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Inspection visit

Follow-up on corrections

OPAL CARE LLCLicense 0192006726 citations on this visit
6 citations recorded

Inspector’s narrative

What the inspector wrote

On 05/09/2025 at 10:30 AM Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct case management inspection as part of monitoring plan from Non-Compliance Conference (NCC) held on March 26, 2025. LPA met with Licensee/Administrator, Victoria Puruganan, and explained the purpose of the visit. LPA left the facility to complete the report and returned back for Licensee to sign documented report. Upon entry to the facility, LPA observed four (4) residents (R) sitting in the common area watching television. LPA was greeted by House Manager, Jezrael Pascual. LPA entered the office where Licensee/Administrator, Victoria Puruganan, was sitting at her desk. During the visit LPA reviewed six (6) current physician's reports out of eleven (11) residents. During the review, LPA observed two (2) of the residents are diabetic and need to take insulin daily. The physician's reports for both residents indicated that they are not able to administer their own injections nor take their own glucose readings. LPA left the facility to complete the report and returned back for Licensee to sign LPA observed the following deficiencies: At 12:36 pm a large bottle of bleach and a spray bottle labeled "Clorox" was unlocked under kitchen sink LIC809-C At 12:38 pm prescription insulin unlocked in refrigerator located on back sun porch At 12:40 pm wood planks laying out side in the side/back yards, buckets, ladder propped up against the outside exterior on the eastern side of house At 12:41 pm box mattress, top mattress and pillows stacked up against stairs in back yard At 12:42 pm doors, ladder, more wood, lawn mower, lawn rake, paint cans, buckets, dresser chest drawer with a missing top drawer At 12:44 pm glass window frame, buckets, boxes, bottle of bleach and spray bottles located on the western side of the house At 12:45 pm construction in Room #12 where there was a ladder, bottles of DAP repair, the floor was taped and wires were loose hanging out from the ceiling. At 12:50 pm R1 laying in a full hospital bed located in a bedroom not fire cleared for residents. Licensee stated that the room was for staff. The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights 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.

  • 80075(k)(1)Type A

    80075 Health Related Services(k) The following requirements shall apply to medications which are centrally stored:(1) Medication shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Based on observation there was unlocked insulin located in the refrigerator which poses an immediate health and safety risk to persons in care.

  • 80086(a)(c)Type B

    80086 Alterations to Existing Building or New Facilities(a) Prior to construction or alterations, all licensees shall notify the licensing agency of the proposed change.(c) Prior to construction or alterations, state or local law requires that all facilities secure a building permit. Based on observation, the licensee did not comply with the section cited above in by not notifying Licensing of the renovations, providing a copy of building permit and ensuring that residents will be safe during renovation which poses an health and safety risk to persons in care.

  • 87303(a)Type B

    87303 Maintenance and Operations(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. Based on observation, the licensee did not comply with the section cited above in by not having the back yards cleaned up with ladders, mattresses, paint cans, doors removed and inaccessible to residents which poses an health and safety risk to persons in care.

  • 87309(a)Type A

    (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 clientsThis requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above in by having bleach and Clorox spray unlocked under kitchen cabinet which poses an immediate health and safety risks to persons in care.

  • 87628(a)Type A

    87628 Diabetes(a) The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing with blood or urine specimens, and is able to administer his/her own medication including medication administered orally or through injection, or has it administered by an appropriately skilled professional.This requirement is not met as evidenced by: This requirement is not met as evidenced by: Based on record review and interview conducted, R4 is diabetic and per dr's medication orders requires insulin injections daily at night. However, R2 and R3 is unable to check own blood sugar and administer own injections per current physician's report, which poses an immediate health and safety risk to persons in care.

  • 87202Type A

    87202 Fire Clearance(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Based on observation, the licensee did not comply with the section cited above in by having R1 located in a staff room without a fire clearance 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 May 9, 2025 inspection of OPAL CARE LLC?

This was a other inspection of OPAL CARE LLC on May 9, 2025. 6 citations were issued: 4 Type A (serious) and 2 Type B.

Were any citations issued to OPAL CARE LLC on May 9, 2025?

Yes, 6 citations were issued (4 Type A, 2 Type B). The first citation was for: "80075 Health Related Services(k) The following requirements shall apply to medications which are centrally stored:(1) Me..."

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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