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Inspection visit

Routine inspection

ST JOSEPH SENIOR CARELicense 01560147817 citations on this visit
17 citations recorded

Inspector’s narrative

What the inspector wrote

On this day, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct annual required inspection. LPA was met by staff Margrethe Bautista who states Administrator is currently out of the country and will be back on 11/15/2023. During the visit, LPA inspected the facility inside and out including but not limited to 3 resident rooms, bathroom, kitchen, dining, garage and backyard. Hot water in the kitchen measured at 120 degrees Fahrenheit. Smoke detector and carbon monoxide were tested and observed functional. Fire extinguisher was observed full and manufactured in 2023. There were sufficient food supplies observed. LPA observed ample supply of towels, sheets and linen. LPA reviewed 3 resident and 2 staff files. LPA interviewed one staff and 2 residents. First aid kit was observed complete. The following deficiencies were observed: R2 has catheter but facility does not have an approved exception and no proof of staff training S2 does not have First aid training, missing Lic 501, 503 and tb test R3's bed was observed blocking exit door; extra bed in R3's room partially blocking doorway backyard/sideyard were observed with empty boxes, tools, unused equipment etc, ;fence was observed leaning towards the next door neighbor no updated Emergency Disaster Plan (plan on file is dated 2011) medications observed unlocked in the kitchen fruit flies observed hovering in the kitchen/dining area ******continuation on Lic 809C****** Facility installed a camera in Room#3 (with audio and video) without an approved exception last fire drill was conducted in April 2023 cats' food bowls were observed in different areas Facility has liability insurance in the amount of $1,000,000/$3,000,000. Deficiencies were cited per Title 22 California Code of Regulations (refer to Lic 89D). Exit interview was conducted with Margrethe and Appeal Rights was provided. .

Citations

17 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.

  • 1569.695(c)Type B

    Based on record review, the licensee did not comply with the section cited above in not having an updated disaster drill which poses/posed a potential health, safety or personal rights risk to persons in care. Last fire drill was done on April 2023.

  • 87411(c)(1)Type B

    Based on observation, the licensee did not comply with the section cited above in not having S2 complete first aid training which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87705(c)(2)Type A

    Based on record review, the licensee did not comply with the section cited above in not having an updated disaster plan that addresses the safety of residents with dementia which poses an immediate health, safety or personal rights risk to persons in care.

  • 87705(c)(4)Type A

    Based on observation, the licensee did not comply with the section cited above in installing a video camera with audio inside R1's room which poses an immediate health, safety or personal rights risk to persons in care. R1 has dementia and is able to use the bathroom independently.

  • 87705(c)(5)Type B

    Based on record review, the licensee did not comply with the section cited above in not having an updated medical assessment for R1 who has dementia which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.626(a)(1)Type B

    Based on record review, the licensee did not comply with the section cited above in not having staff complete required dementia training which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.69(b)Type B

    Based on record review, the licensee did not comply with the section cited above in not having staff complete required medication training hours which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87411(f)Type A

    Based on record review,, the licensee did not comply with the section cited above in not having S2 complete health screening and tb test which poses an immediate health, safety or personal rights risk to persons in care.

  • 87412(c)(2)(D)Type B

    Based on observation, the licensee did not comply with the section cited above in not indicating training hours per subject for S1 which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87463(c)Type A

    Based on record review, the licensee did not comply with the section cited above in not conducting Reappraisal for R2 who is on catheter which poses an immediate health, safety or personal rights risk to persons in care.

  • 87465(h)(2)Type A

    Based on observation, the licensee did not comply with the section cited above in not havong medicines in the kitchen cabinet locked which poses an immediate health, safety or personal rights risk to persons in care.

  • 87506(b)(16)Type B

    Based on record review, the licensee did not comply with the section cited above in not having the SPV form in the residents' files which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87555(b)(27)Type B

    Based on observation, the licensee did not comply with the section cited above in having fruit flies in the kitchen/dining which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87613(a)(2)Type B

    Based on record review, the licensee did not comply with the section cited above in not having staff trained with R2's catheter which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87613(a)(2)(B)Type B

    Based on record review, the licensee did not comply with the section cited above in not having staff complete training with R2's catheter prior to staff providing service to R2 which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87616(b)Type B

    Based on record review, the licensee did not comply with the section cited above in not having an approved exception for R2's catheter which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.695(a)Type A

    Based on record review, the licensee did not comply with the section cited above in not having an updated Emergency Disaster Plan which poses an immediate health, safety or personal rights risk to persons in care. Last plan is dated 2011.

FAQ · About this visit

Common questions about this visit

What happened during the October 25, 2023 inspection of ST JOSEPH SENIOR CARE?

This was a inspection inspection of ST JOSEPH SENIOR CARE on October 25, 2023. 17 citations were issued: 6 Type A (serious) and 11 Type B.

Were any citations issued to ST JOSEPH SENIOR CARE on October 25, 2023?

Yes, 17 citations were issued (6 Type A, 11 Type B). The first citation was for: "Based on record review, the licensee did not comply with the section cited above in not having an updated disaster drill..."

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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