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Inspection visit

Routine inspection

LERWICK HOME CARELicense 1572092998 citations on this visit
8 citations recorded

Inspector’s narrative

What the inspector wrote

On 01/21/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. introduce self, stated the purpose of the visit and met Licensee/ Administrator (L1) Socorro Ann Telmo. LPA toured facility with L1. All residents were present during inspection of which 3 residents are receiving hospice care. Residents were observed sitting in the common areas and in the bedroom during tour. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside. An adequate supply of perishable and non-perishable food was observed. At 12:25PM, LPA observed expired perishable foods and snacks in the pantry. Refrigerator temperature is maintained at 36 degrees F and freezer at 0 degrees F. Chemicals were observed locked under kitchen sink. LPA and L1 observed cleaning chemicals stored in garage cabinet unlock. A shovel was observed placed next on the outside of the garage cabinet. A bug spray bottle and car oil bottles were observed stored in the back of the garage unlock. LPA continue toured inside the facility LPA and L1 observed a tool ranch stored unlock in the kitchen drawer. Knives were observed lock under kitchen counter. Medications were observed locked in kitchen shelves. MARs were reviewed and medications were checked. Fire extinguisher was observed with a service date of: 03/08/24. Last fire drill completed on 01/18/25. All bedrooms were observed to have the required furnishings and with adequate lightening. Extra linens were observed. The bathrooms were toured and observed operational during inspection. Non-skid mat and grabbed bars were observed. Hot water temperature was tested at 118.6 degree F in the bathroom 1 and 119.3 degree F in bathroom 2. Outside of facility toured and observed to be free of debris. Side gate observed self-closing and self-latching. Adequate outdoor seatings available for residents. All residents’ and a sample of staff files were reviewed. Carbon monoxide and smoke detector operational during visit. Technical Support Program (TSP) assistance was offered to Licensee. Licensee will make a decision and reach out the department regarding acceptance. A deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit interview conducted. The following documents are requested and submitted to Fresno CCL by: 01/27/25. The following updated forms were requested: Lic 500, Lic 610E, and current liability insurance. A copy of this report and appeal rights was provided to Licensee, whose signature on this form confirms receipt of these report.

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.

  • 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 when LPA observed a tool ranch in kitchen drawer, bug spray with car oil stored in the back of the garage, a shovel stored next to chemical cabinet, and chemical cabinet in the garage lock was loose and unlock, this poses an immediate health, safety or personal rights risk to persons in care.

  • 87465(c)(2)Type A

    Give PRN medication by physician order

    Based on records review and observation, staff did not administer R1’s medication Furosemide 20 mg and medication Cephalexin 500 mg as directed by physician. Staff did not administer R2’s medication Atorvastatin 40 mg and medication Amlodipine 10 mg as directed by physician, which poses an immediate health and safety risk for the person in care.

  • 87465(d)(3)Type A

    Record dose details and resident medication response

    Based on records review and interviews, staff have administered medications and not documented in the MARs for R1’s medication Furosemide 20 mg, Cephalexin 500 mg, R4 medication Tylenol 325 mg, and R2’s medication Tylenol 650mg in the MARs. Staff confirmed and stated all the residents’ medications were administered on 01/21/25 at 08:00AM and was not record, which poses an immediate health and safety risk for the person in care.

  • 87633(b)Type B

    Facility must keep complete hospice care plan on file

    Based on record review, the licensee did not comply with the section cited above in when 1 out of 3 residents whose receiving Hospice care did not have a hospice care plan on file. R3 files were reviewed and confirmed by Licensee that the files did not contain Hospice Plan of care, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87411(f)Type B

    Health screening and fitness requirements

    Based on records review, S1 did not have a good health screening and TB result on file and was confirmed by Licensee, which poses a potential risk to the health and safety of the residents.

  • 87455(b)(9)Type A

    Based on records reviewed and observation, the facility has hospice waiver for 2 residents and had obtain 3 residents on hospice care, which poses/posed an immediate health, safety or personal rights risk to persons in care.

  • 87458(c)(1)(A)Type B

    Record findings for communicable tuberculosis conditions

    Based on records reviewed, residents’ files were reviewed, 1 out of 6 residents do not have TB result on file. Licensee confirmed R1 do not have TB results on file, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87555(b)(8)Type A

    Food quality controls and rejected damaged goods

    Based on observation, multiple expired nonperishable food and snacks was observed in pantry, 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 January 21, 2025 inspection of LERWICK HOME CARE?

This was an inspection of LERWICK HOME CARE on January 21, 2025. 8 citations were issued: 5 Type A (serious) and 3 Type B.

Were any citations issued to LERWICK HOME CARE on January 21, 2025?

Yes, 8 citations were issued (5 Type A, 3 Type B). The first citation was for: "Based on observation, the Licensee did not comply with the section cited above when LPA observed a tool ranch in kitchen..."

What type of inspection was this?

This was an 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.