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Inspection visit

Routine inspection

A & P CARE HOME FOR SENIORSLicense 0156013637 citations on this visit
7 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct annual required inspection and met with Administrator Dumitela Dimapilis. LPA explained to the Administrator the purpose of the visit. During the visit, LPA inspected the facility inside and out including but not limited to resident rooms, bathrooms, kitchen, dining, garage and backyard. Hot water measured at 115.8 Fahrenheit. There was sufficient supply of perishable and non perishable foods. LPA observed sufficient supply of warm blankets, sheets and towels available for use of the residents. Administrator states two of six residents are in the hospital. Smoke detectors and carbon monoxide were tested and observed functional. First aid kit was observed to be complete. At around 11:43 am, LPA reviewed 5 resident and 3 staff files. At around 4:00pm, LPA interviewed staff and residents. The following deficiencies were observed: 1. Physical Plant/Environmental Safety - - Unused bed, recliner, mattress, hoyer lift, cart, ripped screen door in the backyard and refrigerator light out were observed during the inspection. 2. Physical Plant/Environmental Safety - - Bathroom disorganized and smelled urine. 3. Physical Plant/Environmental Safety - Comet unlocked under the sink. Lysol unlocked in the unlocked drawer inside the resident's room. 4. Residents with Special Health Needs - R1 developed stage 3 pressure injury in July 2023 but no reappraisal was conducted. continuation on Lic 809D 5. R4 has dementia; last medical assessment was 3/3/2022. 6. Residents with Special Health Needs - Insulin unlocked in the refrigerator was observed during the visit. Deficiencies are cited per Title 22 California Code of Regulations (refer to Lic 809D). Exit interview was conducted with Administrator and Appeal Rights was provided.

Citations

9 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.

  • 87303(a)Type B

    Based on observation, the licensee did not comply with the section cited above in having ripped screen door, unused DMEs in the backyard which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87303(a)(1)Type B

    Based on observation, the licensee did not comply with the section cited above in having a bathroom that smells urine and unorganized which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87309(a)Type A

    Based on observation, the licensee did not comply with the section cited above in having Lysol and comet unlocked which poses an immediate health, safety or personal rights risk to persons in care.

  • 87611(d)Type A

    Based on observation and record review, the licensee did not comply with the section cited above in not conducting Reappraisal for R1 who developed pressure injury which poses an immediate health, safety or personal rights risk to persons in care.

  • 87616(b)(1)Type A

    Based on record review, the licensee did not comply with the section cited above in not having an approved exception for R1 who developed stage 3 in July 2023 which poses an immediate health, safety or personal rights risk to persons in care.

  • 87705(c)(5)Type B

    Based on record review, R4 has Alzheimer's Dementia but last Physician's Report is in 2022, the licensee did not comply with section cited which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87705(f)(2)Type A

    Based on observation, the licensee did not comply with the section cited above in having unlocked insulin in the refrigerator which poses an immediate health, safety or personal rights risk to persons in care.

  • 87466Type A

    87466 Observation of the ResidentThe licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. This requirement is not met ase evidenced by: R4's discharge paper dated 7/16/23 indicates R4 developed stage 3 pressure injury of left perineal ischial region. R4 was admitted back to the facility without home health nurse following up.

  • 87615(a)Type A

    87615 Prohibited Health Conditionsa) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: R4 developed stage 3 pressure injury and was admitted back to the facility without an approved exception which poses an immediate risk to health and safety of clients under care.

FAQ · About this visit

Common questions about this visit

What happened during the January 31, 2024 inspection of A & P CARE HOME FOR SENIORS?

This was a inspection inspection of A & P CARE HOME FOR SENIORS on January 31, 2024. 7 citations were issued: 4 Type A (serious) and 3 Type B.

Were any citations issued to A & P CARE HOME FOR SENIORS on January 31, 2024?

Yes, 7 citations were issued (4 Type A, 3 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section cited above in having ripped screen door, unused DMEs..."

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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