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Inspection visit

Follow-up

SIVILAY ELDERLY HOME CARELicense 0756010163 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

On 7/3/2024 at 3:00pm, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct a Case Management visit. LPA met with Noupane Temple, Administrator, and explained the purpose of the visit. LPA received a request for a hospice waiver increase on 6/28/2024. LPA was informed the facility had retained the resident before requesting the waiver. LPA will issue a citation for the facility not requesting the waiver before retaining the resident. The following deficiencies were also observed during the visit: At 3:10pm, LPA observed medications sitting on the kitchen table and counter top. LPA also observed scissors accessible to residents. At 3:20pm, LPA observed during record review S2 not fingerprinted or associated to the facility. Deficiency is cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. *An immediate $500.00 civil penalty was assessed on today's date for fingerprint* Exit interview conducted. A copy of the appeal rights, LIC421BG, and this report provided.

Citations

3 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.

  • 87355(d)Type A

    87355 Criminal Record Clearance (d) All individuals subject to criminal record review shall be fingerprinted and sign a Criminal Record Statement... This requirement was not met as evidence by: Based on record review and observation the Licensee did not comply with the section cited above in having S2 fingerprinted before working, which poses a potential health and safety risk to persons in care.

  • 87465(h)(2)Type A

    87465 Incidental Medical and Dental Care (h)...requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees... This requirement was not met as evidence by: Based on record review the Licensee did not comply with the section cited above in requesting a hospice waiver before admitting a hospice resident, which poses a potential health and safety risk to persons in care.

  • 87632(a)Type B

    87632 Hospice Care Waiver (a) In order accept or retain terminally ill residents and permit them to receive care from a hospice agency, the licensee shall have obtained a facility hospice care waiver from the Department. To obtain this waiver the licensee shall submit a written request for a waiver to the Department on behalf of any residents who may request retention, and any future residents who may request acceptance, along with the provision of hospice services in the facility. The request shall include, but not be limited to the following: This requirement was not met as evidence by: Based on observation and interview the Licensee did not comply with the section cited above requesting a hospice waiver from CCLD before retaining a resident, which poses a potential health and safety risk to persons in care.

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FAQ · About this visit

Common questions about this visit

What happened during the July 3, 2024 inspection of SIVILAY ELDERLY HOME CARE?

This was a other inspection of SIVILAY ELDERLY HOME CARE on July 3, 2024. 3 citations were issued: 2 Type A (serious) and 1 Type B.

Were any citations issued to SIVILAY ELDERLY HOME CARE on July 3, 2024?

Yes, 3 citations were issued (2 Type A, 1 Type B). The first citation was for: "87355 Criminal Record Clearance (d) All individuals subject to criminal record review shall be fingerprinted and sign a ..."

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.