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Inspection visit

complaint

JEFFERSON CARE HOMELicense 0756011604 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

Allegation: Staff does not meet training requirements Based on interview with W1, S2 is administering medications to residents and attaching a post it note on Medication Administration Record (MAR) for S1 to initial. Facility was unable to provide proof of training for S2. Allegation: Building alteration On 10/15/2021 during LPAs tour of facility, LPAs observed a room was added in the living room. LPAs observed 1 of 3 residents is occupying the added bedroom. However, there is no building permit or approved fire inspection on file. Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. An immediate $500 Civil Penalty is being assessed. Exit interview conducted. Appeal Rights and a copy of this report provided.

Citations

5 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(e)(1)Type A

    87355 Criminal Record Clearance (e) All individuals subject to a criminal record review.....1) Obtain a California clearance or a criminal record exemption as required by the Department…This requirement was not met as evidence by: Based on interview and record review, the licensee did not comply with regulation above. S1 confirmed S2 was left alone with a resident on 10/11/2021 which poses an immediate health and safety risk to residents in care.

  • 87305(a)Type B

    ***This is an amended report from visit on 10/15/2021***87305 ALTERATIONS TO EXISTING BUILDING...(a) Prior to construction or alterations, all facilities shall obtain a building permit.This requirement is not met as evidenced by: Based on observation and record review, Licensee did not comply with the regulation above. LPA observed walls were added to the living room to be converted into a bedroom which poses a potential health and safety risk to residents in care.

  • 87411(c)Type B

    ***This is an amended report from visit on 10/15/2021***87411(c) Personnel Requirements - General(c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 This requirement is not met as evidenced by: Based on record review, Licensee did not comply with the regulation cited above not meeting the training requirements for S2 which poses a potential health and safety risk to persons in care.

  • 87465(h)(2)Type A

    87465 Incidental Medical and Dental Care(h) The following 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 is not met as evidenced by:Based on observation and interview, Licensee did not comply with the regulation cited above. On 10/11/21, W1 observed unlocked medication inside office drawer. LPAs observed unlocked medication in staff's room which poses an immediate health and safety risk to residents in care.

  • 87202(a)Type A

    87202 FIRE CLEARANCE(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services....This requirement is not met as evidenced by: Based on observation and record review, Licensee did not comply with the regulations cited above. LPAs observed additional bedroom is not cleared by Fire Department which poses an immediate health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 15, 2021 inspection of JEFFERSON CARE HOME?

This was a complaint inspection of JEFFERSON CARE HOME on October 15, 2021. 4 citations were issued: 2 Type A (serious) and 2 Type B.

Were any citations issued to JEFFERSON CARE HOME on October 15, 2021?

Yes, 4 citations were issued (2 Type A, 2 Type B). The first citation was for: "87355 Criminal Record Clearance (e) All individuals subject to a criminal record review.....1) Obtain a California clear..."

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.