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Inspection visit

complaint

CALIFORNIA STATE HEALTH GROUP LLCLicense 1976101111 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This is an amendment of the original report issued 01-10-2024 to clarify the complaint findings. Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an unannounced subsequent complaint visit to deliver the finding for the above stated allegation. LPA met with the administrator and explained the reason for the visit. Today 1.10.2024 LPA conducted a tour of the home at 9:35AM. A black moldy patch was observed in bedroom three (3) on the base of the wall 2x2 inches in size. The Administrator (S1) was aware and acknowledged the presence of mold on the base of the wall in bedroom #3 and stated that there was a plumbing issue in bedroom #3 bathroom which caused the mold. The Administrator advice LPA that this is scheduled to be fixed and removed on 1.15.2024. An interview with staff member (S2) also confirmed and acknowledged mold formation in bedroom #3. Therefore, based on interviews, observation, and document review, there is sufficient information to support the allegation. Therefore, this allegation is deemed Substantiated. Deficiencies were issued and recorded on LIC 9099-D. Exit interview conducted. Report signed and delivered. Appeal rights delivered.

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.

  • 87625(b)(3)Type B

    Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence.

  • 87303(a)Type A

    The facility shall be clean, safe, sanitary at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees, and visitors. This requirement is not met as evidenced by: Based on inspection, and observation the licensee did not ensure that the facility is safe and sanitary for wellbeing of residents and others. LPA observed mold in residents’ bedroom # 3. This poses a potential health, safety risk and personal rights violation to residents in care.

  • 87307(d)(2)Type B

    Personal Accommodations and Services (d) The following space & safety provisions shall apply to all facilities: (2) The premises shall be maintained in a state of good repair & shall provide a safe & healthful environment. This requirement was not met as evidenced by: This was observed with LPM and LPA R1 used a white shoelace like rope to tie the handles of the cabinet to safeguard belongings. The allegation is substantiated and is an immediate health and safety risk to residents in care.

  • 87411Type B

    Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.

FAQ · About this visit

Common questions about this visit

What happened during the January 10, 2024 inspection of CALIFORNIA STATE HEALTH GROUP LLC?

This was a complaint inspection of CALIFORNIA STATE HEALTH GROUP LLC on January 10, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to CALIFORNIA STATE HEALTH GROUP LLC on January 10, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence..."

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