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Inspection visit

Follow-up on corrections

JBM RESIDENCE HOME, INC.License 1976070122 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Evelin Rios conducted unannounced Case Management - Deficiencies visit to this facility in conjunction with a complaint control #31-AS-20240125095336. LPA met with the Administrator, Josephine Miranda and explained the reason for the visit. 1. Administrator was not able to provide LPA with a current Administrator certificate. According to administrator they have completed training and will be sending it to Sacramento to complete re-certification. 2. Review of six (6) out of six (6) staff records revealed no 1st aid or CPR on file for staff. Deficiencies cited (refer to LIC 809D). Exit interview conducted, appeal rights and copy of report signed and delivered.

Citations

3 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.

  • 87411(a)Type A

    Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement is not met as evidenced by: Based on the LPA's record review and interviews, the licensee did not comply with the section cited above in 2 staff not having on going training on file and S1 and administrator who was also working other shifts providing care for 5 residents which posed an immediate health, safety or personal rights risk to persons in care.

  • 87407(e)(1)Type B

    87407 (e)To apply for recertification after the expiration date of the certificate, but within four (4) years of the certificate expiration date, the certificate holder shall submit to the Department’s Administrator Certification Section: (1) A completed Application for Administrator Certification form LIC 9214. (2)Evidence of completion of the required continuing education hours…(3)Payment of a non-refundable delinquency fee…This requirement is not met as evidenced by: During today's inspection, the Administrator has failed to renew Administrator's certificate, or provide proof payment or training submission has been sent to Sacramento which poses an potential health, safety or personal rights risk to persons in care.

  • 87411(c)(1)Type B

    (c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training...(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross.This requirement is not met as evidenced by: Based on the LPA's record review and interviews, the licensee did not comply with the section cited above in 6 staff not having active 1st aid and CPR certification which poses an potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the November 19, 2024 inspection of JBM RESIDENCE HOME, INC.?

This was a other inspection of JBM RESIDENCE HOME, INC. on November 19, 2024. 2 citations were issued: 2 Type B.

Were any citations issued to JBM RESIDENCE HOME, INC. on November 19, 2024?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet ..."

What type of inspection was this?

This was a other inspection. other 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.