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Inspection visit

Correction check

Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Delmundo conducted a POC visit for the type A deficiency that was cited on November 9, 2021 for adding 3 rooms inside the staff bedroom. Licensee submitted the LIC9054 and updated sketch on January 3, 2022. LPA submitted the STD850 Fire Safety Inspection Request and updated sketch to the fire department; however, LPA has not receive the STD850 back. LPA followed-up with John Olivarez, licensee, who in-turn sent to LPA picture of the staff bedroom. On this day, September 29, 2022, LPA met with John Ronald Olivarez, licensee, and Celeste Olivarez, facility consultant. LPA conducted inspection with Celeste Olivarez. LPA observed the 3 rooms that were added were removed and the staff bedroom were returned to it's original layout. Exit interview conducted and copy of this report provided.

Citations

5 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.

  • 87705(f)(2)Type A

    87705 Care of Persons with Dementia(f) The following shall be stored inaccessible to residents with dementia:(2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. -This requirement is not met as evidenced by:-Based on observation, the licensee did not comply with the section above for having unlocked medications, knives and cleaning supplies in unlocked kitchen which pose immediate safety risks to persons in care.

  • 87309(a)Type A

    87309 Storage Space(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. -This requirement is not met as evidenced by:-Based on observation, the licensee did not comply with the section above for the unlocked utility room which poses immediate safety risk to persons in care.

  • 87618(b)(3)(B)Type B

    87618 Oxygen Administration - Gas and Liquid (b) In addition to Section 87611(b), the licensee shall be responsible for the following:(3) Ensuring that the use of oxygen equipment meets the following requirements:(B) "No Smoking-Oxygen in Use" signs shall be posted in the appropriate areas. -This requirement is not met as evidenced by:-Based on observation, records review and interview, the licensee did not comply with the section above for not having the poster posted which poses potential safety risk to persons in care.

  • 87705(j)Type A

    87705 Care of Persons with Dementia(j) The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident.-This requirement is not met as evidenced by: -Based on observation, the licensee did not comply with the section above for having the auditory signal on the entrance door disabled which poses immediate safety risk to persons in care.

  • 87506(e)Type B

    87506 Resident Records(e) Original records or photographic reproductions shall be retained for a minimum of three (3) years following termination of service to the resident.-This requirement is not met as evidenced by: -Based on interviews, the licensee did not comply with the section above for not keeping/retaining R1's record which poses potential personal rights risk to person in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 29, 2022 inspection of COLONIAL ACRES RESIDENTIAL CARE HOME?

This was a other inspection of COLONIAL ACRES RESIDENTIAL CARE HOME on September 29, 2022. The inspection found no deficiencies and no citations were issued.

Were any citations issued to COLONIAL ACRES RESIDENTIAL CARE HOME on September 29, 2022?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was a other inspection. other 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.