Inspection visit

Routine inspectionJuly 26, 2022

DIGNITY CARE HOME #1License 19760848918 citations on this visit

18 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analysts (LPA's), Yelena Avetisyan and Evelin Rios, conducted an unannounced Required 1 Year inspection. Upon arrival LPA's met with the staff who contacted the administrator via telephone. Administrator Raymond M. Viray arrived approximately 10::45 am. At approximately 10:35 am LPA's observed staff 2 (S2) walk outside the facility towards the exit door located in the office area and unlock the exit door from the outside. Approximately 10:40 am LPA's conducted physical plan inspection and observed the following. BEDROOMS: The five resident bedrooms had appropriate furnishings, clean linens and sufficient lighting. While touring the rooms at approximately 10:42 am LPA's observed half rail placed on bed in room # 1, room # 2, Room # 3 and room #5. LPA's also observed full rail being utilized in room # 5. LPA's also observed exit doorknob in room #5 with a cover to prevent the door from opening. LPA's also observed The LPA's conducted review of resident and hospice files and did not observe physicians orders for the half rails. Review of hospice care plan for resident #5 did not indicate the need for the full rails. Approximately 10:42 am while conducting physical plant tour LPA's briefly spoke with Staff 1 (S1) who informed the LPA's that they reposition Resident 1 (R1)Resident 2 (R2), Resident 3(R3). RESTROOMS: Restrooms (2) were clean and sanitary with grab bars and non-skid surfaces. The LPA observed hand washing signs in all restrooms. At approximately 10:52 am while touring the office area LPA's observed a second fire extinguisher that was inspected/serviced on 1/11/2019 KITCHEN: Knives and chemicals are locked inaccessible. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable but did not have sufficient 7 day supply of non-perishable food. At 10:58 am while touring the kitchen LPA's observed the fire extinguisher was serviced on 1/11/2019. COMMON SPACES: The facility maintained a comfortable temperature. Required postings were observed on the front door. The backyard had furniture and a covered area for resident use. The facility has an in ground swimming pool which was appropriately fenced. At approximately 10:50 am LPA's observed both pool gates/doors to be unlocked at the time of the visit. At approximately 11:00 am LPA's conducted interview with LVN from Ann Hospice regarding the 5 residents who are receiving hospice care from their agency. INFECTION CONTROL: The licensee has a central entry point for universal screening and temperature checks, the staff did not ask the LPA's screening questions nor were the LPA’s temperature taken at the time of the visit. Additionally Staff did not perform symptom screening or temperature check for hospice staff. There were COVID-19 signs that promoted hand hygiene, physical distancing, and cough/sneeze etiquette. There is sanitizer available for use throughout the facility. The facility’s cleaning protocol is sufficient. The licensee can designate a single-person room to isolate persons if there is a confirmed case of COVID-19 Staff are up to date regarding guidelines around visitation and vaccine requirements. Licensee/Administrator did not provide staff training on their mitigation plan, did not provide staff infection control training and did not provide N95 fit testing as required. From Approximately 11:30 am LPA's conducted review resident and staff records. Resident records reviewed revealed the following. Licensee did not have complete file for 4 out of 6 residents. Licensee is currently retaining 5 residents on hospice, but has and approved hospice waiver for 4 residents. Based on review of records, resident, staff and hospice staff interviews 4 out of 6 resident are Bedridden. Licensee does not have current physicians report for R3 who has a diagnosis of Major Neurocognitive disorder. Physicians report for other 5 residents were outdated and did not reflect changes in the residents conditions. Staff files were complete with all required documents, however staff did not have the required annual and medication training. A discussion was held with the licensee regarding the training requirements. The following deficiencies were observed (See LIC 809-D.) and cited from the CA Code of Regulations, Title 22. Exit interview conducted, a copy of the report and appeal rights were issued.

Citations

18 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.

1569.69(a)Type A
Based on interview, record review, the licensee did not comply with the section cited above by not providing medication training to all staff which poses an immediate health, safety or personal rights risk to persons in care.
1569.695(a)Type B
Based on interview, record review, the licensee did not comply with the section cited above by not completing/maintaining an updated Emergency Disaster Plan which poses/posed a potential health, safety or personal rights risk to persons in care.
87202(a)(2)Type A
Based on observation, interview, record review, the licensee did not comply with the section cited above by admitting/retaining 4 bedridden residents which poses an immediate health, safety or personal rights risk to persons in care.
87203Type A
Based on observation and interview, the licensee/administrators did not comply with the section cited as the 2 fire extinguishers were serviced/inspected 1/11/2019 which poses an immediate health, safety or personal rights risk to persons in care.
87405(d)Type B
Based on observation, interview, record review, and citation issued during the visit, the licensee did not comply with the section cited above by not ensuring the administrator has knowledge of and ability to conform to the applicable laws rules and regulations, which poses a potential health and safety and personal right risk to persons in care
87465(c)(3)Type B
Based on medication and record review, the licensee did not comply with the section cited above by not documenting date and time PRN medications are taken. which poses a potential health, safety or personal rights risk to persons in care.
87468.1(a)(2)Type B
Based on observation a, the licensee did not comply with the section cited above by not conducting/documenting routine symptom screening for staff and visitors which poses a potential health, safety or personal rights risk to persons in care.
87468(d)Type B
Based on observation, the licensee did not comply with the section cited above by not having the required postings which poses a potential health, safety or personal rights risk to persons in care.
87506(a)Type B
Based on record review, the licensee did not comply with the section cited above by not maintaining current records for 4 out of 6 residents which poses a potential health, safety or personal rights risk to persons in care.
87555(b)(26)Type B
Based on observation, the licensee did not comply with the section cited above by not having sufficient supply of non-perishable food at the facility which poses a potential health, safety or personal rights risk to persons in care.
87606(f)(3)Type B
Based on interview and record review, the licensee did not comply with the section cited above by ensuring staff receive training specific to bedridden residents which poses a potential health, safety or personal rights risk to persons in care.
87608(a)(3)Type B
Based on observation and record review the licensee did not comply with the section cited above by utilizing half bed rails for 4 residents without a written order from the physician which poses a potential health, safety or personal rights risk to persons in care.
87608(a)(5)(B)Type A
Based on observation and record review, the licensee did not comply with the section cited above by not ensuring a current hospice care plan which indicated the need for a full rail is obtained for R5 which poses an immediate health, safety or personal rights risk to persons in care..
87705(c)(5)Type B
Based on record review, the licensee did not comply with the section cited above by not having an annual medical assessment for 1 out of 6 residents which poses a potential health, safety or personal rights risk to persons in care.
87705(e)Type A
Based on observation, the licensee did not comply with the section cited above, as the gates leading to the swimming pool were not locked, which poses an immediate health, safety or personal rights risk to persons in care.
87705(I)(5)Type A
Based on observations and interview, the licensee did not comply with the section cited above securing exit doorknobs and key locking exit door in the office area preventing the doors from opening which poses an immediate health, safety or personal rights risk to persons in care.
1569.625(b)(2)Type A
Based on interview, record review, the licensee did not comply with the section cited above by not ensuring staff receive the required annual training poses an immediate health, safety or personal rights risk to persons in care.
87411(d)(5)Type B
Based on interview and record review, the licensee did not comply with the section cited above in by not ensuring staff are fit tested for N95 masks as required and indicated in the licensees mitigation plan which poses a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the July 26, 2022 inspection of DIGNITY CARE HOME #1?

This was a inspection inspection of DIGNITY CARE HOME #1 on July 26, 2022. 18 citations were issued: 7 Type A (serious) and 11 Type B.

Were any citations issued to DIGNITY CARE HOME #1 on July 26, 2022?

Yes, 18 citations were issued (7 Type A, 11 Type B). The first citation was for: "Based on interview, record review, the licensee did not comply with the section cited above by not providing medication ..."

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 CCLD View original report

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CCLD public records. Last updated May 25, 2026. If you believe any information is inaccurate, report it here.

Routine inspection·July 26, 2022