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Inspection visit

Follow-up

A OHANA HOME FOR SENIORS, LLCLicense 0792009245 citations on this visit
5 citations recorded

Inspector’s narrative

What the inspector wrote

On 12/23/2021 Licensing Program Analyst (LPA) L. Ibo arrived unannounced to conduct a case management inspection due to another visit. LPA met with S2, Administrator lived at second floor of the facility, LPA met Administrator after 15mins. LPA explained the purpose of the visit to Administrator Mary Melakamu. LPA toured facility inside and outside. LPA observed 4 residents in care, 3 are on hospice. The following was observed during facility visit: - Disinfectants supplies observed accessible with residents in care.- Cleared V1,V2,V3 V4,F1 & F2 observed at the facility do not have fingerprint clearance. - S2 do not have fingerprint exemption clearance. - LPA observed facility sitting area (per facility sketch) is cluttered with clothes, shoes on the floor, bedroom #3 & bedroom #5 was observed to have a lot of unorganized clothes, shoes on the floor, pantry which is located at the dining area is unorganized with food supplies observed to be on the floor. - LPA observed 1.5 Gallon of milk and ¾ bag loaf of bread during the visit, LPA asked Administrator to show residents food supplies, Administrator showed freezer located at the garage, LPA observed frozen food but not for residents, Administrator confirmed that frozen food are not fore residents, LPA asked if there are more available perishable food for residents, Administrator showed refrigerator located at the kitchen area, LPA observed more food supplies for staff/visitors. ...Continue to LIC809C... LPA interviewed Administrator if all the visitors (V1,V2,V3 V4,F1 & F2) observed during LPA visit followed covid19 guidelines based on PIN 21-40-ASC, Administrator admitted that visitation policy was not followed, all visitors are not properly screened for covid19 symptoms, vaccine and covid19 test results , any covid19 symptoms are not documented , according to Administrator all visitors that was observed during the visit has been at the facility for 1 week. (technical assistance provided) $3,500.00 Civil penalty was assessed during the visit. The deficiency was 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 was provided.

Citations

6 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.

  • 80019(e)(1)Type A

    Criminal Record ClearanceObtain a California clearance or a criminal record exemption as required by the Department...This requirement is not met as evidence by: Based on investigation, licensee did not comply with the section cited above by having S2 who do not have fingerprint exemption clearance work at the facility which poses an immediate health and safety risk to the clients in care.

  • 87303(a)Type B

    Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirement was not met as evidenced by Based on observation LPA observed facility sitting area (per facility sketch) is cluttered with clothes, shoes on the floor, bedroom #3 & bedroom #5 was observed to have a lot of unorganized clothes, shoes on the floor, pantry which is located at the dining area is unorganized with food supplies observed to be on the floor. This possess a potential health and safety risk of residents.

  • 87355(e)Type A

    Criminal Record Clearance. All individuals subject to a criminal record review...prior to working, residing or volunteering in a licensed facility: Obtain a California clearance...This requirement is not met as evidence by: Based on observation and interview 5 adults visitors has been staying at the facility with no fingerprint clearance, this possess immediate health and safety risk for residents in care.

  • 87555(b)(26)Type B

    General Food Service RequirementsSupplies of nonperishable foods for a minimum of one week.. shall be maintained on the premisesThis requirement was not met as evidenced by Based on observation and interview, 1.5 Gallon of milk and ¾ bag loaf of bread during the visit, LPA asked Adminsitrator if there are more perishable food for resident, Adminsitrator only showed eggs observed at the counter. This possess a potential health and safety risk of residents.

  • 87707(f)(2)Type B

    87705 Care of Persons with Dementia. The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances...This requirement is not met as evidence by: Based on observation, facility failed to keep cleaning supplies and disinfectant inaccessible to residents in care, This possess an immediate health and safety risk of residents.

  • 80072(a)Type B

    Personal Rights (a) Except for children’s residential facilities, each client shall have personal rights which include...To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.This requirement is not met as evidence by: Based on observation LPA observed staff not wearing mask this possess potentia health and safety risk for residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the December 23, 2021 inspection of A OHANA HOME FOR SENIORS, LLC?

This was a other inspection of A OHANA HOME FOR SENIORS, LLC on December 23, 2021. 5 citations were issued: 2 Type A (serious) and 3 Type B.

Were any citations issued to A OHANA HOME FOR SENIORS, LLC on December 23, 2021?

Yes, 5 citations were issued (2 Type A, 3 Type B). The first citation was for: "Criminal Record ClearanceObtain a California clearance or a criminal record exemption as required by the Department...Th..."

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.