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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 335530078
Report Date: 02/24/2025
Date Signed: 02/24/2025 04:28:50 PM

Document Has Been Signed on 02/24/2025 04:28 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:RESSA RESIDENTIAL CAREFACILITY NUMBER:
335530078
ADMINISTRATOR/
DIRECTOR:
ANGELES, ARIELFACILITY TYPE:
740
ADDRESS:30002 NORTH LAKE DRTELEPHONE:
(951) 674-4572
CITY:LAKE ELSINORESTATE: CAZIP CODE:
92530
CAPACITY: 6CENSUS: 4DATE:
02/24/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Facility Administrator-Ariel AngelesTIME VISIT/
INSPECTION COMPLETED:
03:55 PM
NARRATIVE
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On 02/24/2025 at 9:00 AM, Licensing Program Analysts (LPA) Beena Singh and LPA Melody Brown made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPAs met with Administrator Ariel Angeles and was granted entry to the facility. At the time of the visit there were two (2) staff present, and four ( 4) residents present. LPAs Singh and LPA Brown explained the purpose of the visit to Administrator Ariel Angeles.

The facility has 4 bedrooms, in which 3 bedrooms are designated for residents, and 1 bedroom is designated for staff, 2 bathrooms, living room, kitchen, dining area, backyard, and attached garage. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for a capacity of six (6) non-ambulatory residents, one (1) residents may be bedridden. The current census is four (4) residents. The facility has approved hospice waiver for six (6) residents. LPAs Singh and Brown were accompanied by Administrator Ariel Angeles to conduct a general overall inspection, which included, but was not limited to, the following:

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). The buildings and grounds were free from hazards. Outdoor and indoor passageways were kept free of obstruction. The facility is maintained at a comfortable temperature. LPAs inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting. Although there were no night lights leading to Non-private bathrooms, deficiency will be issued. bathrooms were clean, and appliances were operating appropriately. LPAs observed sufficient furniture and lighting throughout the facility. In addition LPAs observed Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4) have half bed rail and per records review, R2 R3 and R4 do not have a written order from their physician indicating the need for half bed rail for mobility. Deficiency will be issued.



***Continuation in LIC809C***
***This is an amended report of LIC 809 Facility evaluation Report issued on 02/24/2025***
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Beena Singh
LICENSING EVALUATOR SIGNATURE: DATE: 02/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/24/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 13
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: RESSA RESIDENTIAL CARE
FACILITY NUMBER: 335530078
VISIT DATE: 02/24/2025
NARRATIVE
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LPAs Singh and Brown observed that additional room was added in the garage area with window, air conditioner, lights and full bathroom but per records review no letter was submitted to CCLD for the alteration made and no permit was obtained from city permit building department. Deficiency will be issued.

LPA Singh measured and observed the water temperature in the residents bathroom to be at 115 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Postings such as the facility license, personal rights, the CCLD complaint poster, ombudsman poster, labor laws, and the disaster plan were posted in a common area.
Cleaning supplies, toxins, sharps, and other dangerous items were not locked and accessible to residents in care. Deficiency will be issued. In addition, LPAs Singh and Brown observed the facility not having the required first aid book/manual maintained at the facility. Deficiency will be issued

There was a designated storage space for resident/staff files. Medications are kept inside the medication cabinet, however, LPAs Singh and Brown observed centrally stored medications are not locked. Deficiency will be issued. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care.

Food Service: Seven (7) days non-perishable and two (2) days perishable food supply observed at the facility. Although, there is no emergency supplies, water and food. Deficiency will be issued.

Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week.

***Continuation in LIC 809C***

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Beena Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2025
LIC809 (FAS) - (06/04)
Page: 2 of 13
Document Has Been Signed on 02/24/2025 03:47 PM - It Cannot Be Edited


Created By: Beena Singh On 02/24/2025 at 01:18 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: RESSA RESIDENTIAL CARE

FACILITY NUMBER: 335530078

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/24/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
87309(a)
Storage Space and Access
(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above by not locking cleaning solutions, chemicals. which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 02/25/2025
Plan of Correction
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Licensee immediately locked the cabinet under the sink duering the visit Licensee stated to submit staff training to LPA Singh by the POC due date.
Type A
Section Cited
CCR
87412(a)(11)
Personnel Records
(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.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview and record review, the licensee did not comply with the section cited above by not maintaining Staff#2 and Staff#3 did not have health screening in the file, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 02/25/2025
Plan of Correction
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2
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Licensee stated to submit S2 and S3s medical appointment to complette the required health screening report to LPA Singh by the POC due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Efren Malagon
LICENSING EVALUATOR NAME:Beena Singh
LICENSING EVALUATOR SIGNATURE:
DATE: 02/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/24/2025


LIC809 (FAS) - (06/04)
Page: 3 of 13
Document Has Been Signed on 02/24/2025 03:47 PM - It Cannot Be Edited


Created By: Beena Singh On 02/24/2025 at 01:18 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: RESSA RESIDENTIAL CARE

FACILITY NUMBER: 335530078

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/24/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
87412(a)(12)
Personnel Records
(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: (12) Hazardous health conditions documents as specified in Section 87411, Personnel Requirements - General.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, record review and interview, the licensee did not comply with the section cited,LPAs observed Staff#2 and Staff#3 do not have the required Tuberculosis(TB) test with TB test result maintained in their facility file which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 02/25/2025
Plan of Correction
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Licensee stated to submit Staff#2 and staff#3 medical appointment to complete the required TB test with the tb test result to LPA Singh by the Plan of Correction(POC) due date.
Type A
Section Cited
CCR
87411(d)
Personnel Requirements - General
(d) All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation,interview and record review, the licensee did not comply with the section cited above by not ensuring that Staff#2 and staff#3 were provided the required on the job training, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 02/25/2025
Plan of Correction
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Licensee stated to submit a schedule of on the job training of St#2 and S3 to LPA Singh by the POC due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Efren Malagon
LICENSING EVALUATOR NAME:Beena Singh
LICENSING EVALUATOR SIGNATURE:
DATE: 02/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/24/2025


LIC809 (FAS) - (06/04)
Page: 4 of 13
Document Has Been Signed on 02/24/2025 03:47 PM - It Cannot Be Edited


Created By: Beena Singh On 02/24/2025 at 01:18 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: RESSA RESIDENTIAL CARE

FACILITY NUMBER: 335530078

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/24/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
HSC
1569.625(b)(1)
Other Provisions
(1) The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. A staff member shall complete 20 hours, including six hours specific to dementia care, as required by subdivision (a) of Section 1569.626 and four hours specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696, before working independently with residents. The remaining 20 hours shall include six hours specific to dementia care and shall be completed within the first four weeks of employment. The training coursework may utilize various methods of instruction, including, but not limited to, lectures, instructional videos, and interactive online courses. The additional 16 hours shall be hands-on training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview,record review, the licensee did not comply with the section cited above by not ensuring that staff#2 and staff#3 were provided the required 40 hours training, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 02/25/2025
Plan of Correction
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Licensee stated to submit st#2 and St#3 40 hours training schdule by the Plan of Correction (POC) due date.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Efren Malagon
LICENSING EVALUATOR NAME:Beena Singh
LICENSING EVALUATOR SIGNATURE:
DATE: 02/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/24/2025


LIC809 (FAS) - (06/04)
Page: 5 of 13
Document Has Been Signed on 02/24/2025 03:47 PM - It Cannot Be Edited


Created By: Beena Singh On 02/24/2025 at 01:18 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: RESSA RESIDENTIAL CARE

FACILITY NUMBER: 335530078

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/24/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
HSC
1569.69(a)(2)
Other Provisions
(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (2) In facilities licensed to provide care for 15 or fewer persons, the employee shall complete 10 hours of initial training. This training shall consist 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.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview,record review, the licensee did not comply with the section cited above by not ensuring that staff#2 and staff#3 were provided the required 10 hours of initial medication training.which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 02/25/2025
Plan of Correction
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Licensee stated to submit proof of St#2 and St#3 medication training or proof of medication training registration to LPA Singh by the Plan of Correction (POC) by the due date.
Type A
Section Cited
CCR
87465(a)(8)(A)
Incidental Medical and Dental Care Services
(8) If a facility has no medical unit on the grounds, a complete first aid kit shall be maintained and be readily available in a specific location in the facility. The kit shall be a general type approved by the American Red Cross, or shall contain at least the following: (A) A current edition of a first aid manual approved by the American Red Cross, the American Medical Association or a state or federal health agency.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
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Based on observation, the licensee did not comply with the section cited above by not maintaining First aid book/manual in the facility, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 02/25/2025
Plan of Correction
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3
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Licensee stated to obtain/ purchase first aid book or manual and submit proof to LPA Singh by the POC due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Efren Malagon
LICENSING EVALUATOR NAME:Beena Singh
LICENSING EVALUATOR SIGNATURE:
DATE: 02/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/24/2025


LIC809 (FAS) - (06/04)
Page: 6 of 13
Document Has Been Signed on 02/24/2025 03:47 PM - It Cannot Be Edited


Created By: Beena Singh On 02/24/2025 at 01:18 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: RESSA RESIDENTIAL CARE

FACILITY NUMBER: 335530078

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/24/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
87465(h)(2)
Incidental Medical and Dental Care Services
(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation,interview,record review, the licensee did not comply with the section cited above by not ensuring that Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons in care, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 02/25/2025
Plan of Correction
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2
3
4
Licensee immediately locked the centrally stored medicines during the visit. Licensee stated to train all the staff on CCR 87465(h)(2) and submit proof to LPA Singh by the Plan of Correction(POC) due date.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Efren Malagon
LICENSING EVALUATOR NAME:Beena Singh
LICENSING EVALUATOR SIGNATURE:
DATE: 02/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/24/2025


LIC809 (FAS) - (06/04)
Page: 7 of 13
Document Has Been Signed on 02/24/2025 03:47 PM - It Cannot Be Edited


Created By: Beena Singh On 02/24/2025 at 01:18 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: RESSA RESIDENTIAL CARE

FACILITY NUMBER: 335530078

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/24/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
87307(d)(5)
Personal Accommodations and Services
(5) Night lights shall be maintained in hallways and passages to nonprivate bathrooms.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation,interview,record review,the licensee did not comply with the section cited above by not ensuring that night lights were maintained in hallways and passages to non-private bathrooms, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/03/2025
Plan of Correction
1
2
3
4
Licensee stated to obtain or purchase night lights and submit proof to LPA Singh by the Plan of Correction( POC) due date.
Type B
Section Cited
CCR
87355(e)(3)
Criminal Record Clearance
(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

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, interview,record review the licensee did not comply with the section cited above by not transferring staff#2 (S2) criminal background clearance to the facilty prior to employment, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/03/2025
Plan of Correction
1
2
3
4
Licensee submitted form LIC 9182 Criminal background clearance transfer request for S2 to LPA Singh during the visit. POC cleared.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Efren Malagon
LICENSING EVALUATOR NAME:Beena Singh
LICENSING EVALUATOR SIGNATURE:
DATE: 02/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/24/2025


LIC809 (FAS) - (06/04)
Page: 8 of 13
Document Has Been Signed on 02/24/2025 03:47 PM - It Cannot Be Edited


Created By: Beena Singh On 02/24/2025 at 01:18 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: RESSA RESIDENTIAL CARE

FACILITY NUMBER: 335530078

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/24/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
87457(c)
Pre-Admission Appraisal
(c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of their individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, interview, record review, the licensee did not comply with the section cited above by not ensuring that resident #1(R1) has the required pre-placement appraisal maintained in R1 file, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/03/2025
Plan of Correction
1
2
3
4
Licensee stated to submit a copy of R1s pre-placement appraisal to LPA singh by the Plan of correction(POC) due date.
Type B
Section Cited
HSC
1569.695(a)(2)
Other Provisions
(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: (2) Plans for the facility to be self-reliant for a period of not less than 72 hours immediately following any emergency or disaster, including, but not limited to, a short-term or long-term power failure. If the facility plans to shelter in place and one or more utilities, including water, sewer, gas, or electricity, is not available, the facility shall have a plan and supplies available to provide alternative resources during an outage.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation,interview, the licensee did not comply with the section cited above by no ensuring that the facility have the required emergency supplies, food and water, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/03/2025
Plan of Correction
1
2
3
4
Licensee stated to obtain/purschase emergency supplies food and water and submit proof to LPA Singh by the POC due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Efren Malagon
LICENSING EVALUATOR NAME:Beena Singh
LICENSING EVALUATOR SIGNATURE:
DATE: 02/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/24/2025


LIC809 (FAS) - (06/04)
Page: 9 of 13
Document Has Been Signed on 02/24/2025 03:47 PM - It Cannot Be Edited


Created By: Beena Singh On 02/24/2025 at 01:18 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: RESSA RESIDENTIAL CARE

FACILITY NUMBER: 335530078

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/24/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1569.695(e)(2)
Other Provisions
(e) A facility shall have all of the following information readily available to facility staff during an emergency: (2) An appraisal of resident needs and services plan for each resident.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation,interview,record review, the licensee did not comply with the section cited above by not ensuring that resident#4 (R4) has the required pre-placement needs and services plan maintained, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/03/2025
Plan of Correction
1
2
3
4
Licensee stated to submit a copy of R#4s pre-placement needs and services plan to LPA Singh by the Plan of Correction (POC) due date.
Type B
Section Cited
CCR
87608(a)(5)(A)
Postural Supports
(A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation,interview,record review the licensee did not comply with the section cited above by not ensuring that Resident#2(R2) Resident#3, Resident #4 have a written order from their physician indicating the need for half bed-rails for mobility, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/07/2025
Plan of Correction
1
2
3
4
Licensee stated to obtain a written order from R2,R3,R4 physician indicating the need for half bed rail for mobility or remove the half bed rail and submit proof to LPA Singh by the POC due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Efren Malagon
LICENSING EVALUATOR NAME:Beena Singh
LICENSING EVALUATOR SIGNATURE:
DATE: 02/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/24/2025


LIC809 (FAS) - (06/04)
Page: 10 of 13
Document Has Been Signed on 02/24/2025 03:47 PM - It Cannot Be Edited


Created By: Beena Singh On 02/24/2025 at 01:18 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: RESSA RESIDENTIAL CARE

FACILITY NUMBER: 335530078

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/24/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
87705(b)(1)
Care of Persons with Dementia
(b) Licensees shall be responsible for the following: (1) Ensuring staff receive the following training as part of the training requirements specified in Section 87208 Plan of Operation:

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation,interview, record review, the licensee did not comply with the section cited above by not ensuring that Staff#2 (S2) and Staff#3(S3) completed the required dementia training, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/03/2025
Plan of Correction
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2
3
4
Licensee stated to submit proof of S2 and S3 dementia traing to LPA Singh by the Plan of Correction(POC) due date.
Section Cited
Deficient Practice Statement
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2
3
4
POC Due Date:
Plan of Correction
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2
3
4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Efren Malagon
LICENSING EVALUATOR NAME:Beena Singh
LICENSING EVALUATOR SIGNATURE:
DATE: 02/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/24/2025


LIC809 (FAS) - (06/04)
Page: 11 of 13
Document Has Been Signed on 02/24/2025 03:47 PM - It Cannot Be Edited

Citations on this Visit Report are Under Appeal!


Created By: Beena Singh On 02/24/2025 at 01:53 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: RESSA RESIDENTIAL CARE

FACILITY NUMBER: 335530078

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/24/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Under Appeal
Type B
Section Cited
CCR
87305(a)

87305(a) Prior to construction or alterations, all facilities shall obtain a building permit.


This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation,interview,record review, the licensee did not comply with the section cited above by not obtaining a buliding permit for the alteration made at the facility prior to construction, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/25/2025
Plan of Correction
1
2
3
4
Licensee stated to obtain a building permit from the city and submit the copy to LPA Singh by the Plan of Correction(POC) by the due date.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Efren Malagon
LICENSING EVALUATOR NAME:Beena Singh
LICENSING EVALUATOR SIGNATURE:
DATE: 02/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/24/2025


LIC809 (FAS) - (06/04)
Page: 12 of 13
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: RESSA RESIDENTIAL CARE
FACILITY NUMBER: 335530078
VISIT DATE: 02/24/2025
NARRATIVE
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Record Review:

LPAs Singh and LPA Brown reviewed two (2) resident file for admission agreement, updated physician report, centrally stored medication list and needs and services plan. LPAs observed Resident#1(R#1) does not have the required pre-placement appraisal maintained in R#1 file. Deficiency will be issued. LPAs observed residents#4(R#4) does not have the record needs and services plan/care plan maintained in R#4 file. Deficiency will be issued.

LPAs observed residents#4(R#4) does not have the record needs and services plan/care plan maintained in R#4 file. Deficiency will be issued. LPAs reviewed two (2) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings with tuberculosis (TB) test results. LPAs observed staff#2 (S#2) working at the facility with a criminal background clearance but S2 criminal background clearance was not transferred to the facility. Deficiency will be issued and civil penalty of $500.00 will be assessed today and will continue to be assessed of $100 per day until corrected. LPAs observed Staff#2(St#2) and Staff#3(S#) do not have the required on the job training maintained in their facility file. Deficiency will be issued. LPAs observed Staff#2 and Staff#3 do not have the required Tuberculosis(TB) test with TB test result maintained in their facility file. Deficiency will be issued. LPAs observed that Staff#2 and Staff#3 did not have health screening in the file. Deficiency will be issued. LPAs observed Staff#2(S2) and Staff#3(S#3) do not have the required 40 hours training maintained in their facility file. Deficiency will be issued. LPAs observed Staff#2 and Staff#3 do not have the required 10 hour of initial training, 6 hours of hand on shadowing, and 4 hours of other training or instructions on assisting residence with self- administration of medications. Deficiency will be issued. LPAs observed that staff#2 and Staff#3 do not have the required Dementia training maintained in their file. Deficiency will be issued.

Medications/MARs records were audited and appeared to be dispensed and logged appropriately.

Based on the observations made during today’s visit, deficiencies were issued and cited per Title 22, Division 6, of the California Code of Regulations.

An exit interview was conducted, and this report (LIC809) LIC 809C, LIC809D, LIC 421BG(6/17) and Appeal Rights were discussed and provided to Administrator Ariel Angeles

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Beena Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2025
LIC809 (FAS) - (06/04)
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