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Inspection visit

Follow-up on corrections

BELROSE CARE HOME IIILicense 0756013202 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 04/12/2023, during an unannounced complaint inspection, Licensing Program Analyst (LPA) J. Sampair observed a bed railing on resident R1's bed without a physician's order and Caregiver Evangeline Polito who was not associated with the facility for which a civil penalty was issued. Deficiencies cited per Title 22 California Code of Regulations is listed on the LIC9099-D. Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. Appeal Rights and a copy of this report provided via email.

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.

  • 87468.1(a)(3)Type B

    87468.1 Personal Rights of Residents in All Facilities (a) Residents ... shall have all of the following personal rights: (3) To be free from ... interfering with daily living functions such as ... elimination.This requirement was not met as evidenced by: Based on observation and interview, the licensee blocked resident R1's ability to leave her bed to use the bathroom, which did not comply with the section cited above, which posed a potential health, safety or personal rights risk to persons in care.

  • 87411(g)(1)Type A

    87411 Personnel Requirements - General (g) Prior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall: (1) Obtain a California clearanceThis requirement was not met as evidenced by: Based on observation and record review, the licensee did not have a physician's order for a bed railing for R1, which posed a potential health, safety or personal rights risk to persons in care.

  • 87608(a)(3)Type A

    87608 POSTURAL SUPPORTS (a) ... Postural supports may be used under the following conditions ... (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident's record.This requirement was not met as evidenced by: Based on observation and record review, the licensee did not have a physician's order for a bed railing for R1, which posed 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 April 12, 2023 inspection of BELROSE CARE HOME III?

This was a other inspection of BELROSE CARE HOME III on April 12, 2023. 2 citations were issued: 2 Type A (serious).

Were any citations issued to BELROSE CARE HOME III on April 12, 2023?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "87468.1 Personal Rights of Residents in All Facilities (a) Residents ... shall have all of the following personal rights..."

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.