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Inspection visit

Routine inspection

BELROSE CARE HOMELicense 07560088510 citations on this visit
10 citations recorded

Inspector’s narrative

What the inspector wrote

On 12/28/2022, Licensing Program Analyst (LPA) James Sampair conducted an infection control annual inspection, and explained purpose of the visit to staff upon entry who called administrator Rosa Junsay . LPA inspected the facility inside and out and observed the 2 live-in staff members interacting with and caring for all of the 5 clients in a caring and professional manner. Though they have an infection control plan in place, facility cited for not following it or the latest COVID-19 infection control guidance. Infection control designated leader is Rosa Junsay . They have one central entry point at the front entrance with a visitor's log, hand sanitizer and no touch temperature probe and COVID-19 signs were posted throughout the facility to promote hand washing, cough/sneeze etiquette and physical distancing. However, they were not following guidance. There was at least 7 days of nonperishable and 2 days of perishable foods. Emergency food supplies were observed. Facility room temperature was maintained at 74.1 degrees Fahrenheit. Fire extinguisher fully charged and serviced 10/20/2022. Smoke detectors operational, but not carbon monoxide detector. Administrator is on site a minimum of 20 hours a week to oversee proper business operation. Continued on LIC809-D . . . . . . Continued from LIC809 Facility cited for: COVID-19 violations: not 30 day supply of PPE; staff, residents, and visitors not wearing masks; cloth towels being used in shared bathroom; and allowing visitors to enter without staff conducting COVID-19 checks. Toxic chemicals were stored in unlocked bathroom drawer and closet Unlocked outside sheds with paint, toxic chemicals, and tools. Unlocked drawer in kitchen with 2 sharp knives. Hot water dangerously high at 130 degrees Fahrenheit. Auditory device on exterior door in Bedroom #6 not working. Unlocked centrally stored medication cabinet. Emergency / Disaster Plan with wrong staff, inadequate emergency water supply, and no quarterly drills having been done since April 2022. Carbon monoxide detector not working. Side gate locked shut. Administrator to send updated copies of these documents to CCL on or before 01/05/2023: LIC500 - Personnel Report LIC308 - Designation of Facility Responsibility LIC610D - Emergency/Disaster Plan Evidence of sufficient Liability Insurance Exit interview conducted and a copy of this report provided via email.

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.

  • 1569.311Type A

    Based on observation, the licensee did not comply with the section cited above in 1 of 1 detectors which poses an immediate health, safety or personal rights risk to persons in care.

  • 1569.695(c)Type B

    Based on observation, the licensee did not comply with the section cited above concerning the Emergency / Disaster Plan with wrong staff, inadequate emergency water supply, and no quarterly drills having been done since April 2022 which pose a potential health, safety or personal rights risk to persons in care.

  • 87303(e)(2)Type A

    Based on observation, the licensee did not comply with the section cited above, the hot water was measured at 130 degrees, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87309(a)Type B

    Based on observation, the licensee did not comply with the section cited above concerning unlocked outside sheds with paint, toxic chemicals, and tools which pose a potential health, safety or personal rights risk to persons in care.

  • 87309(a)(1)Type A

    Based on observation, the licensee did not comply with the section cited above with toxic chemicals were stored in unlocked bathroom drawer and closet which poses an immediate health, safety or personal rights risk to persons in care.

  • 87465(h)(2)Type A

    Based on observation, the licensee did not comply with the section cited above in 1 of 1 medicine cabinets by leaving the key in the lock which poses an immediate health, safety or personal rights risk to persons in care.

  • 87468.1(a)(2)Type B

    Based on observation, the licensee did not comply with the section cited above concerning COVID-19 violations (not 30 day supply of PPE; staff, residents, and visitors not wearing masks; cloth towels being used in shared bathroom; and allowing visitors to enter without staff conducting COVID-19 checks) which pose a potential health, safety or personal rights risk to persons in care.

  • 87705(f)(1)Type A

    Based on observation, the licensee did not comply with the section cited above in unlocked drawer in kitchen with 2 sharp knives which poses an immediate health, safety or personal rights risk to persons in care.

  • 87705(h)Type B

    Based on observation, the licensee did not comply with the section cited above because both of the gates are not self-latching and they were either locked or locking which pose a potential health, safety or personal rights risk to persons in care.

  • 87705(j)Type B

    Based on observation, the licensee did not comply with the section cited above concerning exterior door in bedroom #6 which pose a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the December 28, 2022 inspection of BELROSE CARE HOME?

This was a inspection inspection of BELROSE CARE HOME on December 28, 2022. 10 citations were issued: 5 Type A (serious) and 5 Type B.

Were any citations issued to BELROSE CARE HOME on December 28, 2022?

Yes, 10 citations were issued (5 Type A, 5 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section cited above in 1 of 1 detectors which poses an immedi..."

What type of inspection was this?

This was a inspection inspection. inspection 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.