Deficiencies per Year
8
6
4
2
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Life Safety
Deficiencies: 5
Apr 1, 2025
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at Blossom Valley Senior AL Community on 04/01/2025.
Findings
The inspection found multiple fire safety code violations related to electrical hazards, listing of power taps, door operation, extinguishing system service, and securing compressed gas containers. All violations noted in this inspection were corrected.
Deficiencies (5)
| Description |
|---|
| Abatement of unsafe conditions and electrical hazards. |
| Relocatable power taps shall be listed and labeled in accordance with UL standards. |
| Swinging fire doors shall close from the full-open position and latch automatically. |
| Automatic fire-extinguishing systems shall be serviced at least every six months and after activation. |
| Compressed gas containers, cylinders and tanks shall be secured to prevent falling. |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sam Mead | Maint. Director | Named as Owner or Authorized Representative signing the inspection documents. |
| Andrea Ely | Deputy State Fire Marshal | Conducted and signed the inspection on 04/01/2025. |
Inspection Report
Complaint Investigation
Deficiencies: 1
Feb 10, 2025
Visit Reason
The Department completed a full inspection and complaint investigation of the Assisted Living Facility on 02/10/2025 based on complaint number 165817.
Findings
The facility was found not to meet Assisted Living Facility requirements, including a failure to ensure a resident's insulin was given as prescribed. The facility implemented corrective actions including electronic record adjustments and staff retraining.
Complaint Details
Complaint number 165817 triggered the investigation. The report does not state substantiation status explicitly.
Deficiencies (1)
| Description |
|---|
| Failed to ensure a resident's insulin was given as prescribed. |
Report Facts
Complaint number: 165817
Correction timeframe: 45
Plan of correction submission timeframe: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Laura Williams-Davis | ALF Field Manager | Named as the Field Manager responsible for clarifications and communication regarding the deficiencies. |
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