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Inspection visit

Routine inspection

BLISSFUL CARE HOME LLC.License 0156014596 citations on this visit
6 citations recorded

Inspector’s narrative

What the inspector wrote

On 06/27/2025 at 9:00 AM, Licensing Program Analyst (LPA) Y. Brown and Licensing Program Manager (LPM) Harpreet Humpal conducted an unannounced annual 1-year required inspection. LPA met with Administrator Marlyn Rotor and explained the purpose of the visit. The administrator currently holds a certificate (#7002539740) that expires on 12/16/2025. The facility’s fire clearance was approved for six (6) residents, six (6) may be non-ambulatory. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area, garage, and back yard. The facility consists of four (4) bedrooms and two (2) bathrooms. All indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature for clients is maintained at 73 degrees Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature in the facilities kitchen was measured at 123.1 degrees Fahrenheit. All toilets, hand washing, and bathing are safe, sanitary and in operating condition. The supply of extra hygiene was available for residents. Smoke detectors and carbon monoxide combination were in operating condition during visit. Fire extinguisher was last purchased on 7/26/2025. First aid kit was observed to be complete. LPA reviewed four (4) staff and four (4) client records. LPA reviewed a sample of medication. Continued on LIC809C. (Continued from LIC809...) The following forms will be updated and submitted to CCLD by 7/7/2025: LIC610D: Emergency disaster plan (last page) LIC500: (Personnel Record) LIC622A: Medication Administration Record (MAR) LIC9283: Infection Control Plan Updated Floor Plan: Documenting that the outdoor "restroom/storage" will be changed to a staff room. The following deficiencies were observed: At 9:45 am, LPA observed R1 had a half bed rail but no written physicians order. At 10 am, LPA observed missing CPR training from 0/4 staff members. At 10:05 am, LPA observed missing 20 hr training from 0/4 staff members. At 10:15 am, LPA observed R1 and R2 had missing Appraisal needs and services plan. At 10:20 am, LPA observed that there wasn't an updated quarterly fire drill conducted. A technical violation was issued during the visit. Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy of the appeal rights and this report provided.

Citations

6 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.

  • 1569.618(c)(3)Type A

    Based on record review, the licensee did not comply with the section cited above in that out of the 4 staff members, none of the staff members on duty had proof of CPR training in which poses an immediate health and safety risk to persons in care.

  • 1569.625(b)(2)Type B

    Based on record review, the licensee did not comply with the section cited above in that S1, S2, S3, and S4 had missing 20 hr annual training which poses a potential health and safety risk to persons in care.

  • 1569.695(c)(3)Type B

    Based on file review, the licensee did not comply with the section cited above in that the facility did not have a current fire drill since the last drill was conducted in July 2024 which poses a potential health and safety rights risk to persons in care.

  • 87411(c)(1)Type A

    Based on record review, the licensee did not comply with the section cited above in that 0 out of 4 staff members did not have first aid certification on file which poses an immediate health and safety risk to persons in care.

  • 87457(c)Type B

    Based on record review, the licensee did not comply with the section cited above in that R1 and R2 had missing Appraisal needs and service plans which poses a potential health and safety risk to persons in care.

  • 87608(a)(3)Type B

    Based on observation and record review, the licensee did not comply with the section cited above in that R1 had a half rail bed but during record review, R1 did not have an approved doctor's order which poses an immediate health and safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the June 27, 2025 inspection of BLISSFUL CARE HOME LLC.?

This was a inspection inspection of BLISSFUL CARE HOME LLC. on June 27, 2025. 6 citations were issued: 2 Type A (serious) and 4 Type B.

Were any citations issued to BLISSFUL CARE HOME LLC. on June 27, 2025?

Yes, 6 citations were issued (2 Type A, 4 Type B). The first citation was for: "Based on record review, the licensee did not comply with the section cited above in that out of the 4 staff members, non..."

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.