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32 | Allegation: “The facility is not in good repair,” it is being alleged that the facility’s Air Conditioning System (AC), plumbing, and so on are in disrepair.
Interviews conducted with S1 to S3 revealed the following: Staff indicated that they are waiting for parts from the manufacture to fix to the air-cooling system. Moreover, staff indicated that last week there was a maintenance emergency with the pump seals giving out and water splashing everywhere; the issues were addressed and fixed the same day. Furthermore, staff indicated that the elevators have a continuous ringing sound to it, stating that maybe the elevators need oil.
Interviews conducted with R1 to R15 revealed the following: 12 out of 15 residents agreed with the allegation, furthermore, residents indicated that the AC’s do not work properly and it can get hot in their apartments, moreover, a resident stated that they had a leak in their room for a couple of months, additionally, residents stated that staff provided them with fans when they requested them.
Records reviewed revealed the following: The invoice dated 08/06/2026 states “Found water leaking from the mechanical seal area…After completing the repair…confirmed to be operating properly...recommends replacing the pump volute and bearing assembly to prevent future failures. A proposal will be provided for the recommended repairs.” The email dated 08/11/2026 with the subject line HVAC Update states that the third party vendor (maintenance company that works with the facility) is currently working directly with the HVAC manufacturer to source parts needed to fix HVAC units in rooms 417, 514, 609, and 610. |
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32 | On 08/11/2026, a tour of the facility was conducted, and the following was observed (pictures of observations were taken):
· Rooms 514, 417, and 606 did not have a comfortable temperature.
· Room 601 – There was a leak on the ceiling with a screen and directly under there was a towel with a bucket of water.
· Room 607’s faucet was in disrepair. Facility staff addressed the problem and fixed the issue.
· Room 619 – The water from the bathtub faucet came out brown and rusty.
· The dining room did not have a comfortable temperature, staff and residents in the dining indicated that it was hot and the AC had been in disrepair. The dining room had a leak coming from the ceiling with a trash can underneath it and a cup of water inside the trash can.
· Facility elevators have a constant loud ringing sound to them.
Substantiated: Based on observations, interviews, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D.
An exit interview was conducted, a civil penalty was provide regarding repeat violation, appeal rights were reviewed, and plans of corrections were developed. A copy of this report was left with the Resident Service Director, MaryLou Escobedo. |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
09/01/2026
Section Cited
CCR
87303(e)(2) | 1
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7 | Maintenance and Operation (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 degree F (41 degree C) and not more than 120 degree F (49 degree C).
This requirement was not met as evidence by: | 1
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7 | The Executive Director has agreed to maintain the boilers/pumps in good repair and create a plan to maintain hot water temperatures between 105 to 120 degrees F.
Email plan to Socorro.Leandro@dss.ca.gov |
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14 | Based on interviews conducted and observations the licensee did not comply with the section above by not having hot water temperatures measuring 105 to 120 degrees F which poses/posed an immediate health or personal rights risk to persons in care. | 8
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14 | The department will have to come back and check hot water temperatures and then clear POC.
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Type B
09/01/2026
Section Cited
CCR
87303(a) | 1
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7 | Maintenance and Operation (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.
This requirement was not met as evidence by: | 1
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7 | The Executive Director has agreed to fix the leak in room 601 and the dining room; fix and maintain the HVAC and boilers/pipes/pumps in good repair; and provide maintenance to the elevators. |
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14 | Based on observations, interviews, and records reviewed the licensee did not comply with the section cited above by not having the facility safe, sanitary, and in good repair at all times which poses/posed an immediate health, safety or personal rights risk to persons in care. | 8
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14 | Email pictures, invoices, and plan to Socorro.Leandro@dss.ca.gov
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