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Inspection visit

Routine inspection

C & R HOME FOR THE ELDERLYLicense 01560050713 citations on this visit
13 citations recorded

Inspector’s narrative

What the inspector wrote

On this day, January 27, 2024, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with staff, Marta Dacuma, and informed the reason for visit. LPA called and spoke over the phone with Precilla San Miguel, licensee-administrator, who authorized Marta Dacume to with LPA in touring the facility. Administrator arrived at 11:30 a.m. Facility has not submitted the LIC9282 Infection Control Plan. LPA toured the facility inside out with Marta Dacuma. LPA inspected the kitchen, dining area, activity/game room, bedrooms, bathrooms, side and backyards. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Facility has smoke and carbon monoxide detectors that were tested, and observed functional. Hot water temperature in one of the bathrooms was tested and measured at 113 degrees Fahrenheit. LPA reviewed 3 staff and 5 residents records, and interviewed 2 staff and 2 residents. Medications were checked and compared with doctor's orders and LIC622 Centrally Stored and Medication Records. Facility does not handle residents' cash resources. LPA observed the following: -at 10:38 a.m.,central storage for medications unlocked. -at 10:40 a.m., residents' medications in unlocked kitchen cabinet. -at 10:44 a.m., unlocked refrigerator with residents' medications and staff medications/vitamin supplements in unlocked staff bedroom. ..continued on 809C -at 10:53 .a.m., peritoneal cleanser in one of the resident's bedrooms. -at 11:01 a.m., razor and ointment in the common bathroom. -at 12:55 p.m., LPA checked and verified, and administrator stated they conduct drills 2 or 3x/year; however last recorded drill showed conducted 11/10/21. -at 2;00 p.m., S3 is fingerprinted and cleared but not associated to this facility. -at 2:30 p.m., S2 and S3 do not have LIC503 Health Screening on file. -at 2:45 p.m., S3 has not completed the required 40 hours of training. -at 3:00 p,m,, facility does not have internet service. -at 4:00 p.m, residents (R1, R2 & R3) LIC602A Physician's Report over a year old -at 4:15 p.m., residents' (R1, R2 & R3) LIC625 Appraisal/Needs and Services Plan over a year old. -at 5:00 p.m., R2's medications do not have doctor's order on file. -at 5:10 p.m., R2's two medications not properly recorded on LIC622 Administrator to submit the following updated/current documents by February 10, 2024: 1. LIC308 Designation of Facility Responsibility 2. LIC500 Personnel Report 3. LIC610E Emergency Disaster Plan (9 pages) 4. $3M Liability Insurance certificate 5. LIC9282 Infection Control Plan Deficiencies are cited from Title 22 California Code of Regulations, and listed on 809Ds. Failure to submit proof of corrections by plan of correction due dates, and any repeat violation within 12 month period may result in civil penalties. Deficiencies and plan and proof of corrections were discussed with the administrator. Administrator has to leave, and authorized Marta Dacuma to sign and receive this report. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.

Citations

13 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87465(h)(2)Type A

    Based on observation, the licensee did not comply with the section cited above for unlocked central storage for medications which pose an immediate health, safety and/or personal rights risk to persons in care.

  • 87506(a)Type B

    Based on record review, the licensee did not comply with the section cited above for R2's medications not properly records on LIC622 which poses a potentiial personal rights risk to persons in care

  • 87705(c)(5)Type B

    Based on interview and record review, the licensee did not comply with the section cited above in residents (R1,R2, & R3) LIC602A over a year old .which pose a potential health and/or personal rights risk to persons in care

  • 87705(c)(6)Type B

    Based on interview and recorda review, the licensee did not comply with the section cited above in residents' (R1, R2 & R3) LIC625 over a year old. which pose a potential health and/or personal rights risk to persons in care.

  • 1569.625(b)(1)Type B

    Based on record review, the licensee did not comply with the section cited above for S3 not having the required hours of training completed which poses a potential health, safety and/or personal rights risk to persons in care.

  • 1569.695(c)Type B

    Based on interview and reord review, the licensee did not comply with the section cited above for not conducting disaster drills as required which poses/posed a potential safety risk to persons in care.

  • 87309(a)Type A

    Based on observation, the licensee did not comply with the section cited above for peritoneal cleanser in one of the resident's bedrooms and razor and ointment in the common bathroom, and staff bedroom with vitamins/sipplements unlocked which pose an immediate health, safety and/or personal rights risk to persons in care.

  • 87355(e)(3)Type B

    Based on interview and record review, the licensee did not comply with the section cited above for S3 not associated to the facility which poses a potential safety and/or personal rights risk to persons in care.

  • 87411(f)Type B

    Based on records review, the licensee did not comply with the section cited above in S2 and S3 not having LIC503 Health Screening on file which poses a potential health risk to persons in care.

  • 87465(e)Type A

    Based on record review, the licensee did not comply with the section cited above in resident (R2) has 8 medications with no doctor's order on file.which poses an immediate health and/or personal rights risk to persons in care.

  • 87465(h)(1)(C)Type A

    Based on observation, the licensee did not comply with the section cited above for the following which pose immediate health and/or personal rights risks to persons in care: refrigeratorr in staff room where resident's medication are kept was unlocked; unlocked kitchen cabinet where other residents medication are kept

  • 1569.625(b)(2)Type B

    Based on interview and record review)], the licensee did not comply with the section cited above for staff (S2) not having the required 20 hours annual training on file which poses a potential health, safety and/or personal rights risk to persons in care.

  • 1569.319(a)Type B

    Based on interview, the licensee did not comply with the section cited above for not having internet service poses a potential personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 27, 2024 inspection of C & R HOME FOR THE ELDERLY?

This was a inspection inspection of C & R HOME FOR THE ELDERLY on January 27, 2024. 13 citations were issued: 4 Type A (serious) and 9 Type B.

Were any citations issued to C & R HOME FOR THE ELDERLY on January 27, 2024?

Yes, 13 citations were issued (4 Type A, 9 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section cited above for unlocked central storage for medicat..."

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.