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Inspection visit

Follow-up on corrections

SIMPLY CARING ANGELS LLCLicense 1572087894 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

On 08/11/21, Licensing Program Analysts (LPAs) L.Salazar and S. Doucette arrived at the facility unannounced to conduct a Health & Safety inspection to verify care and supervision. LPAs obtained information there was no staff in the facility at night. LPAs rang the doorbell, no one answered. LPAs called the facility phone which went straight to a fax machine. Licensee arrived at the facility shortly after. LPAs toured the facility and checked on residents in care. LPA Salazar requested to see staff files and resident files. LPAs observed Resident R1, who is bedridden and not receiving Hospice or Home Health care. R1 is in need of 24 hour nursing care. LPAs attempted to interview staff on site and were unsuccessful due to licensees interference and refusal to allow LPAs to interview staff. LPA Salazar reviewed facility Hospice Initiation requests for Residents R5, R6, and R7. Residents passed away in 2020 and 2021. No Death Reports were submitted. Based on number of deficiencies, reduction of Hospice Waiver is under review. Informal Meeting with licensee has been scheduled for 08/26/21. Based on interviews conducted, tour of facility and records review, deficiencies and Civil Penalty are being issued in the areas evaluated and listed on the 809-D according to California Code of Regulations Title 22, Division 6 and Health and Safety Code. An exit interview was conducted and Plan of Correction was reviewed and developed with the Licensee. Licensee was provided with a copy of this report and Appeal Rights.

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.

  • 1569.17(b)(1)(A)Type A

    Fingerprints and criminal records of individuals in contact with clients; exemptions; criminal records clearances(b) In addition to the applicant, the provisions of this section shall apply to criminal record clearances and exemptions for the following persons: (1)(A) Adults responsible for administration or direct supervision of staff. This requirement was not met as evidenced by: Based on observation, interviews and record review staff 1 (S1) was not fingerprinted while caring for residents in the facility, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87307(d)(6)Type A

    Personal Accommodations and Services apply:(d) The following space and safety provisions shall apply to all facilities:(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement was not met as evidenced by: Based on obervation on 6/2/21 Licensee did not keep passageways clear of obstruction in the enclosed covered patio located off of the family room and master bedroom which poses an immediate health, safety or personal rights risk to persons in care.

  • 87405(d)(1)Type A

    Administrator - Qualifications and Duties (d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply.(1) Knowledge of the requirements for providing care and supervision appropriate to the residents. This requirement was not met as evidenced by: Based interview, record review and observation Licensee did not hire qualified staff (not fingerprinted, no evidence of training or staff records), 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 11, 2021 inspection of SIMPLY CARING ANGELS LLC?

This was a other inspection of SIMPLY CARING ANGELS LLC on August 11, 2021. 4 citations were issued: 3 Type A (serious) and 1 Type B.

Were any citations issued to SIMPLY CARING ANGELS LLC on August 11, 2021?

Yes, 4 citations were issued (3 Type A, 1 Type B). The first citation was for: "Fingerprints and criminal records of individuals in contact with clients; exemptions; criminal records clearances(b) In ..."

What type of inspection was this?

This was a other inspection. other 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.