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Inspection visit

Routine inspection

DIVINE MERCY CARE HOMESLicense 1572093924 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

On 03/04/26, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. LPA introduce self, stated the purpose of the visit and requested to meet with Administrator. LPA met with designee Virginia Ramos. Administrator Neil Orillosa was called and stated unable to attend meeting. Administrator authorized staff (S1) Rachel Gamet to sign reports for the visit. LPA toured facility with S1. 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. Chemicals were observed unlocked under kitchen sink. Medications were observed locked in kitchen shelf. All residents MARS were reviewed and medications were checked. Fire extinguisher was observed with a service date: 03/31/25. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature is maintained at 40 degrees F and freezer at 0 degrees F. Cleaning supplies and chemicals stored and unlocked under kitchen sink. Sharps observed locked in kitchen shelf. Extra linens and towels were observed. All bedrooms were observed with adequate lighting. LPA observed to hospice residents lying in bed with full rail. The bathrooms were toured and observed operational during inspection. Hot water temperature was tested at 105.2 degree F in hall bathroom and 107.2 degree F in shared master bathroom. Outside of facility toured and observed to be free of debris. Adequate outdoor seatings available for clients. Side gate observed self-latching and self-closing. All residents and a sample of staff files were reviewed. A deficiency is being cited, per California Code of Regulations, Title 22, Division 6, see attached Lic 809D. Exit Interview conducted. LPA received copies of Lic 308, Lic 500, Lic 610E, and current liability insurance to CCL by 03/10/26. POC was discussed with Administrator via telephone. A copy of this report and appeal rights were provided to Administrator via email as requested.

Citations

4 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(c)(2)Type A

    Give PRN medication by physician order

    Based on records reviewed and interview conducted with Licensee, R2’s one out of two medication, R3’s two out of three medications, and R4’s one out of four medications were not administered as prescribed by physician, which poses/ posed a potential health and safety risk for the person in care.

  • 87465(d)(3)Type A

    Record dose details and resident medication response

    Based on interview conducted, observations, and records reviewed, four out of four resident taking medications, staff did not record medication were administered from 02/26/26 to 3/4/26. R2, R3, R4’s and R5’s PRN medications were not recorded in the MAR. R3’s Acetaminophen medication, R4’s Tylenol medication, and R5’s Lomotil and Miralax medications record in MARs and not centrally stored in the facility, which poses an immediate health and safety risk for the person in care.

  • 87465(h)(6)Type A

    Record centrally stored prescriptions and refill data

    Based on observation and records reviewed, R3’s PRN medications were not recorded in the Lic 622. R5’s PRN medication Geri-Tussin DM expect was not recorded in the Lic 622, which poses/posed a potential health and safety and personal rights risk to the resident 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 when LPA reviewed R1, R2, R3 and R5 who are currently receiving hospice care with no current hospice care plan on file, which poses a potential health or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 4, 2026 inspection of DIVINE MERCY CARE HOMES?

This was an inspection of DIVINE MERCY CARE HOMES on March 4, 2026. 4 citations were issued: 3 Type A (serious) and 1 Type B.

Were any citations issued to DIVINE MERCY CARE HOMES on March 4, 2026?

Yes, 4 citations were issued (3 Type A, 1 Type B). The first citation was for: "Based on records reviewed and interview conducted with Licensee, R2’s one out of two medication, R3’s two out of three m..."

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.