - Ownership change from individual proprietorship to Limited Liability Corporation - Plans of Correction of deficiencies cited during annual visit 7/31/25 and subsequent case management visits - Administrator qualifications Outstanding deficiencies cited on 8/27/25 are identified and a copy of Facility Evaluation Report is given to licensee. Mr. Gong agreed to submit plans/proof of corrections to CCLD within TEN DAYS. Licensee will also create and implement a plan to address the above concerns; written plan to be submitted to CCLD within TEN DAYS.
2025-08-27Other VisitType A · 9 findings
Plain-language summary
This was a follow-up inspection to check whether problems found in July and August 2025 had been fixed. The facility has not yet corrected all the deficiencies from those earlier inspections, and the state is now referring the facility to a technical assistance program to help them address the remaining issues.
“bed, preventing her from getting out of bed. Licensee failed to ensure that clients are accorded safe & healthful accommodations, which poses an immediate health, safety or personal rights risk to clients in care. This was cited on 8/5/25, and "explanation" was submitted on 8/6/25, not correction.”
“information was required by state licensing. Licensee failed to prevent staff from making false claims, which poses an immediate health, safety or personal rights risk to clients in care. This was cited on 8/14/25 and not addressed in plan of correction submitted on 8/18/25.”
“This requirement is not met, as there is no signed appraisal on file for client #5, who was admitted 3 years ago. This poses a potential health, safety or personal rights risk to clients. This was cited on 9/3/24 and 7/31/25.”
“reappraisals for ALL clients are missing or dated more than 12 months ago. Licensee failed to ensure that annual reappraisals are done, which poses a potential health, safety or personal rights risk to clients. This deficiency was observed on 9/3/24 & 7/31/25, & proof of correction was not submitted.”
“intervention...skilled professional...who will perform the procedure if the resident needs assistance; names...phone number of...skilled professionals providing services, Emergency contacts. Client #4 has gall bladder stoma & there is no info about care or condition. This was cited on 7/31/25.”
“failed to ensure that staff do not write on Rx labels, which poses a potential health, safety or personal rights risk to clients in care. This was cited on 8/5/25 and not corrected.”
“administrator & another adult who is not a resident. Both shall sign a record, to be retained for at least 3 years, which lists... specific information. This requirement is not met, as Rx meds for former client observed in kitchen cabinet, which poses a potential health, safety or personal rights risk. This was cited 8/5/25.”
“personal use and not used by staff. This poses a potential health, safety or personal rights risk to clients in care. This was cited on 8/5/25 and not corrected”
“label shall contain ...specific information. This requirement is not met, as MD orders are not maintained for C3 OTC Senna and C6 Senna Plus. Licensee failed to ensure that MD orders are maintained for OTC meds, which poses a potential health, safety or personal rights risk. This was cited 8/5/25.”
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To follow up on deficiencies cited on 7/31/25, 8/5/25 and 8/14/25, LPA Jeung met with administrator and licensee to review documents submitted as corrections. Deficiencies not yet corrected are being recited, as per California Code of Regulations, Title 22, and appear on following pages. Licensee agreed to avail of Technical Support Program assistance. LPA to make referral to TSP, and licensee will be contacted by TSP staff to arrange for consultation.
2025-08-14Other VisitNo findings
Plain-language summary
This was a follow-up inspection on August 13, 2025, to check whether the facility had corrected violations found in late July and early August. The facility corrected five violations including updating a resident's medical status, obtaining bed rail orders, submitting emergency contact information, providing staff first-aid training, and having a first-aid manual on site; a $700 civil penalty was assessed for the period when one violation remained uncorrected. However, multiple other violations remained unfixed, including incomplete admission paperwork signed by residents or their representatives, missing health screenings for staff, and failure to document that residents have the right not to be confined to bed, and the facility was advised that additional penalties may result if these are not corrected by the deadline.
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To follow up on deficiencies cited on 7/31/25--for which civil penalty of $100 accrued daily for one deficiency starting on 8/5/25--and 8/5/25, LPA Jeung reviewed corrections that were submitted to licensing office on 8/13/25. The following deficiencies are corrected, and acknowledgement of corrections is issued--5 pages: - Section 87204 Limitations - Capacity & Ambulatory Status Updated MD report for Client #1 states that client is Non-ambulatory Civil penalty of $700 is assessed today, which represents civil penalty of $100/day for period 8/6/25 through and including 8/12/25. See LIC421FC. - Section 87608 Postural Supports MD orders for half bed rails for clients #1, #3, #5, #6 were sent to CCLD - Section 87506 Resident Records Emergency information for clients #1, #2, #4 were sent to CCLD - Section 87411 Personnel Requirements Proof of current first-aid training for staff #2, #3, #4, #5, #6 sent to CCLD - 87465 Incidental Medical Care First-aid manual is observed at facility Continued on next page 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 The following deficiencies cited on 7/31/25 still exist, as plan of corrections was not submitted to CCLD: - CCR 87457(c) Pre-Admission Appraisal Appraisal for client #5 will be completed, signed and dated BY CLIENT OR REPRESENTATIVE AND FACILITY REPRESENTATIVE - Health and Safety Code 1569.695(b) - Health and Safety Code 1569.695(c) - 87463(a) Reappraisals Appraisals for all clients will be completed, signed and dated BY CLIENT OR REPRESENTATIVE AND FACILITY REPRESENTATIVE - CCR 87611(b)(1-3) General Requirements for Allowable Health Conditions - CCR 87412(a)(1-13) Personnel Records The following deficiencies cited on 8/5/25 still exist, as plan of corrections was not submitted to CCLD: - CCR 87468.1(a)(1) Personal Rights "Explanation" was submitted, but affirmation that clients have the right to NOT be confined in bed was NOT submitted - Health and Safety Code 1569.69(a) - Health and Safety Code 1569.626(a) - Health and Safety Code 1569.696(a) - CCR 87411(f) Health screenings were not submitted for 6 staff - CCR87618(b)(1)(B) - CCR 87465(h)(1)(4) - CCR 87468.1(a)(13) - CCR 87465(i)(1-4) - CCR 87465(e)(1-4) Administrator Maria Johnson is advised that failure to correct the cited deficiencies on or before the Plan of Correction due date may result in a civil penalty assessment. As per phone conversation, additional time is needed to submit corrections. Written request shall be submitted to CCLD by close of business TODAY, with requested revised due date.
2025-08-05Annual Compliance VisitNo findings
Plain-language summary
This was a follow-up inspection on April 26, 2026 to check on problems found during an annual inspection in July 2025. The facility fixed one issue—its administrator now has the required certificate—but has not resolved another: a resident who is bedridden is living at the facility, which is not licensed to care for bedridden residents. The state is imposing a $100 daily penalty until the facility addresses this violation.
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To follow up on deficiencies cited during annual inspection on 7/31/25, LPA Jeung reviewed deficiencies, which were to be corrected by 8/4/25. The following deficiency is corrected: - Section 87405 Administrator Qualifications & Duties As per information on CCLD Administrator Certification website, Ms. Johnson has current RCFE administrator certificate Acknowledgement of correction is provided--one page. The following deficiency still exists: - Section 87204 Limitations - Capacity & Ambulatory Status Client #1 is deemed to be bedridden per MD, and facility is not licensed to serve bedridden clients Civil penalty of $100 is assessed today and will continue to accrue at $100/day until CCLD is notified of correction. See LIC421FC.
2025-07-31Other VisitType B · 11 findings
Plain-language summary
An inspector visited the facility to evaluate its physical space and operations, finding six private bedrooms, adequate bathrooms, sufficient lighting and temperature control, working carbon monoxide detectors, and a safe outdoor area with no water hazards or fire risks. The facility was asked to provide updated documentation on emergency planning, staff medication training, insurance, and personnel records by August 7, 2025, and state regulators noted that the facility administrator does not hold the required certification. Staff training will be reviewed in a follow-up visit.
“This requirement is not met, as client #1 is determined by MD to be bedridden, but facility is not licensed for bedridden clients. Licensee failed to ensure operation within limits of license, which poses a potential health, safety or personal rights risk to clients in care.”
“This requirement is not met, as there is no signed appraisal on file for client #5, who was admitted 3 years ago. This poses a potential health, safety or personal rights risk to clients. This was cited on 9/3/24.”
“maintain MD orders for use of half bed rails, which poses a potential health, safety or personal rights risk to clients in care. This deficiency was cited on 9/3/24 and proof of correction was not submitted.”
“met, as MD assessments for 3 out of 6 client were done over 3 years ago or not maintained. Licensee failed to ensure annual MD assessments, which poses a potential health, safety or personal rights risk. NO MD report for C2, MD reports for C5 & C6 dated 2022. This deficiency observed 9/3/24.”
“reappraisals for ALL clients are missing or dated more than 12 months ago. Licensee failed to ensure that annual reappraisals are done, which poses a potential health, safety or personal rights risk to clients. This deficiency was observed on 9/3/24 and proof of correction was not submitted.”
“Name, address, phone number of physician and dentist to be called in an emergency. This requirement is not met, as there is no emergency informatiion maintained for 3 out of 6 clients, which poses a potential health, safety or personal rights risk. No emergency info for C1, C2, C4”
“intervention...skilled professional...who will perform the procedure if the resident needs assistance; names...phone number of...skilled professionals providing services, Emergency contacts. Client #4 has gall bladder stoma & there is no information about care or condition.”
“potential health, safety or personal rights risk to clients in care.”
“missing job applications, health screenings, including TB test results, criminal record statements. Licensee failed to ensure required staff records are maintained, which poses a potential health, safety or personal rights risk to clients. This was observed on 9/3/24 and not corrected.”
“health, safety or personal rights risk to clients in care.”
“the American Red Cross, the American Medical Association or a state or federal health agency. This requirement is not met, as there is no first-aid manual available, which poses a potential health, safety or personal rights risk to clients in care.”
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LPA Audrey Jeung toured facility and grounds, consisting of 6 private client bedrooms, 3 full bathrooms, kitchen/living/dining room. There is a detached staff unit/building that contains a bedroom with one bed, a large room with 2 bunk beds, kitchen, and full bathroom for staff. Awake night staff is employed. Two additional detached storage sheds are in the backyard, and washer and dryer are located in an alcove adjacent to staff unit/building. The spacious backyard is level, paved and landscaped, with 2 gazebos. There are no accessible bodies of water or fire safety hazards observed. A comfortable room temperature is maintained, and lighting is sufficient for safety. Carbon monoxide detectors are present and tested as operable. First-aid kit is maintained. Medications are stored in hall and kitchen cabinets. Client and staff records are reviewed. Maria Lu Johnson oversees facility operations, but does not have valid RCFE administrator certification. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed. A Disaster and Mass Casualty Plan is posted. The following forms/information are requested to be updated returned to CCL by 8/7/25: • LIC 610 Emergency Disaster Plan (page 9, signed and dated) • Staff medication TRAINING topics (per H & S 1569.69) • LIC 308 Designation of Facility Responsibility • LIC 500 Personnel Report • Proof of current liability insurance Deficiencies of the CA Code of Regulations, Title 22 are cited on following pages. Staff training will be reviewed at a later date, due to time constraints.
2024-09-03Other VisitType A · 16 findings
Plain-language summary
This was a routine facility tour that found the six-bedroom home is well-maintained with appropriate staffing, safety equipment, and record-keeping in place. The inspector identified two minor documentation updates needed: a signed emergency plan and written staff medication training procedures. No violations of care standards were found.
“Based on observation, the licensee did not comply with the section cited above, as hot water temperature tested at 128 degrees in rear common bathroom. This poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 09/04/2024 Plan of Correction 1 2 3 4 Hot water temperature to be lowered and maintained between 105 and 120 degrees at all times. Proof of correction to be sent to CCLD BY DUE DATE. This deficiency was cited during annual inspection in 2023.”
“Based on observation, the licensee did not comply with the section cited above, as cleaning liquids are stored where accessible to clients. In bathroom in room #1 and common bathroom, purple liquid Fabuloso is stored. Pine Sol, degreaser, and other cleaning liquids are stored in unlocked cabinet under kitchen sink, and gallon of Clorox bleach observed in backyard in gazebo. This poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 09/04/2024 Plan of Correction 1 2 3 4 Cleaning products will be secured and inaccessible to clients. Proof/plan of correction to be submitted to CCLD BY DUE DATE, This deficiency was cited during annual inspection in 2023.”
“Based on observation, the licensee did not comply with the section cited above, as clients' medications are stored in unlocked cabinets in hallway and kitchen, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 09/04/2024 Plan of Correction 1 2 3 4 Clients' medications will be stored where they are inaccessible to residents. Proof of correction to be sent to CCLD BY DUE DATE. This deficiency was cited during annual inspection in 2023.”
“Based on staff records review, the licensee did not comply with the section cited above in 3 out of 6 staff files reviewed, which poses a potential health, safety or personal rights risk to persons in care. There is no health screening and TB test result for staff #2 and #3. Staff #1 has no health screening on file. POC Due Date: 09/17/2024 Plan of Correction 1 2 3 4 Health screenings and/or TB test results for staff #1, #2, #3 to be sent to CCLD BY DUE DATE”
“Citation deleted POC Due Date: 09/17/2024 Plan of Correction 1 2 3 4 NA”
“Based on staff records review, the licensee did not comply with the section cited above, as there is no documentation that staff received 4 hours of training on postural supports, restricted health conditions, and hospice care. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/17/2024 Plan of Correction 1 2 3 4 Staff will receive required 4 hours of training as specified, and proof of training to be sent to CCLD BY DUE DATE.”
“Based on staff records review, the licensee did not comply with the section cited above, as there is no documentation that staff who handle or manage medications have received required medications training. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/17/2024 Plan of Correction 1 2 3 4 Staff who handle medications shall receive required medications training, and proof of training to be sent to CCLD BY DUE DATE. This shall include 10 hours of initial training, consisting of 6 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 4 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first two weeks of employment.”
“Based on client records review, the licensee did not comply with the section cited above in 2 out of 6 client files reviewd, which poses a potential health, safety or personal rights risk to persons in care. Personal rights forms are incomplete or missing for clients #1 and #2. POC Due Date: 09/17/2024 Plan of Correction 1 2 3 4 Personal Rights forms shall be completed, signed, and dated for clients #1 and #2. Copies will be sent to CCLD BY DUE DATE.”
“Based on client records review, the licensee did not comply with the section cited above in 1 out of 6 client files reviewed, which poses a potential health, safety or personal rights risk to persons in care. There is no appraisal on file for client #5, who was admitted over 2 years ago. POC Due Date: 09/17/2024 Plan of Correction 1 2 3 4 Appraisal for client #5 will be completed, signed and dated, and copy will be sent to CCLD BY DUE DATE.”
“Based on staff records review, the licensee did not comply with the section cited above, as staff have not received training on responding to emergencies. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/17/2024 Plan of Correction 1 2 3 4 Staff shall receive emergency response training, and proof of correction to be sent to CCLD BY DUE DATE”
“Based on absence of documentation and confirmation from staff, the licensee did not comply with the section cited above, as there is no documentation that of emergency drills. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/17/2024 Plan of Correction 1 2 3 4 Emergency disaster drills will be conducted at least quarterly and documented. REcord of emergency drill be to sent to CCLD BY DUE DATE.”
“Based on client records review, the licensee did not comply with the section cited above in 6 out of 6 client files reviewed, which poses a potential health, safety or personal rights risk to persons in care. All clients have half bed rails on bed, but there are no MD orders on file. POC Due Date: 09/17/2024 Plan of Correction 1 2 3 4 MD orders for half bed rails for all clients will be sent to CCLD BY DUE DATE”
“Based on review of staff training records, the licensee did not comply with the section cited above, as there is no evidence that staff have received required dementia training. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/17/2024 Plan of Correction 1 2 3 4 Staff will receive required dementia training. Proof of training to be sent to CCLB BY DUE DATE.”
“Based on review of client records, the licensee did not comply with the section cited above in 4out of 6 client files reviewed, which poses a potential health, safety or personal rights risk to persons in care. Clients #1, #3, #4, #6 are diagnosed with dementia, but MD reports and appraisals are dated more than 12 months ago. POC Due Date: 09/17/2024 Plan of Correction 1 2 3 4 MD reports and/or appraisals for clients #1, #3, #4, #6 will be completed and copies to be sent to CCLD BY DUE DATE.”
“Based on observation, the licensee did not comply with the section cited above, as there is a chair used to weigh all clients stored in room #4 for lack of a common storage area for the chair. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/17/2024 Plan of Correction 1 2 3 4 Scale chair will be removed from client's room and stored in facility storage area, not in client rooml Proof of correction to be sent to CCLD BY DUE DATE. This deficiency was cited during annual visit in 2023.”
“Based on observation, the licensee did not comply with the section cited above, as there are discarded walkers, mattresses, furniture and 13 oxygen tanks in backyard, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/17/2024 Plan of Correction 1 2 3 4 Backyard will be cleared of discarded furnishings and proof of correction to be sent to CCLD BY DUE DATE.”
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LPA Audrey Jeung toured facility and grounds, consisting of 6 private client bedrooms, 3 full bathrooms, kitchen/living/dining room. There is a detached staff unit/building that contains a bedroom with one bed, a large room with 2 bunk beds, kitchen, and full bathroom for staff. Awake night staff is employed. Two additional detached storage sheds are in the backyard, and washer and dryer are located in an alcove adjacent to staff unit/building. The spacious backyard is level, paved and landscaped, with 2 gazebos.. There are no accessible bodies of water or fire safety hazards observed. A comfortable room temperature is maintained, and lighting is sufficient for safety. Carbon monoxide detector is tested and operable. First-aid kit is maintained and complete. Medications are stored in hall and kitchen cabinets, and Centrally Stored Medications Records are maintained. Client and staff records are reviewed. A Disaster and Mass Casualty Plan is posted. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed. Maria Lu Johnson is a certified RCFE administrator that oversees facility operations. The following forms/information are requested to be updated returned to CCL by 9/17/24: • LIC 610 Emergency Disaster Plan (page 9, signed and dated) • Staff medication training policy (per H & S 1569.69) Deficiencies of the CA Code of Regulations, Title 22 are cited on following pages. See also Technical Advisory Notes--4 pages.
2023-12-21Complaint InvestigationNo findings
2023-11-21Annual Compliance VisitNo findings
Plain-language summary
An inspector reviewed client records as part of an annual inspection that began on July 17, 2023. No problems were found with how the facility maintains client records.
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LPA Jeung reviewed client records to continue annual inspection of 7/17/23. No deficiencies related to client records are cited today.
2023-07-17Other VisitType A · 5 findings
Plain-language summary
An inspector toured this six-bedroom facility and found the building itself to be safe, with working smoke and carbon monoxide detectors, adequate lighting and temperature, and proper storage of medications and chemicals. The facility employs awake night staff and has a disaster plan posted. The facility operator was asked to submit several required documents by July 31, 2023, and the inspector will review client records and staff training records at a later date.
“Based on observation, the licensee did not comply with the section cited above, as hot water temperature tested at 125 degrees F in middle common bathroom, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/18/2023 Plan of Correction 1 2 3 4 Hot water temperature shall be lowered and maintained between 105 and 120 degrees F. Proof of correction to be sent to CCLD BY DUE DATE”
“Based on observation with administrator,two cans of paint and lighter fluid are stored in unlocked rear storage shed with sliding door and general cleaning supplies and chemicals are stored in another unlocked storage shed with double doors. The licensee did not comply with the section cited above, as toxins were stored where items are accessible to clients, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/17/2023 Plan of Correction 1 2 3 4 Paint cans and lighter fluid were moved to storage shed with double doors, and this shed was locked in LPA's presence. Deficiency corrected and cleared.”
“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, obtain a California clearance or a criminal record exemption as required by the Department. Based on presence of staff J.G.who does not have criminal record clearance, the licensee did not comply with the section cited above, which poses an immediate health, safety or personal rights risk to persons in care. Staff J.G. completed the application to obtain a criminal record clearance, but clearance has not yet bee granted. Civil penalty of $500 is assessed today--$100/day for maximum 5 days. POC Due Date: 07/18/2023 Plan of Correction 1 2 3 4 Staff J.G. cannot be present in facility unless and until he has obtained criminal record clearance or exemption. Proof of correction shall be submitted to CCLD BY DUE DATE. Failure to comply may result in assessment of additional civil penalties.”
“Based on observation, clients' medications that are refrigerated are stored in unlocked small refrigerator in hallway, and excess medications are stored in unlocked drawer in hallway. Licensee failed to ensure that medications are inaccessible to clients, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/18/2023 Plan of Correction 1 2 3 4 Clients' medications shall be stored where they are inaccessible to residents. Proof of correction shall be sent to CCLD BY DUE DATE.”
“Based on observation, there is a chair used to weigh all clients stored in room #4 for lack of a common storage area for the chair. Licensee failed to ensure client's right to personal accommodations by storing facility equipment in client's room. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/24/2023 Plan of Correction 1 2 3 4 Scale chair will be removed from client's room and stored in facility storage area, not in clients' rooms. Proof of correction to be sent to CCLD BY DUE DATE.”
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LPA Audrey Jeung toured facility and grounds. There are no accessible bodies of water or fire safety hazards observed. A comfortable room temperature is maintained, and lighting is sufficient for safety. Carbon monoxide detector is tested and operable. First-aid kit is maintained and complete. This one level facility has 6 client bedrooms, 3 full bathrooms, kitchen/living/dining room. There is a detached staff unit/building that contains a bedroom with one bed, a large room with 2 bunk beds, kitchen, and full bathroom for staff. Awake night staff is employed. Two additional detached storage sheds are in the backyard, and washer and dryer are located in an alcove adjacent to staff unit/building. The backyard is level, paved and landscaped. Some medications are stored in locked hall cabinet and chemicals and cleaners are stored in a detached storage shed. A Disaster and Mass Casualty Plan is posted. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed. Maria Lu Johnson is a certified RCFE administrator (x 7/24) that oversees facility operations. Client records and staff training records will be reviewed at a later date. The following forms are provided and shall be completed and returned to CCL by 7/31/23: • LIC 308 Designation of Administrative Responsibility (signed by licensee designating administrator) • LIC 500 Personnel Report • LIC 610 Emergency Disaster Plan (page 9, signed and dated) • Infection Control Plan (signed and dated) • Proof of liability insurance for $1 million per incident and $3 million in annual aggregate • Staff medication training policy (per H & S 1569.69) Deficiencies of the CA Code of Regulations, Title 22 are cited on following pages.
1 older inspection from 2022 are not shown in the free view.
1 older inspection from 2022 are not shown in the free view.
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