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Inspection visit

Correction check

JBM RESIDENCE HOME, INC.License 1976070124 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Evelin Rios conducted a Plan of Correction (POC) Visit. LPA Rios met with Licensee Josephine Miranda. Entrance interview was conducted. Purpose of the visit was explained. LPA conducted a physical plant tour of the facility. LPA reviewed POCs that have not been completed. LPA provided Licensee a Non-Compliance Conference letter requesting the Licensee and Administrator to attend a meeting in the Woodland Hills South Regional Office (RO) The following deficiency were not corrected: Health and Safety Code 1569.605 : Licensee did not maintain liability insurance. POC has not been cleared as of POC due date 08/29/2025. 87615(a)(1) Prohibited Health Conditions : Licensee retained R1 who is not receiving hospice services and has a Stage 4 pressure injury . Licensee agreed to submit an exception letter to CCLD to retain resident with a prohibited health conditio n. Licensee failed to p ro vide exception letter by POC due date 08/12/25. 87202(a)(2) Fire Clearance: Facility has fire clearance for one (01) bedridden resident in room #3, and based on physician's reports the facility currently has two (02) bedridden residents. POC has not been cleared as of due date 08/11/2025. The facility removed bed rails that extend the entire length of the bed for R1 and replaced them with half bed rails. Although a bed rail that extends from the head half the length of the bed and used only for assistance with mobility is allowed the facility has not obtained a written order from a physician indicating the need for the postural support. Exit interview conducted. Deficiency cited (refer to LIC809-D). Civil Penalty Assessed for failure to correct (refer to LIC421FC). Appeals rights provided. Copy of report provided.

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.

  • 1569.605Type A

    ...all residential care facilities for the elderly,... shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, ... This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in not maintaining liability insurance which poses a potential health, safety or personal rights risk to persons in care.

  • 87202(a)(2)Type A

    (a) All facilities shall maintain a fire clearance...Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance...(2)Bedridden persons. This requirement is not met as evidenced by: Based on record review the licensee did not comply with the section cited above in that the facility has fire clearance for one bedridden resident and the facility currently has two bedridden residents which poses an immediate health, safety or personal rights risk to persons in care.

  • 87608(a)(3)Type A

    (a) Based on the individual's ... appraisal... Postural supports may be used under the following conditions. (3)A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. This requirement is not met as evidenced by: Licensee did not comply with the section cited above by not obtaining a written order from a physician indicating the need for bed rail that extends from the head half the length of the bed which poses an immediate health, safety personal rights risk.

  • 87615(a)(1)Type A

    (a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: (1) Stage 3 and 4 pressure injuries. This requirement is not met as evidenced by: Based on record review and interviews the licensee did not comply with the section cited above by retaining R1 who is not receiving hospice services and has a unstageable wound which 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 September 5, 2025 inspection of JBM RESIDENCE HOME, INC.?

This was a other inspection of JBM RESIDENCE HOME, INC. on September 5, 2025. 4 citations were issued: 4 Type A (serious).

Were any citations issued to JBM RESIDENCE HOME, INC. on September 5, 2025?

Yes, 4 citations were issued (4 Type A, 0 Type B). The first citation was for: "...all residential care facilities for the elderly,... shall maintain liability insurance covering injury to residents a..."

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.