Skip to main content

Inspection visit

Follow-up

ANGEL CARE HOMELicense 0792011343 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

On 5/21/2024 at 1:00pm Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct a Case Management visit. LPA met with Administrator, Ding Wang, and explained the purpose of the visit. While LPA L. Hall was conducting a complaint investigation ( 15-AS-20240513172348 ) on 5/21/2024. LPA requested R1's file for review and S1 stated someone took R1's binder. The following deficiencies were observed during visit. LPA observed R1's binder was not available for review. LPA observed S1 did not submit death report for R1. LPA observed each resident MAR (Medication Administrative Record) was not accurate. Deficiency is 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 this report and appeal rights provided

Citations

3 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.

  • 87211(a)(1)(A)Type B

    (a) Each licensee shall furnish to the licensing agency such reports... including, but not limited to... (1)A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven day... This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment... A) Death of any resident from any cause regardless of where the death occurred...This requirement was not met as evidence by: Based on observation the Licensee did not comply with the seciton cited above in reporting R1's death to CCLD, which poses a potential health and safety risk to person in care.

  • 87465(c)(3)Type B

    87465 Incidental Medical and Dental Care (c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (3) A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken, and the resident's response. Based on observation and record review the Licensee did not comply with the section cited above in having an accurate MAR for each resident, which poses a potential health and safety risk for persons in care.

  • 87506(e)Type B

    87506 Resident Records (e) Original records or photographic reproductions shall be retained for a minimum of three (3) years following termination of service to the resident. This requirement was not met as evidence by: Based on observartion the Licensee did not comply with the section cited above in having R1's records available for review, 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 May 21, 2024 inspection of ANGEL CARE HOME?

This was a other inspection of ANGEL CARE HOME on May 21, 2024. 3 citations were issued: 3 Type B.

Were any citations issued to ANGEL CARE HOME on May 21, 2024?

Yes, 3 citations were issued (0 Type A, 3 Type B). The first citation was for: "(a) Each licensee shall furnish to the licensing agency such reports... including, but not limited to... (1)A written re..."

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

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.