Inspection Reports for
JCP Cottage Senior Care
14241 La Mirada St, Victorville, CA 92392, CA, 92392
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
25% worse than California average
California average: 4 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
67% occupied
Based on a November 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 7
Date: Nov 7, 2025
Visit Reason
The visit was an unannounced required annual inspection to evaluate the facility's compliance with licensing requirements.
Findings
The facility was found to have multiple deficiencies including improper placement of a bedridden resident, lack of current CPR certification among staff, outdated infection control and emergency disaster plans, missing emergency kits, incomplete medication assistance, and missing documentation of emergency drills. A civil penalty and technical violation were issued.
Deficiencies (7)
CCR 87202(a)(2) Fire Clearance: The licensee placed a bedridden resident in a nonambulatory bedroom, posing an immediate health and safety risk.
CCR 87470(c)(1)(D) Infection Control Requirements: The licensee did not review or update the infection control plan annually.
HSC 1569.618(c)(3) Other Provisions: No staff with current CPR certification was present on premises at all times.
CCR 87465(a)(4) Incidental Medical and Dental Care Services: The licensee did not assist residents with medication as prescribed by their physician.
HSC 1569.695(a)(2) Other Provisions: The facility lacked emergency kits required for self-reliance during emergencies.
HSC 1569.695(c) Other Provisions: The facility did not maintain proof of quarterly emergency drills conducted prior to October 2025.
HSC 1569.695(d) Other Provisions: The emergency disaster plan was not reviewed or updated annually as required.
Report Facts
Capacity: 6
Census: 4
Plan of Correction Due Dates: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sevi Turangan | Licensee | Licensee involved in inspection and cited for deficiencies |
| Michelle Echeverria | Licensing Program Analyst | Conducted the inspection and authored the report |
| Nedra Brown | Licensing Program Manager | Oversaw the licensing program and signed the report |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 10
Date: Nov 5, 2024
Visit Reason
The inspection was an unannounced required annual visit to evaluate the facility's compliance with licensing regulations.
Findings
The facility was found to be operating within its approved capacity and generally in good repair, but several deficiencies were cited including unsafe storage of cleaning products, lack of background clearance for staff, missing infection control plan, lack of liability insurance proof, missing emergency drill documentation, and maintenance issues such as broken mirror and dirty bathroom fixtures.
Deficiencies (10)
CCR 87309(a) Storage Space: Cleaning product in the master bathroom and magnetic key in the kitchen cabinet were accessible to residents, posing a safety risk.
CCR 87355(e) Criminal Record Clearance: Staff assisted a resident without background clearance, posing an immediate health and safety risk.
CCR 87470(c)(1)(D) Infection Control Requirements: The facility did not have an Infection Control Plan available for review.
HSC 1569.605 Other Provisions: Facility failed to provide proof of active liability insurance.
CCR 87303(a) Maintenance and Operation: Broken mirror in hallway bathroom, dirty bathtub and sink in master bedroom bathroom, and broken side gate door in backyard were observed.
CCR 87303(e)(5) Maintenance and Operation: Master bathroom bathtub lacked a non-skid mat.
CCR 87307(c) Personal Accommodations and Services: Staff assisted a resident in the bathroom with the door left open, compromising privacy.
CCR 87412(a)(11) Personnel Records: No proof of physical test on health screening for a staff member.
HSC 1569.695(c) Other Provisions: No proof of emergency drills conducted quarterly was provided.
HSC 1569.695(d) Other Provisions: Emergency Disaster Plan was not reviewed or updated annually.
Report Facts
Capacity: 6
Census: 5
Water temperature: 107.2
Plan of Correction Due Dates: Various POC due dates ranging from 11/05/2024 to 11/19/2024
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 3
Date: Nov 7, 2023
Visit Reason
The visit was an unannounced required annual inspection to evaluate the facility's compliance with licensing regulations.
Findings
The facility was generally clean, in good repair, and operating safely, but deficiencies were cited for an outdated infection control plan, incomplete resident records, and lack of an emergency drill log. A technical violation was also issued for the outdated emergency disaster plan.
Deficiencies (3)
CCR 87470(c)(1)(D) Infection Control Plan was not updated as required, posing a potential health, safety, or personal rights risk to residents.
CCR 87506(b) Resident records were incomplete, posing a potential health, safety, or personal rights risk to residents.
HSC 1569.695(c) The facility did not maintain a log for emergency drills performed, posing a potential health, safety, or personal rights risk to residents.
Report Facts
POC Due Date: Nov 21, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Frisco Sanry | Administrator | Named in relation to deficiencies and interview |
| Michelle Echeverria | Licensing Program Analyst | Conducted the inspection and authored the report |
| Nedra Brown | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 2
Capacity: 6
Deficiencies: 0
Date: Dec 6, 2021
Visit Reason
The visit was an unannounced complaint investigation initiated due to allegations received on 2021-11-29 regarding personnel designation, food service, resident property safeguarding, and activities for residents.
Complaint Details
The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred.
Findings
The investigation found that the allegations were unsubstantiated based on interviews, observations, and records review. The facility provided adequate food service, safeguarded residents' property, and offered activities, although one resident chose not to participate.
Report Facts
Capacity: 6
Census: 2
Inspection Report
Annual Inspection
Census: 2
Capacity: 6
Deficiencies: 0
Date: Dec 6, 2021
Visit Reason
Licensing Program Analyst Stephanie Williams conducted an unannounced visit to perform a required annual inspection with an emphasis on infection control due to the COVID-19 pandemic.
Findings
No deficiencies were cited during the inspection. The facility was found to be in compliance with infection control measures, including COVID-19 symptom postings, visitation policies, PPE availability, and staff training.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Williams | Licensing Program Analyst | Conducted the inspection and interviewed the Administrator regarding infection control measures. |
| Frisco Sanry | Administrator | Facility Administrator interviewed during the inspection. |
Inspection Report
Complaint Investigation
Census: 5
Capacity: 6
Deficiencies: 0
Date: Oct 11, 2021
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2020-01-02 regarding facility maintenance, resident health needs, and a pressure injury.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not maintaining a comfortable temperature, failure to meet resident health needs, and a resident sustaining a stage four pressure injury. Interviews were limited due to resident deaths and cognitive decline, and medical records did not support the allegations.
Findings
All allegations were deemed unsubstantiated due to insufficient evidence or lack of information, including the claims about facility temperature, unmet resident health needs, and a stage four pressure injury.
Report Facts
Capacity: 6
Census: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Torres | Licensing Program Analyst | Conducted the complaint investigation visit |
| Frisco Sanry | Licensee/Administrator | Facility representative during investigation and exit interview |
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