Skip to main content

Inspection visit

Routine inspection

AVA BELLA CARE HOMELicense 0192005492 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 4/27/2022 at 10:15AM, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct an Infection Control Inspection. LPA met with Gerarda Bajamundi, Caregiver and explained the purpose of the visit. Administrator, Josephine Santos arrived at 11:00AM. Upon entry, LPA's temperature was not checked. LPA observed screening station that contained hand sanitizer, masks and COVID signage. LPA toured facility including but not limited to common areas, bathrooms, bedrooms, kitchen, garage and backyard. LPA observed cough etiquette and physical distancing posted in the common areas. All hand washing stations were equipped with soap and paper towel. Hot water temperature in the shared clients’ bathroom was measured at 107.3 degree Fahrenheit. Fire extinguisher was last serviced on 3/12/2021. During record review, LPA observed facility has a copy of Mitigation Plan on file. LPA observed PPE and paper supplies are sufficient. The following forms are to be updated and submitted to CCLD by 5/4/2022 : -LIC500 Personnel Report -LIC308 Designation of Administrative Responsibility Continued on LIC9099C Continued from LIC9099. -LIC610E Emergency Disaster Plan -An updated copy of Administrator certificate The following deficiencies were observed: -At 10:35PM, LPA observed resident with full bed rails in bedroom #5. -At 10:50PM, LPA observed wood, plywood, cardboard boxes, and construction materials in backyard and right side of house. The following deficiencies were observed (see LIC809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.

Citations

2 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 by having wood, cardboard boxes, exercise bicycle, and construction materials in the backyard and on right side of house poses a potential health, safety or personal rights risk to persons in care.

  • 87608(a)(5)(B)Type B

    Based on observation, the licensee did not comply with the section cited above in having full bedrails 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 27, 2022 inspection of AVA BELLA CARE HOME?

This was a inspection inspection of AVA BELLA CARE HOME on April 27, 2022. 2 citations were issued: 2 Type B.

Were any citations issued to AVA BELLA CARE HOME on April 27, 2022?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section cited above in by having wood, cardboard boxes, exerc..."

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

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

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