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Inspection visit

Follow-up on corrections

OPAL CARE LLCLicense 01920067210 citations on this visit
10 citations recorded

Inspector’s narrative

What the inspector wrote

On 07/29/2025 at 10:00 AM Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct case management inspection as part of on-going monitoring plan from Non-Compliance Conference (NCC) held on March 26, 2025. LPA met with House Manager, Jezrael Pascual, and explained the purpose of the visit. Jezrael phoned Licensee/Administrator, Victoria Puruganan to inform. Victoria arrived approximately an hour later. On 06/17/2025 LPA's L. Alexander and D. Doidge conducted a Case Management visit in which deficiencies were cited with a Plan of Correction (POC) due date of 06/24/2025. LPAs were unable to return before 10 days POC visit. Deficiencies will be re-cited. LPA L. Alexander obtained copies of Residents (R) R1-R11 Medication Administration Records (MARs) for July 2025, Resident Registry List, Medical Assessment (LIC602-A) for R11, Emergency Disaster Plan (signed 02/27/2025) and screenshot print of building permit (filed 03/18/2024). THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 10:09 am LPA observed R4 in a hospital bed without a doctor's order At 10:09 am LPA observed unfinished wall constructions in bedrooms #9-12 including upstairs bedrooms. At 10:14 am LPA observed unlocked medications in refrigerator located in sun porch At 10:15 am LPA observed foods in containers, food bags/freezer bags unlabeled without dates located in refrigerators on sun porch that was expired and spoiled LIC809-C Continued... LIC809-C Continued... (Page 2) At 10:20am LPA observed meats in rear refrigerator not contained in proper storage and freezer was not cleaned At 10:21 am LPA observed expired opened boxed Cherrios Cereal, salad dressing bottles, eggplants that was spoiled located in rear sunroom porch At 10:23 am LPA observed bottle Awesome Window Clean At 10:27 am LPA observed 1/2 bed rails on R5's bed without doctor's orders At 10:38 am LPA observed three (3) ladders, window screens, crutches, yard shovels, hoes, lawn mower, dolly, rakes, wood, sink, cooking pot in rear backyard At 10:39 am LPA observed laundry room door unlocked where Fabuloso Multi Cleaner, bleach, toxic chemicals were located At 10:39 am LPA observed screens, wheelchair in rear side backyard At 10:40 am LPA observed spoiled vegetables, expired gallons of milk, bottles of milk, unlabeled foods in refrigerator and freezers located on side back yards At 10:48am LPA observed four (4) boxes of laminate flooring upstairs, in which laminate flooring was unwrapped laying on hallway floor At 10:52 am LPA observed missing shower mats and no toilet paper in two (2) shared bathrooms located upstairs At 11:02 am LPA observed Lysol Disinfectant Spray located in locked closet with dried foods At 11:03 am LPA observed expired Velveeta Shells & Cheese, opened waffle cones and bagged brown rice At 11:05 am LPA observed toilet paper, bag of fruits, boxes of hot dog buns, Brownie Bars located in locked closet with fans, tool boxes, lotions, sprays, antiseptic rinse The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights, LI421BG, LIC421FC, LIC421IM and a copy of this report 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.

  • 1569.605Type B

    §1569.605 Liability insurance; coverage requirementsOn and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees.This requirement is not met as evidenced by: Based on record review and interview the licensee did not comply with the section cited above in not having liability insurance which poses an potential health, safety or personal rights 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 Operation(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.This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above in not having backyards clean, refrigerators/freezers clean which poses an potential health, safety or personal rights risk to persons in care.

  • 87307(a)(3)(D)Type B

    87307 Personal Accommodations and Services(a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply:(3) Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident. The resident may provide the following items; however, if the resident is unable or chooses not to provide them, the licensee shall assure provision of: (D) Hygiene items of general use such as soap and toilet paper.This requirement is not met as evidenced by: Based on observation and interview the licensee did not comply with the section cited above in not having toilet paper in shared bathrooms for residents which poses an potential health, safety or personal rights risk to persons in care.

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  • 87355(e)(3)Type A

    87355 Criminal Record Clearance(e) All individuals subject to a criminal record review (b) shall prior to working...in a licensed facility: (3) Request a transfe...of a criminal record clearance as specified in Section 87355(c) orThis requirement is not met as evidenced by: Based on observation and record review, the licensee did not comply with the section cited above in not having S3 associated with Guardian systems which poses an immediate health, safety or personal rights risk to persons in care.

  • 87555(b)(3)(26)Type A

    87555 General Food Service Requirements (b) The following food service requirements shall apply:(3) Between-meal nourishment or snacks shall be made available for all residents...(26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises.This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above in not having snacks, nonperishable foods for a minimum of one week and perishable foods for a minimum of two days which poses an immediate health, safety or personal rights risk to persons in care.

  • 87608(a)(3)Type B

    87608 Postural Supports(3) A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order.This requirement is not met as evidenced by: Based on observation, record review and interview the licensee did not comply with the section cited above in not having doctor's orders for hospital bed and bed rails for R4 and R5 respectively which poses an potential health, safety or personal rights risk to persons in care.

  • 87621(2)(b)Type A

    87621 Colostomy/IleostomyIn addition to Section 87611(b), the licensees shall be responsible for the following: (1) Ensuring that ostomy care is provided by an appropriately skilled professional.This requirement is not met as evidenced by: Based on observation, record review and interview, the licensee did not comply with the section cited above in not having exception request for R5's ostomy bag with documents that an appropriately skilled professional is caring for ostomy bag which poses an immediate health and safety risk 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: Based on record review and interview conducted, R7 is diabetic and per dr's medication orders requires insulin injections daily at night. However, R5 and R6 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.

  • 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.

FAQ · About this visit

Common questions about this visit

What happened during the July 29, 2025 inspection of OPAL CARE LLC?

This was a other inspection of OPAL CARE LLC on July 29, 2025. 10 citations were issued: 5 Type A (serious) and 5 Type B.

Were any citations issued to OPAL CARE LLC on July 29, 2025?

Yes, 10 citations were issued (5 Type A, 5 Type B). The first citation was for: "§1569.605 Liability insurance; coverage requirementsOn and after July 1, 2015, all residential care facilities for the e..."

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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