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Inspection visit

Routine inspection

BLUE PEARL HOME CARE IILicense 1572024116 citations on this visit
6 citations recorded

Inspector’s narrative

What the inspector wrote

On 03/03/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and requested to meet with Administrator. LPA met with staff Remedios Karamihan. Licensee/Administrator (L1) Petro Crisostomo and Staff 1 (S1) Jelyn Pino was called and arrived shortly. LPA toured facility with L1 and S1. All six residents were present during the inspection. Residents were observed sitting in living room, walking around, and two residents observed sleeping in the bedroom. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. A sample of residents and a sample of staff files were reviewed to have all the required documents. Medications were checked and observed kept locked in kitchen shelf. Residents’ MARS were reviewed, and medications were checked. An adequate supply of perishable and non-perishable food was observed. At 1:43PM, knives and tool were observed stored unlocked in kitchen drawers. Freezer temperature was observed maintained at -4 and refrigerator maintained at 30 degrees F. Fire extinguisher was observed with a service date of: 01/29/24. First Aid kit observed with all required items. Cleaning solutions observed locked in laundry cabinet. Washer and dryer observed operational. At 1:48PM, Chemical bottles observed stored on to top of dryer in laundry room unlock. Chemical observed unlocked in garage. Residents' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. LPA observed two hospice residents. Resident was observed laying down with full rail hospital bed. All bathrooms are observed with securely fastened grab bars and non-skid mat. Hot water temperature was tested 113.1 degrees F. in master bathroom and 118.9 degrees F in bathroom. Outside of facility toured and observed free of debris. Side gate was self-closing and self-latching. Outdoor seatings observed available for residents. Carbon monoxide and smoke detectors were tested and observed to be operational. Technical Support Program (TSP) assistance was offered to Licensee. Licensee will make a decision and reach out the department regarding acceptance. A deficiency and a civil penalty is being cited, per California Code of Regulations, Title 22, Division 6, see attached Lic 421IM. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 03/10/25. The following updated forms were requested: Lic 308, Lic 309, Lic 500, Lic 610E, current liability insurance, and current Administrator Certificate. A copy of this report and appeal rights was provided to Licensee/Administrator, whose signature on this form confirms receipt of this report.

Citations

6 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)Type A

    Ensure hazardous items are locked and not unattended

    Based on observation, the licensee did not comply with the section cited above when LPA, Licensee and S1 observed at 1:40PM, knives stored in kitchen drawer next to the stove unlock. Laundry detergent bottle and two cleaning chemical bottle was observed on top of the dryer in the laundry room unlock. A bottle of bleach was observed on the inside the garage on the side wall unlock. Tools were observed in kitchen drawer under kitchen counter by the medication shelf unlocked and accessible to residents in care this poses an immediate health, safety or personal rights risk to persons in care.

  • 87405(d)(2)Type A

    Conformance with applicable laws and regulations

    Based on observation, Fire Extinguisher has a last purchase date of 01/29/24, which poses an immediate health and safety risk to the residents.

  • 87465(c)(2)Type A

    Give PRN medication by physician order

    Based on interviews conducted, observation and records reviewed, R1’s medication Duloxetine 60 mg, Amlodipine Besylate 10mg, and Gabapentin 300mg were not administered as prescribed by physician. R2’s medication Fluoxetine Hcl 20mg, Levothyroxine 50mcg, Melatonin 5mg, Mirtazapine 15 mg, Hydroxyzine Hcl 25mg, Atorvastatin 10mg, Escitalopram 10mg, Fluticasone HFA 110mcg, Furosemide 20 mg, and Spironolactone 25mg were not administered as prescribed by physician for which poses an immediate health and safety risk for the person in care.

  • 87465(d)(3)Type A

    Record dose details and resident medication response

    Based on interviews conducted, observation, records reviewed, R1’s medication Hydrocodone/ Apap 10/325 mg was not record in the R1’s MAR. R1’s medication Risperidone 25mg, Clopidogrel 75mg were administered on 03/01/25 and 03/02/25, staff did not record on MAR. R2’s medication Atorvastatin 10mg, Melatonin 5mg, and Mirtazapine 15mg were administered on 03/01/25 and 03/02/25, staff did not record on MAR. R2’s medication Fluoxetine Hcl 20mg, Levothyroxine 50mcg, Losartan Potassium 50mg, and Triamcinolone 0.1% cream were administered on 03/02/25, staff did not record on MAR for which poses an immediate health and safety risk for the person in care.

  • 87465(h)(6)Type A

    Record centrally stored prescriptions and refill data

    Based on records review and interview conducted, R1’s medication Losartan 50mg bottle filled on 08/28/24 was observed in the resident’s medication basket not recorded in the Centrally Stored Medication Record (Lic 622) which poses/posed a potential health and safety risk for the person in care.

  • 87608(a)(5)(B)Type A

    Based on interview conducted and observation, R1 has a full rail bed with no exception granted by the department and no physician order, which poses an immediate health and safety risk to the residents

FAQ · About this visit

Common questions about this visit

What happened during the March 3, 2025 inspection of BLUE PEARL HOME CARE II?

This was an inspection of BLUE PEARL HOME CARE II on March 3, 2025. 6 citations were issued: 6 Type A (serious).

Were any citations issued to BLUE PEARL HOME CARE II on March 3, 2025?

Yes, 6 citations were issued (6 Type A, 0 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section cited above when LPA, Licensee and S1 observed at 1:4..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

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.