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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 Shawna Doucette and Daiquiri Boyd arrived at the facility unannounced to conduct an annual inspection. LPA's were granted entry by Staff Normita Garcia. Staff contacted Administrator via telephone who responded to assist with the visit. A tour of the facility was conducted with the Administrator. The residence was set at 73 F temperature and free of passageway obstructions inside and outside. Facility had a 7 day nonperishable food supply and two day supply of perishable foods. Cleaning supplies were locked in a cabinet above the washing machine and under the kitchen sink. Smoke detectors and carbon monoxide detectors were checked and properly working. Fire extinguishers were charged and had service dates of 05/29/25. LPA checked water temperature which measured at 106.6 F. Medication was locked in a kitchen cabinet. Resident, medication and staff records were reviewed. Facility was administering an over the counter medication that was expired and not prescribed by physician for R1. Facility staff are utilizing a hoyer lift for R1 and do not have training. Staff are not logging resident responses for R1's PRN's that are administered. Facility does not have restricted health care plans for R2's restricted health condition. R2's LIC 602 states resident cannot do own injections or glucose testing. R12s LIC602 states R2 requires special diet. Staff do not have training for restricted health conditions. R2 and R3 do not have current Home Health Care Plans. R4 does not have a Home Health Care Plan. Facility staff do not have training for R2 and R3 restricted health conditions. R3 was prescribed a medication R3 never received on June 18, 2025. R3 went back to the doctor on July 8, 2025, which lists R3's medication as a current medication. Medication list shows prescribed from doctor orders, however facility never centrally stored or the administered medication. R3 has a restricted health condition however it is unknown if R3 still requires care for the restricted health condition. A copy of this report with plan of correction and appeal rights were provided to the Administrator.

Citations

9 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.

  • 87468.2(a)(1)Type A

    Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (1) To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations, use of the Internet, and meetings of resident and family groups. This requirement was not met as evidenced by all residents in care being montiored by a baby monitor in residents rooms and baby monitors for staff to listen on kitchen counter which poses an immediate health safety and or personal rights risk to residents in care.

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  • 87405(d)Type B

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

  • 87411(d)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in staff not having training for R3's hoyer lift, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87463(i)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in R3 removing R3's restricted health condition and facility not obtaining a reappraisal regarding the 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 (interview) (record review)], the licensee did not comply with the section cited above in not centrally storing or administering a medication for R3 that was prescribed on June, 18, 2025, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87465(c)(3)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in facility staff not logging response from R1 after administering PRN, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(e)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in administering an expired over the counter supplement to R1 that was not prescribed by a physician which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87609(b)(4)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in not having current home health care plans for R1, R2 and R3 and not having a Home Health Care Plan for R4, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87613(a)(2)(B)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in staff not having training for, R2 and R3's restricted health conditions, 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 7, 2025 inspection of SIMPLY CARING ANGELS LLC?

This was a inspection inspection of SIMPLY CARING ANGELS LLC on October 7, 2025. 8 citations were issued: 1 Type A (serious) and 7 Type B.

Were any citations issued to SIMPLY CARING ANGELS LLC on October 7, 2025?

Yes, 8 citations were issued (1 Type A, 7 Type B). The first citation was for: "Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section..."

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

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