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Inspection visit

Routine inspection

ROYAL CARELicense 1072032153 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

On 08/30/24 Licensing Program Analysts (LPA) J. Leffall and M. Yang arrived unannounced to conduct an Annual Inspection. LPAs introduced selves, stated the purpose of the visit, and was greeted by Staff (S1) Modesta Paz and Danica Campos Staff 2 (S2). LPAs was granted entry. 1 resident was present during inspection. Licensee Aurora Rigon (L1) was called and arrived shortly after LPAs arrival. LPAs toured facility with A1. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. An adequate supply of perishable and non-perishable food was observed. Freezer temperature was maintained at 0 degrees F and refrigerator temperature was maintained at 36.2 degrees F. Medications were checked and observed kept locked in the kitchen cabinet. Residents’ MARS was reviewed. Fire extinguisher was observed with a purchase date of: 02/13/24. Carbon monoxide and smoke detectors were tested and observed to be operational. Residents' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are toured and observed to be operational. Hot water temperature was tested at a temperature of 107.4 in resident bathroom 1, 105.2 in hall bathroom, and 105.2 and 105 degrees F. in master bathroom. Non-skid mat and grab bars observed in bathrooms. Gardening tools and chemicals observed unlock in the garage. A chemical bottle observed unlock in laundry shelf. Outside of facility toured. Side gate was self-closing. Outside was observed with adequate outdoor seatings available for residents. First-aid kit observed with all of the required items. Sample of staff and resident files were reviewed. A deficiency is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22,Division 6. Exit interview was conducted.The following documents requested to be updated and submitted to Fresno CCL by 09/5/24: Lic 308, Lic 500, Lic 610E, Current Liability Insurance and current Administrator’s certificate. A copy of this report and appeal rights was provided to Designee, whose signature on this form confirms receipt of these report.

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.

  • Store centrally held medications in locked secure place

    Based on observation, the licensee did not comply with the section cited above when LPAs and Administrator observed refrigerate medications stored unlocked in the small black refrigerator accessible to residents in care this poses an immediate health, safety or personal rights risk to persons in care.

  • 87309(a)Type A

    Ensure hazardous items are locked and not unattended

    Based on observation, the licensee did not comply with the section cited above when LPAs and Administrator observed knives unlock in kitchen drawer, cleaning chemicals unlock in laundry shelf and in garage cabinet accessible to residents in care this poses an immediate health, safety or personal rights risk to persons in care.

  • Give PRN medication by physician order

    Based on observation resident 1 (R1) medication was checked and MARs was reviewed. Two out of six medications were not administered as directed by staff which poses an immediate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 30, 2024 inspection of ROYAL CARE?

This was an inspection of ROYAL CARE on August 30, 2024. 3 citations were issued: 3 Type A (serious).

Were any citations issued to ROYAL CARE on August 30, 2024?

Yes, 3 citations were issued (3 Type A, 0 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section cited above when LPAs and Administrator observed refr..."

What type of inspection was this?

This was an inspection. 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.