Inspection visit

Routine inspectionMay 10, 2023

ACE CARE HOMELicense 0792011597 citations on this visit

7 citations recorded

Inspector’s narrative

What the inspector wrote

On 05/10/2023 at 11:25 am Licensing Program Analysts (LPA) J. Clancy-Czuleger arrived unannounced to do an annual inspection. LPA meet with Ryan Chang and explained the purpose of the visit. Administrator Margret Hsu joined later. LPA inspected the facility inside out. There is no body of water. Physical plant is consistent with the facility sketch received by Central Application Bureau (CAB) and approved by the fire department. LPA inspected the living room, dining area, kitchen, bedrooms, hallways, bathrooms, side and backyards. Bedrooms were observed appropriately furnished with adequate lighting and drawers. Facility has sufficient towels, extra bed sheets and comforters. Equipment and supplies for residents' personal hygiene are available and on site. Dinner and silver wares were observed sufficient for residents' use. Food supplies checked and observed good for seven days of non-perishables. Facility was observed equipped with refrigerator, microwave, dishwasher, washer and dryer. Cabinet for knives, with locks. Activity supplies were available. Outdoor activity space was observed furnished with tables, chairs and shade. The facility has a mitigation plan. At 12:45 pm LPA reviewed 3 residents records. At 1:45 pm, LPA reviewed 5 staff records and 5 of 5 were fingerprint cleared and associated to the facility. Continued on 809-C... ...Continued from 809 The following deficiency was observed during the visit: Chemical cleaners unlocked Medication unlocked door alarms were not turned on Staff did not have access to resident records Resident records missing personal rights form Resident records missing Client/resident personal property and valuables form (LIC 621) Staff records did not have LIC 503 The Facility was cited, and citations can be found on the LIC 809-D. Exit interview conducted. Appeal Rights and a copy of this report provided. Exit interview conducted.

Citations

7 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.

87309(a)(1)Type A
Based on observation, the licensee did not comply with the section cited above by having chemical cleaner unlocked and accessible to the residents which poses an immediate health, safety or personal rights risk to persons in care.
87412(a)(11)Type A
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses an immediate health, safety or personal rights risk to persons in care.
87465(h)(2)Type A
Based on observation, the licensee did not comply with the section cited above by having the medications unlocked and accessible to the residents which poses an immediate health, safety or personal rights risk to persons in care.
87506(a)Type B
Based on observation and interview, the licensee did not comply with the section cited above by not having the records available for facility staff to produce for licensing which poses/posed a potential health, safety or personal rights risk to persons in care.
87506(b)(16)Type B
Based on observation, the licensee did not comply with the section cited above by not having LIC form 621 in the resident recods which poses/posed a potential health, safety or personal rights risk to persons in care.
87507(l)Type B
Based on observation and record review, the licensee did not comply with the section cited above by not having a signed copy of the residents personal rights in the resident records which poses/posed a potential health, safety or personal rights risk to persons in care.
87705(j)Type B
Based on observation, the licensee did not comply with the section cited above by having auditory devices that were up but turned off so there was no sound would occur when the door was opened which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 10, 2023 inspection of ACE CARE HOME?

This was a inspection inspection of ACE CARE HOME on May 10, 2023. 7 citations were issued: 3 Type A (serious) and 4 Type B.

Were any citations issued to ACE CARE HOME on May 10, 2023?

Yes, 7 citations were issued (3 Type A, 4 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section cited above by having chemical cleaner unlocked and a..."

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 CCLD View original report

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Data from CCLD public records. Last updated May 25, 2026. If you believe any information is inaccurate, report it here.

Routine inspection·May 10, 2023