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Inspection visit

Health check

SIMPLY CARING ANGELS LLCLicense 1572087893 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

On 12/9/21, Licensing Program Analysts (LPAs) K. Kaur and S. Doucette arrived at the facility unannounced to conduct a Health & Safety inspection to review newly admitted resident records. LPA's reviewed resident file, which did not have a LIC602 Physicians Report. LPA's reviewed residents medications and records which did not show medications were given to R1 for 12/9/21. LPAs obtained original License that had previous permissions from Licensee. The most current License was posted in the facility. LPA's toured the facility and checked on residents in care. During the tour of the facility, LPA observed the stove knobs to be on the stove and accessible to residents in care. Facility has a two day supply of perishable food and a 7 day supply of nonperishable foods. Based on interviews conducted, tour of facility and records review, deficiencies 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 via email.

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.

  • 87458(a)Type B

    87458 Medical Assessment (a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's This requirement was not met as evidenced by: Based on records review and observation R1 did not have a completed LIC 602 Physicians Report or TB test in the residents file which poses a potential health, safety or personal rights risk to persons in care.

  • 87465(a)(5)Type A

    87465 Incidental Medical and Dental Care (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: (5) The licensee shall assist residents with self-administered medications as needed.This requirement was not met as evidenced by: Based on records review and observation Licensee did not administer R1's medications for 12/9/21 which poses an immediate health, safety or personal rights risk to persons in care.

  • 87705(d)Type A

    87705 Care of Persons with Dementia(d) In addition to requirements specified in Section 87303, Maintenance and Operation, safety modifications shall include, but not be limited to, inaccessibility of ranges, heaters, wood stoves, inserts, and other heating devices to residents with dementia. This requirement was not met as evidenced by: Based on observation Licensee did not have the stove knobs locked which were accessible to residents in care 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 December 9, 2021 inspection of SIMPLY CARING ANGELS LLC?

This was a other inspection of SIMPLY CARING ANGELS LLC on December 9, 2021. 3 citations were issued: 2 Type A (serious) and 1 Type B.

Were any citations issued to SIMPLY CARING ANGELS LLC on December 9, 2021?

Yes, 3 citations were issued (2 Type A, 1 Type B). The first citation was for: "87458 Medical Assessment (a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, d..."

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.