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Inspection visit

Routine inspection

BLUEMEADOW CARELicense 07920082520 citations on this visit
20 citations recorded

Inspector’s narrative

What the inspector wrote

On 3/23/2023 starting 10:10 AM, Licensing Program Analysts (LPAs) L. Francisco and L. Fici arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Administrator, Yanlin "Cynthia" Huang and explained the purpose of the visit. The facility’s fire clearance was approved for all six (6) non-ambulatory residents of which 1 may be bedridden. There were 2 staff and 5 residents present during inspection. Starting at 10:25 AM, LPAs toured facility with Administrator including but not limited to bedrooms, 2 bathrooms, kitchen, common area and backyard. The facility consists of 7 total bedrooms which 6 bedrooms are for residents and 1 bedroom is for staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 68 degrees Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in residents’ shared bathroom was measured at 141 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. Sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was observed fully charged. First aid kit was observed to be complete. Starting at 11:30 AM, LPAs reviewed 4 of 5 residents records. At 12:30 PM, LPAs reviewed 1 of 3 staff records. At 4:00 PM, LPAs reviewed a sample of resident’s medications. REPORT CONTINUES ON 809C THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: -At 10:40 AM, LPA observed hot water temperature is maintained at 141 degrees F -At 10:45 AM, LPA observed a bed in garage and being used as a sleeping area. -Starting at 11:38 AM during record review, LPAs observed no files are being maintained for S1 and S2. Required training were missing. Records for R5 was not maintained at facility. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 3/31/2023: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Current Administrator’s Certificate 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. An immediate $500 Civil Penalty is being assessed. Exit interview conducted with Administrator. Appeal Rights and a copy of this report provided.

Citations

20 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.

  • 1569.625(c)Type B

    Based on record review, Licensee did not comply with the section cited above by not obtaining the training for S2 which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.626(a)Type B

    Based on observation, the licensee did not comply with the section cited above by not completing training requirements for S2 which poses a potential health, safety or personal rights risk to persons in care.

  • 1569.695(c)Type B

    Based on record review, the licensee did not comply with the section cited above by not having a record of emergency drill which poses a potential health, safety or personal rights risk to persons in care.

  • 1569.696(a)Type B

    Based on record review, the licensee did not comply with the section cited above by not having required training for S2 once employed which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87202(a)Type A

    Based on observation and interview, the licensee did not comply with the section cited above. LPA observed garage is being utilized as a sleeping area for staff overnight which poses an immediate health, safety or personal rights risk to persons in care.

  • 87303(e)(2)Type A

    Based on observation, the licensee did not comply with the section cited above by maintaing hot water in shared resident's bathroom at 141 degrees F which poses an immediate health, safety or personal rights risk to persons in care.

  • 87303(e)(3)Type A

    Based on observation, the licensee did not comply with the section cited above by. Based observation, hot water is maintained at 141 degrees F and no warning sign was posted which poses an immediate health, safety or personal rights risk to persons in care.

  • 87411(d)Type B

    Based on record review, the licensee did not comply with the section cited above by not having the required training for S2 which pose a potential health, safety or personal rights risk to persons in care.

  • 87411(f)Type B

    Based on record review, the licensee did not comply with the section cited above by not obtaining a health screening and TB test for S1 and S2 which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87412(a)Type B

    Based on record review, the licensee did not comply with the section cited above by not having complete records S1 and S2 which poses a potential health, safety or personal rights risk to persons in care.

  • 87412(c)Type B

    Based on record review,, the licensee did not comply with the section cited above by not obtaining training required for S2 which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87415(a)Type B

    Based on interview and record review, the licensee did not comply with the section cited above by not first aid and amergency procedure training with night shfit staff which poses a potential health and safety risk to persons in care.

  • 87468(c)(1)Type B

    Based on observation, the licensee did not comply with the section cited above by not posting personal rights and nondiscrimination notice which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87506(a)Type B

    Based on record review, the licensee did not comply with the section cited above by not maintaing R5's record at facility which poses a potential health, safety or personal rights risk to persons in care.

  • 1569.625(b)(2)Type B

    Based on record review, the licensee did not comply with the section cited above by not completing the required training for S3 which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.618(c)(3)Type B

    Based on record review, the licensee did not comply with the section cited above by not having a staff for each shift with CPR training which poses a potential health, safety or personal rights risk to persons in care.

  • 1569.625(b)(1)Type B

    Based on record review, the licensee did not comply with the section cited above by not having the required training for S2 prior to employment which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.695(a)Type B

    Based on record review, the licensee did not comply with the section cited above by not having an Emergency Disaster Plan on file which poses a potential health, safety or personal rights risk to persons in care.

  • 87411(c)(1)Type B

    Based on record review, the licensee did not comply with the section cited above by not having current first aid training for S1, S2 and S3 which poses a potential health, safety or personal rights risk to persons in care.

  • 87412(f)Type B

    Based on record review, the licensee did not comply with the section cited above by not maintaing records for S1 and S2 which poses 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, 2023 inspection of BLUEMEADOW CARE?

This was a inspection inspection of BLUEMEADOW CARE on March 24, 2023. 20 citations were issued: 3 Type A (serious) and 17 Type B.

Were any citations issued to BLUEMEADOW CARE on March 24, 2023?

Yes, 20 citations were issued (3 Type A, 17 Type B). The first citation was for: "Based on record review, Licensee did not comply with the section cited above by not obtaining the training for S2 which ..."

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.