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Inspection visit

Follow-up

AMBASSADOR CARE HOMELicense 0792005822 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 4/15/2025 at 2:50pm, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct a Case Management visit. LPA met with Mbidde Nuhun, unfingerprinted staff (S2). LPA spoke with Administrator, Raufat Ikharo-Umaru, via telephone. Administrator arrived at the facility at 4:35pm. While LPA L. Hall was conducting a complaint investigation (15-AS-20241104220736) on 4/15/2025. Upon arrival LPA met with S2 at facility that was not able to communicate in English. Further investigation divulged S2 person was not fingerprinted or associated to the facility. *An immediate civil penalty of $100.00 will be assessed on today's day for fingerprint clearance* Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (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. A copy of the LIC421BG, appeal rights, and this report provided.

Citations

4 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.

  • 87355(d)Type A

    87355 Criminal Record Clearance (d) All individuals subject to criminal record review shall be fingerprinted and sign a Criminal Record Statement under penalty of perjury. This requirement was not met as evidence by: Based on interview and record review the Licensee did not comply with the section cited above in having S2 fingerprinted and associated to the facility which poses an immediate health and safety risk to persons in care.

  • 87411(d)(3)Type A

    (d) All personnel shall be given on the job training or have related experience in the job... This training and/or related experience shall provide knowledge of and skill... (3) Skill and knowledge required to provide resident care and supervision, including... to communicate with residents. This requirement was not met as evidence by: Based on observation and interview the Licensee did not comply with the section cited above in have a staff available on premises to communicate with residents and other, which poses an immediate health and safety risk to persons in care.

  • 87468.2(a)(4)Type B

    (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement was not met as evidence by: Based on interviews the Licensee did not comply with the section cited above in responding to resident in a timely manner, which poses a potential health and safety risk to persons in care.

  • 87625(b)(2)Type B

    (b)...the licensee shall be responsible for the following: (2) Ensuring that incontinent residents are checked during those periods of time when they are known to be incontinent, including during the night. This requirement was not met as evidence by: Based on interviews the Licensee did not comply with the section cited above in ensuring incontinent residents are changed checked and changed timely, 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 April 15, 2025 inspection of AMBASSADOR CARE HOME?

This was a other inspection of AMBASSADOR CARE HOME on April 15, 2025. 2 citations were issued: 2 Type A (serious).

Were any citations issued to AMBASSADOR CARE HOME on April 15, 2025?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "87355 Criminal Record Clearance (d) All individuals subject to criminal record review shall be fingerprinted and sign a ..."

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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