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Inspection visit

Routine inspection

SIMPLY CARING ANGELS LLCLicense 15720878914 citations on this visit
14 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst's (LPA)'s LPA Shawna Doucette and LPA Kamaldeep Kaur arrived at the facility unannounced to conduct an annual inspection. LPA's rang the doorbell and there was no answer. LPA Doucette contacted the Administrator via telephone. Administrator Ana Liza Aratea responded to the facility to meet LPA's to conduct the visit. LPA's entered the facility with Administrator. Administrator walked directly to the medication cabinet which was unlocked and began locking the medication cabinets which were located in the kitchen. LPA's observed medication in a medication cup on the kitchen counter unlocked and accessible to a resident in the dining room. Staff was not in the kitchen at the time of entry. A tour of the facility was conducted with the Administrator. The residence was set at 75 F temperature and free of passageway obstructions inside and outside. Facility had a 7 day non perishable food supply however did not have two day supply of perishable. LPA's did not observe any milk or eggs and food supply was low. LPA's took photos. Facility had food locked in food pantry. Cleaning supplies were locked 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 06/03/24. LPA checked water temperature which measured at 115.5 F. Resident, medication and staff records were reviewed. LPA observed medication errors for R1. R1 medication count did not match start date on centrally stored log. Start dates were pre logged for 10/18/24. R1's medication was instructed to be given twice a day and facility was only administering one time per day. Facility was administering medications with no prescription labels. LPA took photos of medications. Facility staff did not have hospice or home health training for residents of hospice to meet residents specific needs. Facility did not have complete home health care plans or complete hospice care plans for all residents. R3 did not have a primary or secondary diagnosis listed on R3's physician's report. R1, R2 and R4 did not have updated physician reports for change in condition. Current first aid and CPR were reviewed. Administrator does not have a current Administrator Certificate. LPA's checked the pending list and Administrator's certificate does not show pending. Administrator was not able to provide personnel file, stating it was lost. Residents in Bedroom 1 and in Bedroom 2 had full bed rails without a physician order. LPA's reviewed facility Plan of Operation which did not contain a plan for bedridden residents in care. LPA Doucette requested Licensee to submit complete current plan of operation. Refer to 809d for deficiencies. Civil Penalties were issued for repeat violations. A copy of this report with plan of correction and appeal rights were provided to the Administrator.

Citations

14 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.

  • 87412(a)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Licensee did not have a personnel file for Administrator and stated it was lost, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87458(b)(1)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Licensee did not have a primary or secondary diagnosis for R3 on the physician report, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87463(a)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Licensee did not update the medical reappraisal for 3 out of 4 residents who's condition changed which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(a)(4)Type A

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Licensee did not administer R1's medication every 12 hours as prescribed, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87465(h)(3)Type A

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Licensee did not have prescriptions with labels for R1's medications, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87555(b)(26)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Licensee did not have any milk or eggs and was very low on other perishable items, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87606(f)(1)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Licensee did not have bedridden in the facility's plan of operation, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87608(a)(5)(B)Type A

    Based on observation, interview and record review, the licensee did not comply with the section cited above in 2 out of 4 residents observed with full bed rails with no physicians orders, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87633(b)(4)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Licensee does not have current and complete hospice care plans for 3 out of 4 residents in care, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87633(b)(6)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Licensee did not have hospice training for each residents specific needs, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(a)(6)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Licensee did not keep an accurate centrally stored log for R1 by logging a future start date of 10/18/24, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1560.75(a)(4)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Licensee did not have a care plan for R3 or home health notes of care being provided, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87405(a)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Licensee does not have a qualified Administrator, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(h)(2)Type A

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Licensee did not have medications locked when LPA's arrived at the facility and medications were left unattended on the kitchen counter, 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 October 16, 2024 inspection of SIMPLY CARING ANGELS LLC?

This was a inspection inspection of SIMPLY CARING ANGELS LLC on October 16, 2024. 14 citations were issued: 4 Type A (serious) and 10 Type B.

Were any citations issued to SIMPLY CARING ANGELS LLC on October 16, 2024?

Yes, 14 citations were issued (4 Type A, 10 Type B). The first citation was for: "Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Licens..."

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.