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Inspection visit

Complaint

SHINING LIGHT RCFE, THELicense 1072039821 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 9/9/25 at 11:30 am Licensing Program Analyst (LPA) J. Leffall conducted a subsequent complaint visit to open and to deliver findings on above allegations. LPA met with Staff (S1) Rene Valencia and stated purpos of the visit. Administrator (A1) Carlo Santos was contacted by phone. The Department conducted an interviews with facility staff, reviewed facility records, resident files and hospital discharge records. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is Unsubstantiated. No deficiencies were issued. Exit interview conducted. A copy of this report was distributed to Administrator which confirms signature of this report.

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.

  • 87211(a)(1)Type B

    Report specified resident events within seven days

    (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(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 of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case.Based on records reviewed and interviews conducted, the Licensee did not report timely of R1's Unirary Tract Infection, which poses a potential Health & Safety risk to the residents.

  • 87465(a)(4)Type A

    Assist residents with self-administered medication

    a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:(4) The licensee shall assist residents with self-administered medications as needed.Based on records reviewed and interviews conducted, R1’s evening medications were missed which poses an immediate Health & Safety risk to the residents.

FAQ · About this visit

Common questions about this visit

What happened during the September 9, 2025 inspection of SHINING LIGHT RCFE, THE?

This was a complaint inspection of SHINING LIGHT RCFE, THE on September 9, 2025. 1 citation were issued: 1 Type A (serious).

Were any citations issued to SHINING LIGHT RCFE, THE on September 9, 2025?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not l..."

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.