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Inspection visit

complaint

BELROSE CARE HOME IIILicense 0756013201 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 8/22/2022 at 12:45PM, Licensing Program Analysts (LPAs) G. Luk and J. Sampair arrived unannounced to conduct complaint investigation and deliver findings in regards to the allegation above. LPAs met with Administrator, Rosa Junsay. During the course of investigation, LPA G. Luk interviewed 3 staff and complainant. LPAs obtained and reviewed documents including physician's report, medication administration records, centrally stored medication list, hospice nurse contact information, and list of medications from the doctor. Record review indicated that R1's current medication list for Metoprolol was prescribed to take 1 tablet once daily. However, MAR (Medication Administration Record) dated February 2022 states that Metoprolol was given twice a day. Based on LPA's information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, are being cited on the attached LIC9099D. Exit interview conducted. A copy of this report and appeal rights provided.

Citations

2 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.

  • 87457(c)Type B

    Pre-Admission Appraisal - General. Prior to admission...an appraisal of his/her individual service needs in comparison with the admission criteria... This requirement is not met as evidence by: Based on record review, licensee did not comply with the section cited above by not obtaining pre-placement appraisal which poses a potential health and safety risk to the persons in care.

  • 87465(c)(2)Type B

    Incidental Medical and Dental Care. Once ordered by the physician the medication is given according to the physician's directions.This requirement is not met as evidence by: Based on investigation, licensee did not comply with the section cited above by not administering medication according to doctor's orders which poses a potential health and safety risk to the persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 22, 2022 inspection of BELROSE CARE HOME III?

This was a complaint inspection of BELROSE CARE HOME III on August 22, 2022. 1 citation were issued: 1 Type B.

Were any citations issued to BELROSE CARE HOME III on August 22, 2022?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Pre-Admission Appraisal - General. Prior to admission...an appraisal of his/her individual service needs in comparison w..."

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.