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Inspection visit

complaint

ANGEL CARE HOMELicense 079201134
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

Continued from LIC9099. $250.00 each at Wal-Mart, yet when R1 expired the money was not found. W1 also stated there was conversation regarding money for incontinence products between R1 and S1. S1 stated during interview there was a conversation to pay more for incontinence products and R1’s cat, but S1 stated she never received any additional money. S1 stated R1 and S2 had went to the bank and obtained cash. S1 also had knowledge that R1 had bought candy and clothes. S2 stated during interview that he went with R1 to Wal-Mart two days. S2 recalled R1 had obtained money during the outing and bought candy. S2 stated that R1 had given him $100.00, and he gave $20.00 back to R1. Based on interviews R1 handled her own money, furthermore there is not enough evidence to prove any financial abuse. Allegation: Family is not notified of incidents involving resident. W1 stated during initial interview that a witness was told by the Pittsburg Police Department that R1 had recently been discharged from a hospital in Modesto. W1 stated the facility did not notify the family about any hospitalization. W1 was not able to give an exact date, but it was approximately two weeks prior to R1 expiring. W3 stated there was an after-summary visit document dated May 7, 2024, along with medications sitting on the dresser of R1’s room. During record review of the after-summary visit from Pittsburg Health Center Family Medicine it indicated the visit was a follow-up visit from a hospital. The summary did not specify when R1 visited the hospital or which hospital was visited. S1 stated she was not aware of R1 going to a hospital in Modesto. S1 did not have any documentation for R1. Continued on LIC9099C. Continued on LIC9099C. Allegation: Facility increased resident's fees without proper notification. During initial interview W1 stated S1 admitted a conversation was held between S1 and R1 regarding paying more money to the facility for extra services being provided. W1 stated R1 was not given the proper notification for the increase of fees. W1 also stated that R1 was responsible for signing her own paperwork. S1 stated during interview that R1 wanted to pay more money to the facility because of the incontinent products and R1’s cat. S1 also said the facility never received any additional money for any fees, and it was only a conversation. Based upon the interviews conducted and the information obtained during investigation. The above allegations are unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview conducted and a copy of report was given .

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. The inspection found no deficiencies and no citations were issued.

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

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

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.