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Inspection visit

Routine inspection

ROSE COTTAGE RCFELicense 0792010469 citations on this visit
9 citations recorded

Inspector’s narrative

What the inspector wrote

On 03/19/2025 at 11:15 AM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Caregiver, Apollo McKarson and explained the purpose of the visit. Apollo phoned Administrator, Lisa Bermudez, to inform. Administrator arrived at the facility approx. 1 hour later. The facility’s fire clearance was approved for capacity six (6) all non-ambulatory of which one (1) may be bedridden. Hospice waiver approved for two (2) hospice residents. Administrator certificate # 6071393740 Expires 07/29/2026. LPA toured facility with Lisa and Apollo including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of seven (7) total bedrooms which six (6) bedrooms are occupied by the residents and one (1) 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 68 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 107 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. LIC809-C Continued... LIC809-C (Page 2) Smoke and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 03/02/2025. Emergency Disaster Plan was last posted on 03/19/2024 First aid kit was observed to be complete. Emergency disaster drill was last conducted on 01/30/2025. LPA reviewed five (5) residents records. LPA reviewed five (5) staff records and three (3) of five (5) have current first aid training and associated to the facility. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 03/26/2025: 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 - Reviewed 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. Exit interview conducted. Appeal Rights and a copy of this report provided.

Citations

9 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.

  • 1569.605Type B

    Based on record review, the licensee did not comply with the section cited above in by not having current Liability Insurance Certificate available which poses a potential health and safety 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 in by not having current First Aid/CPR for S4 and S5 which poses a potential health and safety risk to persons in care.

  • 1569.695(a)Type B

    Based on interview and record review, the licensee did not comply with the section cited above in by not having an updated Emergency and Disaster Plan (LIC610E) that includes but not limited bedridden resident and all pages are available and reviewed annually which poses a potential health, safety or personal rights risk to persons in care.

  • 87463(a)Type B

    Based on record review, the licensee did not comply with the section cited above in by not having a updated appraisal for R5 which includes but not limited the care for foley catheter, diabetes and bedridden care which poses a potential health, safety or personal rights risk to persons in care.

  • 87606(f)(1)(A)Type B

    Based on interview and record review, the licensee did not comply with the section cited above in by not having including but not limited a Plan of Operation on file for bedridden 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 on a file a doctor's order for 1/2 rail bed for R3 and hospital bed with full rails for R5 which poses a potential health, safety or personal rights risk to persons in care.

  • 87623(b)(2)Type B

    Based on observation, interview, record review, the licensee did not comply with the section cited above in by not having documentation of R5's foley catheter on file which poses a potential health, safety or personal rights risk to persons in care.

  • 87628(a)Type B

    Based on interview and record review, the licensee did not comply with the section cited above in by having a physician's report that indicates R5 can do their own blood glucose checks and administer their own insulin injections which poses a potential health and safety risk to persons in care.

  • 87632(d)(2)Type B

    Based on interview and record review, the licensee did not comply with the section cited above in by not notifying CCLD hospice initiation of services for R2 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 19, 2025 inspection of ROSE COTTAGE RCFE?

This was a inspection inspection of ROSE COTTAGE RCFE on March 19, 2025. 9 citations were issued: 9 Type B.

Were any citations issued to ROSE COTTAGE RCFE on March 19, 2025?

Yes, 9 citations were issued (0 Type A, 9 Type B). The first citation was for: "Based on record review, the licensee did not comply with the section cited above in by not having current Liability Insu..."

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.