Childrens Hc Org No Ca -Pediatric Hospital D/P SNF

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

CMS has not published payroll-based (PBJ) staffing hours for this facility yet — this can happen for newer, hospital-based, or recently-certified homes. It can also mean the home simply did not file, which CMS does not distinguish in this data, so treat the gap as unexplained rather than benign. Staffing is one of the three parts of the CMS star rating; where it’s missing, weigh the independent health-inspection score most, and ask the facility directly about its nurse-to-resident ratios and weekend RN coverage.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.

• Potential for harm · Dcited before2024-10-10 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide services in accordance with professional standards of practice for one of three sampled residents (Resident 1) when license nurses did not accurately complete Resident 1's Skin Assessments. This failure had the potential to compromise the facility's ability to provide resident-centered interventions based on assessment data. Findings: Review of Resident 1's medical record indicated he was admitted on [DATE] and had the diagnoses including hypoxic ischemic encephalopathy (a type of brain damage that occurs when the brain has decreased oxygen or blood flow). Review of Resident 1's Nursing Notes, dated 8/15/24, indicated a license nurse checked on Resident 1's skin and noted dryness on left breast. Resident 1's weekly Skin Assessments, dated 8/16/24, were reviewed. There was a section asking if Resident 1 had impaired skin, and it was marked on No. Review of Resident 1's IDT: Special Issue, dated 8/19/24, indicated a licensed nurse checked on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-07-26 · tag F0658 — failed to meet professional standards of care — pattern
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide care and services in accordance with professional standards of practice for four of 12 sampled residents (Resident 125, 9, 16, and 19) when: 1. There were no Identification (ID) bracelets for Resident 125 and 9, 2. Licensed nurses documented medication administration completed before administering the medication for Residents 16 and 19. The failures had the potential to compromise residents' health and well-being. Findings: 1.A Review of Resident 125's medical record indicated Resident 125 was admitted on [DATE] with diagnoses including Choanal Atresia (a congenital condition where a baby is born with tissue blocking their nasal airway), acute respiratory failure (a life-threatening condition that occurs when patients' lungs cannot exchange oxygen and carbon dioxide properly), and tracheostomy status (a hole in the neck that helps a patient breathe when their airway is blocked or reduced). During an observation and concurrent…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-07-26 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to maintain sanitary conditions in the kitchen when: 1. Two dietary aides (DA) did not cover their hair completely with hairnets; 2. Temperature logs of a free-standing side-counter refrigerator and freezer had missing temperatures entries; 3. An undercounter refrigerator temperature log for clients' use had missing temperatures entries; 4. A daily dishwasher temperature log had missing temperatures entries, and a chlorine water strip check log had missing results, and 5. One opened bottle of ranch dressing inside the undercounter refrigerator lacked an open date. These failures had the potential to cause food-borne illness for the residents. Findings: 1. During an initial kitchen tour on 7/22/24 at 8:23 a.m., Dietary Aide D (DA D), prepared bottled formula for the patients in the food preparation area while her hair on the right side and back was not completely covered with a hairnet. During a concurrent observation and interview with DA D on 7/22/24 at 8:25 a.m., she confirmed the above observation and stated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-07-26 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure infection control practices were implemented for three of 12 sampled residents (Residents 14, 19 and 1) when: 1. A white plastic garbage can by the bathroom inside Resident #14's room was overflowing with used yellow disposable gowns and gloves, 2. Licensed Nurses did not change gloves bewtween tasks, nor did they perform hand hygiene during glove changes, 3. Three medications were not kept clean in two medication carts. These failures could result in the spread of infection and cross-contamination for residents in the facility. Findings: 1.During an observation inside Resident #14's room on 7/23/24 at 1:45 p.m., There was one white plastic garbage can by the bathroom overflowing with used yellow disposable gowns and gloves. During a concurrent observation and interview on 7/23/24 at 1:46 p.m., with registered nurse A (RN A), RN A confirmed the above observation and stated the garbage can should not be overflowing with used gowns…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-07-26 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure one of 12 sampled residents (Residents 16) was free from unnecessary psychotropic (drug that affects brain activities associated with mental processes and behavior) medications when there was no documentation indicating the facility obtained informed consent before the medication start date. This failure had the potential to result in unnecessary use of medications. Findings: A review of Resident 16's face sheet indicated Resident 16 was admitted to the facility on [DATE]. Review of Resident 16's physician order summary indicated: a. Diazepam (a Schedule IV controlled drug under the Convention on Psychotropic Substances and used to treat a range of conditions, including anxiety, seizures, alcohol withdrawal syndrome, muscle spasms, insomnia, and restless legs syndrome) Injectable Solution 50mg (one-thousandth of a gram)/10 ml(unit of capacity): Use 0.2 ml intravenously (a way of giving a drug or other substance through a needle or tube inserted…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-26 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to maintain a safe environment for one resident (Residents 9) out of 12 sampled residents, when the front vent cover of an air-conditioning unit was loosely ajar. This failure had the potential to cause injury to staff and residents. Findings: During a concurrent observation and interview on 7/22/24 at 10:02 a.m., Resident 9 stood adjacent to the end of the bed and front of a working air-conditioning unit. The air-conditioning unit's front vent cover was loosely ajar. There were traces of old tape residue on the outer surface of both sides of the airconditioning unit and its vent cover. Gray duct tape (strong cloth-backed waterproof adhesive tape) was stuck to the length of the right side of the panel with grayish strips of medical paper tape (medical paper tape is whitish in color when it is new and is designed to attach bandages, gauze, and other dressings to a patient's skin around wounds) atop the duct tape. Strips of grayish paper tape was also used to tether the front vent cover at its upper left corner to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2022-07-08 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure food was stored and prepared in accordance with professional standards for food safety when expired foods and unlabeled food items were found in the refrigerator, freezer, dry storage area and the storage cabinets for plastic containers were unsafe. These failures had the potential to cause the growth of microorganisms which could cause foodborne illness (illness caused by food or water contaminated with bacteria, viruses, parasites or toxins) and cross-contaminated food for the 25 residents residing at the facility. Findings: During the initial kitchen tour observation on 7/5/22 at 9:45 a.m. with the Dietary Supervisor (DS), the following were observed in the freezer, refrigerator, dry storage and storage cabinets: 1. seven boxes of pedialyte freezer pops and expired on 1/1/22; 2. one box deep dish singles pizza and expired on 6/30/22; 3. six expired kids' meals and one unlabeled kid meal; 4. one almost empty cheetos puffs pack…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2022-07-08 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to implement their infection control practices and precautions when: 1. Staff did not wear N95 (a type of respirator mask) while caring for Coronavirus 2019 (COVID-19, an infectious disease caused by the SARS-CoV-2 virus) exposed residents; 2. A nurse did not change gloves after touching a contaminated object; 3. A nurse did not perform hand hygiene after removing gloves and before donning new gloves. These failures have the potential to spread infection in the facility. Findings: 1. During an observation on 7/5/22 at 9:59 a.m., therapist A (TA) was in Resident 2's room. TA did not have an N95 on. During an observation on 7/5/22 at 10:16 a.m., TA was in Resident 16's room. TA did not wear an N95 mask. During an observation on 7/5/22 at 10:32 a.m., licensed vocational nurse B (LVN B) was in Resident 12's room. LVN B did not wear N95 mask. During an concurrent interview with the registered nurse C (RN C) confirmed the residents were exposed to COVID-19 and staff were not wearing N95. During an interview on 7/5/22…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2022-07-08 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to provide care and services in accordance with professional standards or practice for one of six residents observed for medication administration (Resident 1) when Resident 1 did not have Systane (lubricant eye gel) overnight therapy. This failure had the potential to compromise the resident's health and well-being to meet the therapeutic needs. Findings: During the concurrent medication pass observation and interview with Registered Nurse E (RN E) on 7/7/22 at 2:08 p.m., RN E prepared the medications for Resident 1. RN E was not able to prepare Resident 1's Systane overnight therapy gel because it was not available. RN E confirmed that they should have available medication for Resident 1. She further stated that they should have ordered the Systane overnight therapy gel before it ran out. Review of Resident 1's admission Record dated 7/6/22, indicated Resident 1 was a two year old male initially admitted with the diagnoses of congenital malformation syndromes (physical defect present in a baby at birth)…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2019-10-31 · tag F0908 — failed to keep essential equipment working — pattern
  Keep all essential equipment working safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to maintain one of one dishwasher when the dishwasher temperature was below the manufacturer's water requirements of 120 to 140 degrees Fahrenheit (F, temperature scale that bases the boiling point of water at 212 and the freezing point at 32). This failure could cause improper sanitation of the feeding bottles and potentially cause illness in the residents. Findings: During an observation of the kitchen with the dietary supervisor (DS) on 10/29/19 at 7:42 a.m., he stated they only have one small dishwasher for the feeding bottles, since meals are not prepared in the kitchen. He stated the feeding bottles were washed around 3 p.m. He proceeded to run the dishwasher for the chlorine sanitizer test. The temperature gauge read 110 F. He stated it should be at 120 F. During a concurrent interview with the DS, he stated he was not sure of the dishwasher's manufacturer. He also stated there was no maintenance schedule as he called maintenance only on as needed basis. During an interview with the director of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Environmental Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$3,145 in federal fines across 1 penalty.

• $3,145 — penalty dated 2023-10-02

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 12 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

What families pay in CA