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Inspection visit

complaint

JEFFERSON CARE HOMELicense 0756011603 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

On 03/06/2025 at 09:00AM, Licensing Program Analysts (LPAs) J. Clancy-Czuleger and Y. Brown arrived unannounced to conduct a complaint visit. LPA explained the purpose of the visit with Caregiver Dennis Ambat. Administrator Stew Morris was informed of the visit. During the initial 10-day complaint visit LPAs toured the facility and interviewed staff, and residents. LPAs observed two refrigerators with minimal food in them. The produce that was observed in the kitchen was three lemons and two bags of lettuces. S2 stated that shopping is done every two weeks. In interviews with residents LPAs found that S1 frequently yells and curses in fromt of and at residents. Based on LPAs interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), is being cited on the attached LIC 9099D. Exit interview conducted. Appeal Rights and a copy of this report provided.

Citations

7 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.

  • 1569.695(2)Type A

    Plans for the facility to be self-reliant for a period of not less than 72 hours immediately following ... a short-term or long-term power failure. If the facility plans to shelter in place ... Shall have a plan and supplies available to provide alternative resources during an outage. This requirement was not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above by not having a plan and supplies available to provide alternative resources during an outage which poses/posed an immediate health, safety or personal rights risk to persons in care.

  • 87468.1(a)(3)Type A

    To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination.This requirement was not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above by yell and curse in front of and at residents in care which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87555(a)Type B

    The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council...This requirement was not met as evidenced by: Based on record review, the licensee did not comply with the section cited above by not having fresh fruit or vegetables for residents which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87555(b)(26)Type B

    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 was not met as evidenced by: Based on observations, the licensee did not comply with the section cited above by not having two days of perishable foods in the refrigerators which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.185((a)(1)Type B

    An application fee adjusted by facility and capacity shall be charged by... After initial licensure, a fee shall be charged by the department annually on each anniversary of the effective date of the license.This requirement was not met as evidenced by: LPA conducted records check via LIS which revealed outstanding annual fees due to the department which poses a potential risk to the health and safety of residents in care.

  • 1569.695(b)Type A

    A facility shall provide training on the plan to each staff member upon hire and annually thereafter. The training shall include staff responsibilities during an emergency or disaster. This requirement was not met as evidenced by: Staff not known what to do or where to go during a multi day power outage at the facility.

  • 1569.695(d)Type A

    A facility shall review the plan annually and make updates as necessary, including changes in floor plans and the population served. The licensee or administrator shall sign and date documentation to indicate that the plan has been reviewed and updated as necessary. This requirement was not met as evidenced by: Not having an updated emergency disaster plan at the facility.

FAQ · About this visit

Common questions about this visit

What happened during the March 6, 2025 inspection of JEFFERSON CARE HOME?

This was a complaint inspection of JEFFERSON CARE HOME on March 6, 2025. 3 citations were issued: 1 Type A (serious) and 2 Type B.

Were any citations issued to JEFFERSON CARE HOME on March 6, 2025?

Yes, 3 citations were issued (1 Type A, 2 Type B). The first citation was for: "Plans for the facility to be self-reliant for a period of not less than 72 hours immediately following ... a short-term ..."

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.