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Inspection visit

complaint

ALONDRA CARE HOME 3License 0192014661 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

R1 stated that on August 2025, R2 fell and there was no staff to assist. R1 called the staff but no response, so she end up calling 9-11. R3 and R5 stated they were not residents of the facility at the time the incident happened. Review of R2's record showed R2 has sundowning behavior. Although LPA was not able to obtain information from R2 due R2's medical condition, the first responder (FR) who confirmed attending to 9-11 call stated R2 was still on the floor when they arrived and no caregiver present. FR stated the other first responder banged the door of the garage but no one responded. The 2 staff interviewed stated there was no staff assigned at night when the incident happened. Review of LIC500 showed Thinn Aye (ADM) scheduled at night from 7:00 pm to 7:00 am, however, LIC500 for her other facilities showed her on the scheduled for same time from 7:00 pm to 7:00 am on Mondays, Wednesdays, Thursdays, Fridays, Saturdays and Sundays. She is also on the schedule on one of her other facility on Tuesdays from 7:00 am to 1:00 pm. Although the R2 did not sustain injury when R2 fell, the allegation is substantiated based on information gathered that there was no staff present at night. A substantiated findings means that the preponderance of evidence is met. Deficiency is cited from Title 22 California Code of Regulations and listed on 9099D. A $500.00 civil penalty is assessed for deficiency section # 87411(a). Failure to submit proof of correction by plan of correction due date and any repeat violation may result in additional civil penalty. Deficiency, plan and proof of correction and civil penalty were discussed with ADM. ADM has to leave and authorized Mya 'Clara' Thazin to sign and receive this report. Exit interview conducted. Appeal Rights, LIC421FC, LIC9098 Proof of Correction and copy of this report provided.

Citations

4 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.

  • 87411(a)Type A

    87411 Personnel Requirements - General: (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs..........-This requirement is not met as evidenced by: -Based on records review and interviews, the licensee did not comply with the section when R2 fell and no staff present which posed and immediate safety, health and/or personal rights risks to person in care.

  • 1569.269(a)(1)Type B

    §1569.269 Enumerated rights; severability (a) Residents of residential care facilities for the elderly shall have all of the following rights:(1) To be accorded dignity in their personal relationships with staff, residents, and other persons.-This requirement is not met as evidenced by: -Based on observation, the licensee did not comply with the section above in engaging in argument with R1 which posed a personal rights risk to person in care.

  • 87309(a)Type A

    87309 Storage Space and Access(a)... the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. -This requirement is not met as evidenced by:-Based on observation, the licensee did not comply with the section above in unlocked Advil and tree trimmer which posed an immediate health, safety and/or personal rights risks to persons in care.

  • 87455(e)(2)Type A

    87355 Criminal Record Clearance(e) All individuals....shall prior to working, residing or volunteering in a licensed facility:(2) Obtain a California clearance or a criminal record exemption as required by the Department.-This requirement is not met as evidenced by: -Based on interview and record review, the licensee did not comply with the section above in allowing S1 worked without fingerprint clearance which posed an immediate safety and/or personal rights risks to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 22, 2026 inspection of ALONDRA CARE HOME 3?

This was a complaint inspection of ALONDRA CARE HOME 3 on January 22, 2026. 1 citation were issued: 1 Type A (serious).

Were any citations issued to ALONDRA CARE HOME 3 on January 22, 2026?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87411 Personnel Requirements - General: (a) Facility personnel shall at all times be sufficient in numbers, and competen..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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.