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Inspection visit

Routine inspection

CORDIAL CARE HOMELicense 07920057811 citations on this visit
11 citations recorded

Inspector’s narrative

What the inspector wrote

On 08/14/2024 at 3:15 PM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Caregiver, Winifred Wepee and explained the purpose of the visit. Winifred phoned Licensee/Administrator, Ogedi Okeigwe and informed. The facility’s fire clearance was approved for capacity six (6) non-ambulatory of which one (1) may be bedridden. Bedridden is granted for Bedroom #6. Hospice waiver for two (2). Administrator Certificate #6041025740 expires 09/01/2024. LPA toured facility with Winifred including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 8 total bedrooms which 6 bedrooms are occupied by the residents and 2 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 116.4 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 01/08/2024. Emergency Disaster Plan was last posted on 08/14/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 08/03/2024. LIC809-C Continued... LPA reviewed six (6) residents records. LPA reviewed 8 staff records and 6 of 8 have current first aid training and 5 out of 8 were associated to the facility. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 08/21/2024: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Copy of Liability Insurance Policy Exit interview conducted. Appeal Rights and a copy of this report provided.

Citations

11 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.

  • 1569.618(c)(3)Type B

    Based on interview and record review the licensee did not comply with the section cited above in by not having First Aid and CPR for S1 and S2 which poses a potential health and safety risk to persons in care.

  • 1569.695(d)Type B

    Based on observation and record review, the licensee did not comply with the section cited above in by not having updated review of Emergency Disaster Plan LIC610E (P.9) signed and dated which poses a potential health, safety or personal rights risk to persons in care.

  • 87458(b)(5)Type B

    Based on record review, the licensee did not comply with the section cited above in by not having an updated Physician's report for R1 which poses a potential health, safety or personal rights risk to persons in care.

  • 87463(a)(3)Type B

    Based on record review, the licensee did not comply with the section cited above in by not having an updated Appraisal Needs and Services (ANS) Plan for R1 which poses a potential health and safety risk to persons in care.

  • 87468(c)(2)(A)Type B

    Based on observation, the licensee did not comply with the section cited above in by not having 20x26 poster sized PUB 475 which poses a potential health, safety or personal rights risk to persons in care.

  • 87533(e)(2)Type B

    Based on observation, interview and record review, the licensee did not comply with the section cited above in by not having S6, S7 and S8 associated to facilicity in Guardian which poses a potential health, safety or personal rights risk to persons in care.

  • 87608(a)(5)(A)Type B

    Based on observation, interview and record review, the licensee did not comply with the section cited above in by not having doctor's orders on file for R2-R4,R6 which poses a potential health, safety or personal rights risk to persons in care.

  • 87608(a)(5)(B)Type B

    Based on observation, interview and record review, the licensee did not comply with the section cited above in by not having an doctor's order for R1 which poses a potential health, safety or personal rights risk to persons in care.

  • 87616(b)(2)Type B

    Based on observation, interview and record review, the licensee did not comply with the section cited above in by not having an exception request for R1's foley catheter which poses a potential healt and safety risk to persons in care.

  • 87618(b)(3)(A)Type A

    Based on observation, record review, the licensee did not comply with the section cited above in by not reporting to the local fire dept that oxygen is in use for R1 in Bedroom #1 which poses an immediate health and safety risk to persons in care.

  • 87705(c)(5)Type B

    Based on record review, the licensee did not comply with the section cited above in by not having an updated Physician's Report for R2 which poses a potential health and safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 14, 2024 inspection of CORDIAL CARE HOME?

This was a inspection inspection of CORDIAL CARE HOME on August 14, 2024. 11 citations were issued: 1 Type A (serious) and 10 Type B.

Were any citations issued to CORDIAL CARE HOME on August 14, 2024?

Yes, 11 citations were issued (1 Type A, 10 Type B). The first citation was for: "Based on interview and record review the licensee did not comply with the section cited above in by not having First Aid..."

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.