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Inspection visit

complaint

ANGEL CARE HOMELicense 0792011342 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Continued on LIC9099C. approximately 3:35am, on November 17, 2024. On November 21, 2024, R1 had a video doctor’s appointment. S1 stated the doctor saw the injury and was not concerned. S1 stated R1’s vitals were checked, he was not bleeding, and he was still walking around, therefore, S1 felt there was not a need for medical attention. S3 stated while doing rounds she observed R1 on the floor and that R1 possibly hit his drawer. S3 stated she did not see any blood and monitored R1’s blood pressure. S3 also stated she contacted S1 but no one else. LPA observed a bruised eye and a cut above R1’s eye during visit on November 21, 2024. LPA also obtained a photo of R1 from S1 of R1’s eye. S1 stated the cut above R1’s eye occurred at another facility. Both S1 and S3 stated that R1 did not receive any medical care after sustaining an injury. Allegation: Staff did not ensure resident received medication as prescribed During initial interview with W1 it was indicated that R1 had a medical/phone appointment on November 15, 2024. A new prescription was prescribed on the day of the medical/phone appointment and as of November 20, 2024, the medication had not been picked up by staff to ensure R1 was receiving medication as prescribed. S1 stated during video appointment on November 21, 2024, she asked who will be delivering the medication for R1 and was told the facility needs to pick up the medication. On November 25, 2024, S1 sent an email to LPA with a picture showing three (3) prescriptions that had been picked up for R1. Continued on LIC9099C. Continued from LIC9099D Based on LPA observations, interviews which were conducted, and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8) are being cited on the attached LIC 9099D.

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.

  • 87303(e)(5)Type B

    (e) Water supplies and plumbing fixtures shall be maintained as follows: (5) Slip-resistant mats, strips, or flooring shall be used in all bathtub and shower floors. This requirement was not met as evidence by: Based on observation the Licensee did not comply wiht the section cited above in having a non slip mat in the shared bathroom tub, which poses a potential health and safety risk to persons in care.

  • 87303(a)Type B

    (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 evidence by: Based on observation the Licensee did not comply with the section cited above in having the tub in the shared bathroom in repair, which poses a potential health and safety risk to person in care.

  • 87211(a)(1)Type B

    (a) Each licensee shall furnish to the licensing agency such reports... (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence... This requirement was not met as evidence by: Based on record review the Licensee did not comply with the section above in reporting incidents for R1 and R2 to CCLD, which poses a potential health and safety risk to persons in care.

  • 87307(3)(c)Type B

    (3) Equipment and supplies necessary for personal care... shall be readily available to each resident. (C) Clean linen, including blankets, bedspreads, top bed sheets, bottom bed sheets, pillow cases, mattress pads, bath towels, hand towels and wash cloths. The quantity shall be sufficient to permit changing at least once per week or more often... clean linen is in use by residents at all times. This requirement was not met as evidence by: Based on observation the Licensee did not comply with the section cited above in having suffiencient linen for residents, which poses a potential health and safety risk to persons in care.

  • 87465(d)Type A

    (d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to communicate his/her symptoms clearly, facility staff designated by the licensee, shall be permitted to assist the resident with self-administration provided... This requirement was not met as evidence by: Based on observation and record review the Licensee did not comply with the section cited above in obtaining and administering prescriptions as ordered, which poses a potential health and safety risk to persons in care.

  • 87465(g)Type A

    (g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis except as specified in Sections 87469(c)(2), (c)(3), or (c)(4). This requirement was not met as evidence by: Based on interviews and record review the Licensee did not comply with the section cited above in contacting 9-1-1 after R1 sustained an injury which poses an immediate health and safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 30, 2025 inspection of ANGEL CARE HOME?

This was a complaint inspection of ANGEL CARE HOME on January 30, 2025. 2 citations were issued: 2 Type A (serious).

Were any citations issued to ANGEL CARE HOME on January 30, 2025?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "(e) Water supplies and plumbing fixtures shall be maintained as follows: (5) Slip-resistant mats, strips, or flooring sh..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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.