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Inspection visit

Routine inspection

COMFORT CARE HOME IVLicense 1572067412 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 04/21/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. LPA introduce self, stated the purpose of the visit and requested to meet with the Administrator. LPA met staff Fely Reyes. Licensee/ Administrator (L1) Amardeep “Amy” Dhillon was called and arrived shortly. LPA toured facility with L1. Five residents were present during inspection. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside. Sharps observed locked under kitchen counter. Fire extinguisher was observed with serviced date of: 03/06/25. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature observed maintained at 40 degrees F and freezer temperature maintained at 0 degrees F. Medications were observed locked under kitchen and laundry shelves. MARs were reviewed and medications were checked. Chemicals were observed locked in laundry shelves. All bedrooms were observed to have the required furnishings and with adequate lightening. Extra linens were observed. The bathrooms were toured and observed operational during inspection. Non-skid mat and grabbed bars were observed. Hot water temperature was tested at 106.2 and 106.7 degrees F in shared master bathroom and at 106.3 degrees F in bathroom. Outside of facility toured and observed to be free of debris. Side gate observed self-closing. Adequate outdoor seatings available for residents. Sample of staff and all of the residents’ files were reviewed and observed to have the required documents. Carbon monoxide and smoke detector tested operational during inspection. A deficiency is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22, Division 6.Exit Interview conducted. The requested documents are to be submitted to the department by 04/28/25: Lic 308, Lic 500, Lic 610E, current liability insurance, and current Administrator Certificate. A copy of this report and appeal rights was provided to Licensee, whose signature on this form confirms receipt 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.

  • 87608(a)(5)(B)Type B

    Based on observation, records reviewed, and interview conducted, R1 is not on hospice and using full rail hospital bed with no doctor’s orders, which poses/posed a potential health and safety and personal rights risk to the resident in care.

  • Record dose details and resident medication response

    Based on observations, records reviewed, and interviews conduct, R1’s PRN medication was order on 11/07/23 and recorded centrally stored record and did not record in the resident’s MARs, which poses/ posed a potential health and safety risk for the person in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 21, 2025 inspection of COMFORT CARE HOME IV?

This was an inspection of COMFORT CARE HOME IV on April 21, 2025. 2 citations were issued: 2 Type B.

Were any citations issued to COMFORT CARE HOME IV on April 21, 2025?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "Based on observation, records reviewed, and interview conducted, R1 is not on hospice and using full rail hospital bed w..."

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.