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Inspection visit

Routine inspection

ROSE OF SHARON HEALTHCARELicense 07920105713 citations on this visit
13 citations recorded

Inspector’s narrative

What the inspector wrote

On 8/20/2024 at 1:30pm, Licensing Program Analyst (LPA) L. Hall conducted an unannounced annual Required inspection. LPA met with Rizalina Hutchko, Caregiver, and explained the purpose of the visit. LPA spoke with listed Administrator, Ojo Akognon via telephone and was given approval for Caregiver to sign documents. The facility’s fire clearance was approved for six (6) ambulatory residents. LPA toured the facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area, garage and backyard. The facility consists of five (5) bedrooms and two (2) bathrooms. One (1) bedroom occupied by staff. No bodies of water was observed. A comfortable temperature is maintained at 75 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 105. degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non skid mats. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 2/2/2022. Emergency Disaster Plan was last posted on 06/27/2024. Fire drill was last conducted on 03/4/2024. Continued on LIC809. Continued from LIC809. LPA was not able to review staff or residents records due to they were not at the facility. LPA received medication LPA observed the following deficiencies: At 1:40pm, LPA observed facility did not have a certified administrator. At 1:45pm, LPA observed during record review that resident files were not present at facility and available to inspect. At 1:55pm, LPA observed scissors and knives in unlocked kitchen drawer. LPA also observed a pair of scissors drying in dish rack. At 2:00pm, LPA observed fire extinguisher expired. Last services 2/22/2022. At 2:10pm, LPA observed facility does not have a 7-day supply of non perishables and 2-day perishables. LPA also observed 21 cans of expired food. At 2:15pm, LPA observed 2 bottles and 1 box of melatonin sitting next to R2's bed. At 2:20pm, LPA observed a couch, loveseat, recliner, freezer, shovel, and rack in back yard on right hand side of house. At 2:45pm, LPA observed R1's after summary visit, but staff did not report to CLLD. At 3:00pm, LPA observed during record review records are not maintained for medication. R1, R2, and R3 have medication that is not listed on medication administrator record (MAR). Continued on LIC809C. Continued from LIC809C. LPA requested the following documents to be submitted to CCLD by 8/27/2024. LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan (Last page) Liability Insurance Deficiencies are cited from Title 22 California Code of Regulations (see 809D). Failure to submit proof of corrections by plan of correction due date, and any repeat violations within 12-month period may result in civil penalties. Exit interview conducted. A copy of appeal rights and this report provided.

Citations

13 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.

  • 87203Type B

    Based on observation and record review, the licensee did not comply with the section cited above in not having the fire extinguishers serviced which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87211(a)(1)(B)Type B

    Based on observation and record review, the licensee did not comply with the section cited above in submitting an incident report to CCLD for R1 which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87307(d)(6)Type B

    Based on observation, the licensee did not comply with the section cited above in having passageway clear in back yard on right side of house which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87405(a)Type B

    Based on observation, interview, and record review, the licensee did not comply with the section cited above in having a certified administrator employed at facility which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87411(a)Type B

    Based on observation and interview, the licensee did not comply with the section cited above in not having a NOC shift employed which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87412(f)Type B

    Based on observation, interview, and record review, the licensee did not comply with the section cited above in having staff records available for review during visit which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(h)(6)Type B

    Based on observation and record review, the licensee did not comply with the section cited above in not having medications prescribed listed on MAR for all residents which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87506(d)Type B

    Based on observation, interview, and record review, the licensee did not comply with the section cited above in having resident records available for review during visit which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87555(26)Type B

    Based on observation, the licensee did not comply with the section cited above in having 7-day perishable and 2-day non perishable foods available for residents which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87705(f)(1)Type A

    Based on observation, the licensee did not comply with the section cited above in having sharps locked and inaccessible which poses an immediate health, safety or personal rights risk to persons in care.

  • 87705(l)(8)Type B

    Based on observation, interview, and record review, the licensee did not comply with the section cited above in conducting a fire drill every three months which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(8)Type B

    Based on observation and interview, the licensee did not comply with the section cited above in having a first aid kit which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87705(f)(2)Type A

    Based on observation, the licensee did not comply with the section cited above in having melatonin sitting next to R1's bed which poses an immediate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 20, 2024 inspection of ROSE OF SHARON HEALTHCARE?

This was a inspection inspection of ROSE OF SHARON HEALTHCARE on August 20, 2024. 13 citations were issued: 2 Type A (serious) and 11 Type B.

Were any citations issued to ROSE OF SHARON HEALTHCARE on August 20, 2024?

Yes, 13 citations were issued (2 Type A, 11 Type B). The first citation was for: "Based on observation and record review, the licensee did not comply with the section cited above in not having the fire ..."

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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