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Inspection visit

Follow-up on corrections

SIMONE SUMMIT CARE HOMELicense 0792011391 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 01/09/2025 at 12:30PM Licensing Program Analyst (LPA) T.Syess-Gibson arrived unannounced to conduct a Case Management visit. LPA met with Administrator, Maria Matel. While LPA T.Syess-Gibson was conducting a complaint investigation ( 15-AS-20250103114847 ) on 01/09/2025. During tour of facility LPA observed storage room in garage have been remodeled and turned into two(2) lounge rooms with one(1) bed and one (1) futon. Facility did not have permit or notify CCLD. Administrator stated the beds are for staff to sleep. The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided.

Citations

2 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.

  • 87305(a)Type B

    87305 Alterations to Existing Building or New Facilities(a) Prior to construction or alterations, all facilities shall obtain a building permit.This requirement is not met as evidenced by: Based on observation and record review, the licensee did not comply with the section cited above in notifying CCLD of any alterations which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87411(f)Type B

    87411 Personnel Requirements – General(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, health. Personnel with evidence of physical illness or emotional instability performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good that poses a significant threat to the well-being of residents shall be relieved of their duties.This requirement is not met as evidenced by:Based on record review, the licensee did not comply with the section cited above by not having health screening documents for three(3) out of five (5) staff members which poses a potential health and safety risk to persons in care.

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FAQ · About this visit

Common questions about this visit

What happened during the January 9, 2025 inspection of SIMONE SUMMIT CARE HOME?

This was a other inspection of SIMONE SUMMIT CARE HOME on January 9, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to SIMONE SUMMIT CARE HOME on January 9, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87305 Alterations to Existing Building or New Facilities(a) Prior to construction or alterations, all facilities shall o..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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