Follow-up on corrections·October 28, 2025

Citations

4 citations recorded^*CCLD

• 87355(e)(2))Type A

  Criminal Record Clearance: All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: 2) Obtain a California clearance or a criminal record exemption as required by the Department or...This requirement was not met as evidenced by: Shazada A. Zholdoshova, Staff does not have an employee file and no evidence of a criminal record clearance. Per staff, it is her first day covering for Staff #2. Civil penalties were assessed.

• 87355(e)(3)Type A

  Request a transfer of criminal record clearance

  Criminal Record Clearance: All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: 3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or This requiement was not met as evidenced by: Svetlana Petrosian, an employee of the licensee at North Care Residential, Inc was observed at the home as staff from the licensees other facilities are used as backup staff and was not associated to the home

• 87632(d)(2)Type B

  Notification to department after hospice care starts

  Hospice Care Waiver: If the Department grants a hospice care waiver it shall stipulate terms and conditions of the waiver as necessary to ensure the well-being of terminally ill residents and of all other facility residents, which shall include, but not be limited to, the following requirements. The licensee shall notify the Department in writing within five working days of the initiation of hospice care services for any terminally ill resident in the facility or within five working days of admitting a resident already receiving hospice care services...... R1 through R4 are on hospice and was not reported

• 87465(g)Type A

  Call 9-1-1 for imminent health threats

  Incidental Medical and Dental Care :The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis except as specified in Sections 87469(c)(2), (c)(3), or (c)(4). This requirement was not met as evidenced by: Resident #1 slipped and fell from their bed and sustained a humeral fracture to the left arm, bruising and swelling to the forearm and elbow on 2/16/25 and 911 was not called to assess the resident and transported to the hospital until 2/21/25, 5 days after the fall.