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Inspection visit

Routine inspection

AGEWAY BOARDING CARE #3License 01560149310 citations on this visit
10 citations recorded

Inspector’s narrative

What the inspector wrote

At around 9:20 am, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct annual required inspection. LPA met with staff Marina Velasquez and explained the purpose of visit. Administrator Mihael Dayeh was not available to attending, however Mihael authorized staff Marina to sign reports. The facility has 5 residents and 2 staff observed during the visit. LPA inspected the facility inside and out including but not limited to resident rooms, bathrooms, dining area, garage and backyard. There was sufficient supply of perishable and non perishable foods. Smoke detectors and carbon monoxide were tested and observed functional. The facility temperature was observed at 71 F. There were several fire extinguishers observed that appeared full and last serviced on 1/06/2025. Fire Drill was last conducted 1/4/24. Liability Insurance Policy Expire on 9/07/2025. Hot water measured at 106.7-degree F. LPA reviewed 5 staff files. All staff are fingerprint cleared and associated to the facility. Report Continued on LIC 809c… Deficiencies Observed: At 9:30am, LPA observed medication, cream left on kitchen counter, prescribed eye drops inside refrigerator, and inside resident’s room/ bathroom. At 9:45am, LPA observed cleaning chemical (Clorox wipe, and Lysol Disinfected Spray) inside resident closet, bathrooms, and resident room. At 10am, LPA observed knives on drying rack, and in the kitchen drawer. At 10:15am, LPA observed two mold eggplant inside the refrigerator. At 10:20am, LPA observed transfer food from its original container/ packaging do not have label At 10:30am, LPA reviewed files 3 bedridden but facility did not get fire clearance At 11am, LPA file reviewed shows R1 without TB result At 11:10 am, LPA reviewed files R4 did not have a doctor order for bedrail At 11:15am, LPA reviewed files no update fire drill conducted. At 11: 35am, LPA observed the side gate can only open half was and the floor concert lift from the ground. Deficiency is cited per Title 22 California Code of Regulations (refer to Lic 809D). Exit interview was conducted and Appeal Rights was provided.

Citations

10 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(a)(7)(E)Type A

    Based on observation, the licensee did not comply with the section cited above. LPA observed medication, cream left on kitchen counter, prescribed eye drops inside refrigerator, and inside resident’s room/ bathroom, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87202(a)Type B

    Based on record review, the licensee did not comply with the section cited above in. LPA reviewed files 3 bedridden but facility did not get fire clearance which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87202(a)(2)Type B

    Based on record review, the licensee did not comply with the section cited above. LPA reviewed files there are record of fire marshal of the bedridden resident, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87307(d)(2)Type B

    Based on observation, the licensee did not comply with the section cited above. LPA observed the side gate can only open half was and the floor concert lift from the ground, 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. LPA observed medication, cream left on kitchen counter, prescribed eye drops inside refrigerator, and inside resident’s room/ bathroom, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87555(b)(23)Type A

    Based on observation the licensee did not comply with the section cited above. LPA observed two mold eggplant inside the refrigerator, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87606(c)Type B

    Based on record review, the licensee did not comply with the section cited above. LPA reviewed files 3 bedridden but facility did not get fire clearance, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87608(a)(5)(A)Type B

    Based on record review, the licensee did not comply with the section cited above. LPA reviewed files R4 did not have a doctor order for bedrail, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87458(c)(1)(A)Type B

    Based on record review, the licensee did not comply with the section cited above. LPA file reviewed shows R1 without TB result, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.695(c)Type B

    Based on record review, the licensee did not comply with the section cited above. LPA reviewed files no update fire drill conducted, which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 25, 2025 inspection of AGEWAY BOARDING CARE #3?

This was a inspection inspection of AGEWAY BOARDING CARE #3 on April 25, 2025. 10 citations were issued: 3 Type A (serious) and 7 Type B.

Were any citations issued to AGEWAY BOARDING CARE #3 on April 25, 2025?

Yes, 10 citations were issued (3 Type A, 7 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section cited above. LPA observed medication, cream left on k..."

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.