Inspection visit

Routine inspectionJune 19, 2024

QUALITY CARE ASSISTED LIVINGLicense 15720914619 citations on this visit

19 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analysts (LPA)'s Shawna Doucette and Brianna Miranda arrived at the facility unannounced to conduct the Required Annual Inspection. LPA's were granted entry by Staff Krizia Adajar. S LPA's met with Administrator Nancy Cudal. Licensee Representative Kristine Juarez responded to the facility to assist with the visit. LPAs toured the facility inside and out. LPAs observed adequate food supply. When entering the facility there was an urine odor. Carbon monoxide detector were tested and are in working order. Facility has pull station fire alarm with sprinkler system. Fire extinguishers were serviced 2/29/24, LPAs observed one extinguisher to not have charge. Water temperature in R3 (128.1) & R5 (139.9) were over the allowed temperature. LPAs observed the following deficiencies: Sample of resident files were reviewed- R3's physician report was not complete and was missing DX. Resident files did not have PRN orders from physician, no plan of care for residents with restricted. LPAs observed hospice records which were not complete. LPAs observed room 38 to have buildup in the shower. LPAs observed broken window, screens missing from windows, and screen torn. LPAs observed ice machine to have mold, on the side of the facility was broken furniture and other items. Sample of staff files were reviewed and LPAs observed staff training to not be current or documented properly. Licensee did not have documentation for staff training for resident on hospice. LPA observed a sample of resident's medication which were not recorded on centrally stored log and were not stored properly (R1). R1 did not receive medication from 11/2023 through 4/2024, facility does not have document records for this time period. LPA's observed cleaning supplies to be in unlocked closets and outdoors on side of facility accessible to residents. LPAs observed Administrator working in facility without being associated to the facility since May 2024. LPA's observed R6 to have full bed rails with no physician's order. Hospice order states R6 is approved for half bed rails. Deficiencies were cited on LIC809D and civil penalties were issued. Exit interview was completed, a copy of this report LIC809, LIC809D, and appeal rights were provided to Licensee Representative Kristine Juarez.

Citations

19 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.

1569.625(b)(2)Type B
Based on observation, interview, & record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. Licensee did not have documentation to verify training was completed.
1569.69(a)(1)Type B
Based on observation, interview, record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. Licensee failed to document training completed by staff.
1569.696(a)Type B
Based on observation, interview, & record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. Licensee failed to document the number of hours completed for training.
1569.696(a)(1)Type B
Based on observation, interview, & record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. Licensee failed to document the number of hours completed for training.
87303(a)Type B
Maintain facility in clean, safe, sanitary condition
Based on observation, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. Broken window, screens torn, mold in ice maker, trash and misc. items along the side of the facility (pictures). Room 38's shower had mildew buildup (picture). Sliding door to courtyard does not open and close properly.
87303(e)(2)Type A
Provide resident hot water for personal care
Based on observation, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. R3 & R5 water temperatures were above the allowed limit. R3 was 128.1 and R5 was 139.9
87309(a)Type A
Ensure hazardous items are locked and not unattended
Based on [(observation), the licensee did not comply with the section cited above in Licensee had cleaning supplies in unlocked closets and outdoors on the outside yard of the facility accessible to residents, which poses an immediate health, safety or personal rights risk to persons in care.
87355(e)(3)Type A
Request a transfer of criminal record clearance
Based on observation, interview, record review, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. Staff listed in the facility as the Administrator was not associated to the facility. Administrator was working in the facility for 2 months before being properly associated to the facility.
87411(a)Type B
Facility personnel sufficiency and competence
Based on observation, interview, & record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. After conducting interviews with staff it was stated Administrator assists with MedTech and Caregiver duties when there is not enough staff.
87458(b)(1)Type B
Based on observation, interview, & record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. Licensee failed to maintain R3's physician report which did not have diagnosis listed.
87465(a)(4)Type A
Assist residents with self-administered medication
Based on observation, interview, record review, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. R1 had not received insulin medication from November 2023 to April 2024.
87465(a)(5)Type A
Limit staff assistance with self-administered drugs
Based on interview & record review, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. Interviewees (staff and residents) stated glucose testing is conducted by staff. R2 & R3's physician reports state the residents cannot administer self injection or conduct own glucose testing.
87465(c)(1)Type B
Require physician-written PRN medication directions
Based on observation, interview, & record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. Facility did not to have proper doctor's orders for resident's PRNs
87465(e)Type B
Require physician order and label for PRN medication
Based on observation, interview, & record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. LPA observed resident files which did not have doctor's orders for PRN medication.
87465(h)(5)Type B
Keep prescriptions in original containers
Based on observation, interview, & record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. LPA observed medication not being stored in original containers, and being placed in envelopes to be passed out in the evenings.
87506(b)(11)Type B
Based on observation, interview, & record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. Licensee did not to have required documentation for R1, R2, R3, R4, & R5
87506(b)(13)Type B
Based on observation, interview, & record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. Licensee did not keep record of R1's medical needs when R1 refuses treatment.
87555(b)(17)Type B
Based on observation, interview, record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. Licensee failed to have consultation services provided in the facility for food services and document consultation services.
87608(a)(5)(B)Type A
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Licensee did not have a physician note for R6 to have full bed rails 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 June 19, 2024 inspection of QUALITY CARE ASSISTED LIVING?

This was an inspection of QUALITY CARE ASSISTED LIVING on June 19, 2024. 19 citations were issued: 6 Type A (serious) and 13 Type B.

Were any citations issued to QUALITY CARE ASSISTED LIVING on June 19, 2024?

Yes, 19 citations were issued (6 Type A, 13 Type B). The first citation was for: "Based on observation, interview, & record review, the licensee did not comply with the section cited above which poses/p..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLD View original report

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Data from CCLD public records. Last updated June 15, 2026. If you believe any information is inaccurate, report it here.

Routine inspection·June 19, 2024