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Inspection visit

Routine inspection

SIMPLY CARING ANGELS LLCLicense 1572087898 citations on this visit
8 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst's (LPA)'s LPA Shawna Doucette and LPA Miriam Flores arrived at the facility unannounced to conduct an annual inspection. LPA's was granted entry by Staff, Cipriana Dela Cruz. LPA explained the purpose of the visit and Administrator Ana Liza Aratea responded to the facility to meet LPA's to conduct the visit. A tour of the facility was conducted with the Administrator. The residence was set at 78 F temperature and free of passageway obstructions inside and outside. Kitchen toured, supply of food observed and food stored properly for perishable and nonperishable. Medications were stored in a locked Medication cabinet in the kitchen. Cleaning supplies were unlocked in a cabinet above the washing machine. Smoke detectors and carbon monoxide detectors were checked and properly working. Fire extinguishers were charged and had service dates of 05/22/23. LPA checked water temperature which measured at 110.6 F. There was outdoor seating for the residents. Resident, medication and staff records were reviewed. LPA observed a medication error for R1. R1 medication count did not match start date on centrally stored log. Facility staff did not have hospice or home health training. Facility did not have home health care plans or hospice care plans for all residents. Current first aid and CPR were reviewed. LPA took photos of medications and unlocked cleaning supply cabinet. Refer to 809d for deficiencies A copy of this report with plan of correction and appeal rights were provided to the Administrator.

Citations

8 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.

  • 87465(e)Type B

    Based on record review, the licensee did not comply with the section cited above in Licensee did not have a written order for R2's medication which Licensee stated is a PRN however it states to be administered daily, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87616(b)(1)Type B

    Based on record review, the licensee did not comply with the section cited above in Licensee did not have any documentation from the physician or from home health regarding the stage of R1's wounds, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.39(b)Type B

    Based on record review, the licensee did not comply with the section cited above in Licensee did not have a plan of care or physician care documentation for R1, R2, or R3 which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87309(a)Type A

    Based on observation, the licensee did not comply with the section cited above by having the cleaning supplies cabinet unlocked and accessible to residents with dementia, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87463(a)(3)Type B

    Based on record review, the licensee did not comply with the section cited above in by not having R1's reappraisal complete with change in condition which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(a)(4)Type A

    Based on record review, the licensee did not comply with the section cited above in by Licensee did not administer R1's medications correctly after conducting a pill count and comparing to centrally stored log R1s medication should have started on 10/17/23 not 10/20/23, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87633(b)Type B

    Based on interview and record review, the licensee did not comply with the section cited above in Licensee does not have a hospice care plan for R2 which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87633(b)(6)Type B

    Based on record review, the licensee did not comply with the section cited above in Licensee did not have any documentation of staff training from hospice for R2, which poses/posed 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 October 24, 2023 inspection of SIMPLY CARING ANGELS LLC?

This was a inspection inspection of SIMPLY CARING ANGELS LLC on October 24, 2023. 8 citations were issued: 2 Type A (serious) and 6 Type B.

Were any citations issued to SIMPLY CARING ANGELS LLC on October 24, 2023?

Yes, 8 citations were issued (2 Type A, 6 Type B). The first citation was for: "Based on record review, the licensee did not comply with the section cited above in Licensee did not have a written orde..."

What type of inspection was this?

This was a inspection inspection. 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.