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Inspection visit

Follow-up on corrections

DEVONSHIRE ELDERLY CARELicense 1976095004 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

On 10/09/24, at 9:00am Licensing Program Analyst (LPAs) Gina Saucedo, Angelica Segovia and Licensing Program Manager (LPM) Troy Agard conducted an unannounced visit to this facility for deficiencies. During the Physical Tour and Records Review, LPA's and LPM observed: A health screening was missing for one (1) of the staff currently working/associated with the above facility. A Physician's Report was missing not showing the tuberculosis screening for one (1) of the residents. The Facility was in disrepair missing ceiling panels in the kitchen, the fireplace covering has to be attached a broken sliding door in one (1) of the resident's room is broken and a broken door leading to the entrance/exit of the facility has to be repaired. A staff that does not have the proper documentation/association to work at the above facility. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies are cited and noted on LIC 809D. Exit interview conducted, appeal rights and copy of report signed and delivered to the Administrator.

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.

  • 87303(a)Type B

    87303 (a)The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. Thisrequirement is not met as evidenced by: Based on the LPA observation and interviews the licensee/administrator did not ensure four (4) out of four (4) damages at the facility to be in repaired at all times which poses a Potential Health, Safety or Personal Rights risks to persons in care.

  • 87355(e)(1)Type A

    Criminal Clearance 87355(e)(1) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (1)Obtain a California clearance or a criminal record exemption as required by the Department This requirement is not met as evidenced by: Licensee failed to obtain criminal clearance/background association for an indvidual that is currently working as a staff which poses an Immediate Health, Safety or Personal Rights risks to persons in care.

  • 87411(f)Type B

    87411(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure.Thisrequirement is not met as evidenced by: Based on the LPA observation and interviews the licensee/administrator did not ensure one (1) out of five (5) staff had a health screening which poses a Potential Health, Safety or Personal Rights risks to persons in care.

  • 87458(b)(1)Type B

    87458(b)(1)-The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the physician's primary diagnosis/secondary diagnosis,...results of an examination for communicable tuberculosis, other diseases...This requirement is not met as evidenced by: Based on the LPA observation and interviews the licensee/administrator did not ensure one (1) out of six (6) residents to have their Physican's Report and tuberculosis paperwork which poses a Potential Health, Safety or Personal Rights risks to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 9, 2024 inspection of DEVONSHIRE ELDERLY CARE?

This was a other inspection of DEVONSHIRE ELDERLY CARE on October 9, 2024. 4 citations were issued: 1 Type A (serious) and 3 Type B.

Were any citations issued to DEVONSHIRE ELDERLY CARE on October 9, 2024?

Yes, 4 citations were issued (1 Type A, 3 Type B). The first citation was for: "87303 (a)The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provisi..."

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.