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Inspection visit

Routine inspection

WAGAYA ASSISTED LIVINGLicense 0756015413 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

On 03/24/2024 around 01:15 PM, LPA arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Minoru Katsumoto, Administrator (ADM) and explained the purpose of the visit. The facility’s fire clearance was approved for capacity of six (6) non-ambulatory. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area, storage, front yard and backyard. All outdoor and indoor passageways are kept free of obstruction. There were no bodies of water. A comfortable temperature for clients is maintained at 73 degree Fahrenheit. LPA observed lighting in all rooms to be adequate for the comfort and safety of the clients. Hot water temperature in the shared clients’ bathroom was measured at 106.1. Toilets, hand washing and bathing areas were safe, sanitary and in operating condition. There were supplies of extra hygiene, paper products and emergency water available for staff and clients. There was a minimum one week supply of non-perishables and 2-day of perishables foods. Smoke and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 07/09/24. First aid kit was observed to complete. Continued on LIC809C... ...continued from LIC809. LPA reviewed 6 client records, and 3 staff records; all are incomplete. -At 03:05 PM, LPA observed resident records incomplete. -At 03:20 PM, LPA observed staff records incomplete. -At 03:30 PM, LPA observed staff records missing required training. -The following forms are to be updated and submitted to CCLD by 03/31/2025 : -Resident Roster (Reviewed) -LIC500 Personnel Report (Reviewed) -LIC308 Designation of Administrative Responsibility (Reviewed) -Administrator Certificate (Reviewed) to be posted. 7005712740 exp: 08/09/26 -Emergency Disaster Drill Deficiencies observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiency may result in civil penalties. Exit interview conducted, appeal rights, and a copy of this report provided to ADM.

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.

  • 87411(c)Type B

    Based on observation, interview and records reviewed, the licensee did not comply with the section cited above in 2 out of 3 staff not having annual training which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87412(a)Type B

    Based on observation, interview and records reviewed, the licensee did not comply with the section cited above in 2 out of 3 staff records being incomplete which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87506(a)Type B

    Based on observation, interview and records reviewed, the licensee did not comply with the section cited above in 6 out of 6 resident records being incomplete which poses/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 March 24, 2025 inspection of WAGAYA ASSISTED LIVING?

This was a inspection inspection of WAGAYA ASSISTED LIVING on March 24, 2025. 3 citations were issued: 3 Type B.

Were any citations issued to WAGAYA ASSISTED LIVING on March 24, 2025?

Yes, 3 citations were issued (0 Type A, 3 Type B). The first citation was for: "Based on observation, interview and records reviewed, the licensee did not comply with the section cited above in 2 out ..."

What type of inspection was this?

This was a inspection inspection. inspection 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.