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Inspection visit

Routine inspection

MY HOME OF AGINGLicense 1958501462 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Zabel Chochain arrived at the facility unannounced to conduct a required Annual visit. LPA met with Administrator and Farnaz Servati and explained the reason for the visit. The LPA toured the physical plant areas inside and outside, with Administrator at 4pm., to ensure there are no health and safety hazards. BEDROOMS: There are (6) six bedrooms designated for resident use. Bedroom #1 has a direct exit to the exterior. The bedrooms are furnishing with clean linens, appropriate furnishings, and sufficient lighting for resident use. RESTROOMS: There are (4) four bathrooms designated for residents use. (2) two bathrooms are located inside the resident bedrooms and (2) two are located in the hallway. Bathrooms observed clean, sanitary, and in operating condition with grab bars and non-skid surfaces. Cleaning supplies observed in the restroom located in the hallway at approximately 4:35pm. Licensee/Administrator removed the four clean solution bottles and locked it in the garage during visit. KITCHEN: Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. All knives and cleaning supplies were observed to be properly stored and locked at time of visit. COMMON SPACES: The common spaces included the living room; dining area and office area. The LPA observed cameras in all common spaces and exterior. All areas were clean, sanitary and in good repair. Smoke detectors are hardwired and interconnected, there is a Carbon Monoxide detector installed at the facility. The fire extinguisher was observed to be in compliance within one year. The LPA observed required postings in the entrance hallway. BACKYARD: The backyard has a covered outdoor area equipped with furniture for resident use. There is a pool on the property that was observed to be gated and locked at the time of the visit. The LPA observed a Laundry room which is located inside the attached garage. Laundry detergents, cleaning supplies, pesticides, and/or toxins are also stored in the garage/laundry area. Due to time constraints, the annual inspection will be completed on a follow-up visit. The following deficiencies were observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Exit interview held. Copy of report and appeal rights provided.

Citations

2 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.

  • 87608(a)(1)Type B

    Based on observation and interview, the licensee did not comply with the section cited above. R1 was observed in a wheelchair with a tray attached in front which was observed strapped where resident is unable to release self out of wheelchair. Licensee/Administrator and staff released the straps. This posed a potential health, safety or personal rights risk to persons in care.

  • 87705(f)(2)Type B

    Based on observation, the licensee did not comply with the section cited above. LPA observed cleaing suppliesaccessible to resident in the restroom located in the hallway were resident bedrooms are located. This poses a potential health and safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 29, 2024 inspection of MY HOME OF AGING?

This was a inspection inspection of MY HOME OF AGING on May 29, 2024. 2 citations were issued: 2 Type B.

Were any citations issued to MY HOME OF AGING on May 29, 2024?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "Based on observation and interview, the licensee did not comply with the section cited above. R1 was observed in a whee..."

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.