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Inspection visit

Routine inspection

MAPLE TREE CARE HOME 2License 1072090692 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 07/18/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct an annual inspection. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. Facility staff contacted Administrator, Irina Chernyakova via telephone. Administrator is unable to attend today's inspection. LPA received verbal permission to meet with Caregiver, Mark Caluag. Facility tour conducted with Caregiver. LPA observed the fire exits blocked by furniture in rooms 3 and 6. LPA observed signs promoting hand-washing, social distancing, and cough/sneeze etiquette. Facility staff observed to be wearing facial coverings. LPA toured the facility kitchen. LPA did not observe 7-day supply of non-perishable foods or a 2-day supply of perishable foods. LPA observed an adequate supply of PPE and cleaning supplies. Residents at the above facility have private rooms. Bedrooms were stocked with hand sanitizer. Facility bathrooms were stocked with paper towels and liquid soap. Hand-washing signs observed in resident bathrooms. LPA checked residents' medication and observed a 30 day supply. LPA will return at a later date to review resident and staff records. Deficiencies are being cited in accordance with California Code of Regulations, Title 22, Division 6 on the attached 809D. An exit interview was conducted with Caregiver and a Plan of Correction was reviewed and developed. A copy of this report and appeal rights were discussed and provided to Caregiver.

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.

  • 87202(a)Type A

    Maintain fire clearance before retaining specified persons

    Based on observation, the licensee did not comply with the section cited above when the fire exits in rooms 3 and 6 were blocked by furniture which poses an immediate health, safety or personal rights risk to persons in care.

  • Onsite food stock levels for nonperishables and perishables

    Based on observation, the licensee did not comply with the section cited above as evidenced by the facility not having a week supply of non-perishable foods and 2 day supply of perishable foods in the facility which poses 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 July 18, 2022 inspection of MAPLE TREE CARE HOME 2?

This was an inspection of MAPLE TREE CARE HOME 2 on July 18, 2022. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to MAPLE TREE CARE HOME 2 on July 18, 2022?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section cited above when the fire exits in rooms 3 and 6 were..."

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.