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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 06/17/2025 at 3:30 PM Licensing Program Analysts (LPAs) L. Alexander and D. Doidge arrived unannounced to conduct a Case Management inspection as part of monitoring plan from Non-Compliance Conference (NCC) held on March 26, 2025. LPAs met with Licensee/Administrator, Victoria Puruganan, and explained the purpose of the visit. LPAs received and reviewed updated medical assessments for 5 (five) residents (R). During the review, LPAs observed R1 tested positive with Tuberculosis, and is currently taking a course of antibiotics for 4 months. Licensee did not have confirmation from R1's primary care physician if they were contagious or not. LPAs observed that R2's physician's report indicated that they can not administer their own insulin nor check their own blood glucose. LPAs observed that R4 had a recent Emergency Room visit of 06/07/2025 in which the After Visit Summary indicated that R4 was seen for a fall. During interview with S1, S1 stated that R4 had eloped and that the hospital called. S1 stated that they had notified CCLD but they did not have a copy of the Incident Report (LIC624). LPAs observed that R5 is diabetic on insulin and also has a ostomy bag. S1 stated that there is a nurse from Kaiser that comes to monitor R5 for the osotmy bag but S1 did not have care plan to address R5's insulin use for diabetes and ostomy. LPAs obtained copies of medical assessments for R1-R5, MAR for R3, Admission Agreement and Emergency Identification Form for R5. Civil penalties were assessed today of $500.00 for repeat violations. 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, LIC421FC 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.

  • 87211(a)(2)Type B

    (2) Occurrences...which threaten the welfare, safety or health of residents,...shall be reported within 24 hours...This requirement was not met as evidence by: Based on interview and record review the licensee did not comply with the section cited above by not reporting to CCL within 24hrs R4's elopement which posed a potential health, safety or personal rights risk to persons in care.

  • 87465(a)(6)Type B

    87465 Incidental Medical and Dental Care(6) When requested by... the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. Based on interview and record review the licensee did not comply with the section cited above by not having a record (MAR) for R1-R5 on file which poses a potential health and safety risk to persons in care.

  • 87468.2(a)(4)Type B

    To care, supervision, and ...meet their individual needs...by staff that are sufficient in numbers, qualifications, and competency...This requirement was not met as evidence by: Based on interview, the licensee did not comply with the section cited above by not having the supervision which posed a potential health and safety risk to persons in care.

  • 87621(a)(2)Type B

    87621 Colostomy/Ileostomy(a) Except as specified in Section 87611(a), the licensee shall be permitted to accept or retain a resident who has a colostomy or ileostomy under the following circumstances Based on interview, and record review the licensee did not comply with the section cited above by not having appropriate documentation and care plan on file for R5's ostomy bag which poses a potential health and safety risk to persons in care.

  • 87629(a)Type B

    (a) The licensee shall be permitted to accept or retain a resident who requires intramuscular, subcutaneous, or intradermal injections if the injections are administered by the resident or by an appropriately skilled professional. Based on interview, and record review the licensee did not comply with the section cited above by not having on file for R5 if the injections are administered by an appropriately skilled professional which poses a potential health and safety risk to persons in care.

  • 87455(c)(1)Type B

    87455 Acceptance and Retention Limitations(c) No resident shall be accepted or retained if any of the following apply:(1) The resident has active communicable tuberculosis. Based on interview, record review the licensee did not comply with the section cited above by not having written doctor's order indicating if R1 has active TB which poses a potential health and safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the June 17, 2025 inspection of OPAL CARE LLC?

This was a other inspection of OPAL CARE LLC on June 17, 2025. 6 citations were issued: 6 Type B.

Were any citations issued to OPAL CARE LLC on June 17, 2025?

Yes, 6 citations were issued (0 Type A, 6 Type B). The first citation was for: "(2) Occurrences...which threaten the welfare, safety or health of residents,...shall be reported within 24 hours...This ..."

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.