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Inspection visit

Correction check

DEVONSHIRE ELDERLY CARELicense 197609500
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

An unannounced Plan of Correction (POC) visit was conducted on this day by Licensing Program Analysts (LPAs) Angela Panushkina and Melissa Ruiz. The purpose of this visit is to follow up on the pending Plan of Corrections (POCs) that were issued during the complaint visit conducted on 03/16/22 by LPAs Melissa Ruiz and Joselyn Martinez. Upon arrival to the facility LPA's met with Farah Bangash. The Licensing Report issued on 03/16/22 gave notice to the licensee that failure to correct the cited deficiencies within a specified length of time would result in civil penalties being issued. From 10:20am to 11:30am a physical plant tour was conducted with the Designee, Maria Bangash. LPAs informed the Administrator the deficiencies were cleared. At 3:00pm, LPA Panushkina emailed the POC letter via email to the Administrator. 87705 (f)(1)(2) Care of Persons with Dementia . POC submitted on 03/20/22 87204(a) Limitations-Capacity and Ambulatory Status. POC submitted on 03/16/22 87411(a) Personnel Requirements-General. POC submitted on 03/20/22 87506(a) Resident Records. POC submitted on 03/20/22 Continue on LIC809-C 87506(c)(1) Resident Records . POC submitted on 03/20/22 87303(a) Maintenance and Operation . POC submitted on 03/20/22 87307(d)(2) Personal Accommodations and Services . POC submitted Exit interview conducted and copy of this report was emailed to the Administrator.

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 other inspection of DEVONSHIRE ELDERLY CARE on March 24, 2022. The inspection found no deficiencies and no citations were issued.

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

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

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.