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Inspection visit

complaint

DEVONSHIRE ELDERLY CARELicense 1976095002 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Based on Ombudsman observation and an interview conducted with the designee, this allegation is substantiated. On a visit conducted by LPA Shanahan on 3/10/22, a deficiency and civil penalty was issued regarding this allegation. A plan of correction of was issued as well. On today’s visit, LPA Ruiz asked for a written statement/agreement that Airbnb guests will not under any circumstances enter or use the facility premises. Allegation - Facility has expired foods. Allegation - Facility does not follow safe food handling practices. It was alleged that facility has expired foods. On a visit conducted by Ombudsman on 3/10/222, Ombudsman observed eggs in the refrigerator that had a “sell by” date of 2/17/22. Ombudsman also observed a container of rice in the refrigerator without a proper lid. Additionally, LPA Martinez issued an annual report on 3/16/22 stating “Food storage and preparation areas were dirty and need immediate cleaning. All three (3) refrigerators in the facility were observed to have food stains, crumbs, and old liquid spills from frozen meats.” Based on Ombudsman observation and LPA observation, these two (2) allegations are substantiated. Allegation - Administrator is not present at the facility a sufficient amount of time. It was alleged that the Administrator is not present at the facility. On 3/10/22 Ombudsman conducted a visit and neither the Administrator nor the designee were available at the time. On a visit conducted by LPA Ruiz and LPA Martinez on 3/16/22, LPAs met with designee Maria and were informed that the Administrator was “out of town”. On that day, LPAs checked records, and no notification was submitted to the Regional Office (RO) regarding the Administrator’s absence. On today’s visit, LPAs Ruiz and Panushkina were informed by the Administrator that she had returned to the country yesterday, 3/24/22. Administrator stated she forgot to notify our RO of her absence from 2/24/22 to 3/23/22. LPAs had a verbal conversation reminding the Administrator to notify the RO of planned or unforeseen absences. Based on observation, document review and interviews, this allegation is substantiated. Deficiencies were issued per CA code of Regulations Title 22. See 9099D's included with this report. Appeal rights issued. Report signed and delivered. Exit interview conducted.

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.

  • 87555(b)(28)Type B

    87555(b)(28) General Food Service Requirements All food shall be protected against contamination. Contaminated food shall be discarded immediately upon discovery.This requirement is not met as evidenced by: Based on food inspection conducted by Ombudsman on 3/10/22 it was observed that the facility kept expired eggs and rice without an appropriate cover in the refrigerator. Moreover on 3/16/22, LPAs observed 3 refrigerators with crumbs, stains and liquid spills from frozen meat. This poses a potential health and safety risk to the residents in care.

  • 87405(a)Type A

    87405 Administrator - Qualifications and Duties. (a) All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be one and the same person...This requirement is not met as evidenced by: Based on document review & observation, the Administrator didn’t comply with section cited above. On three separate visits, the Administrator was not present a sufficient number of hours to permit adequate attention to the management and administration of the facility resulting in multiple deficiencies & compliance issues. This an poses an immediate health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 24, 2022 inspection of DEVONSHIRE ELDERLY CARE?

This was a complaint inspection of DEVONSHIRE ELDERLY CARE on March 24, 2022. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to DEVONSHIRE ELDERLY CARE on March 24, 2022?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "87555(b)(28) General Food Service Requirements All food shall be protected against contamination. Contaminated food shal..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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