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Inspection visit

complaint

ANNIKA GRACE CARE HOMELicense 1976101781 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

(LIC9099-C Continued) Interview with the administrator revealed R1 was admitted to the facility with a pressure injury and R1 was being provide wound care by two home heath agency prior to admittance to facility and currently. Records revealed home health agency has been providing assistance with wound care from April 2023 and currently. Two credible witnesses corroborate R1 was or is receiving wound care for a Stage 3 pressure injury. Based on record review and interviews, the allegation mentioned is Substantiated at this time. Deficiencies issued per CA Code of Regulations, Title 22 (refer to LIC9099-D). Report signed and delivered. Appeal Rights provided. 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.

  • 87615(a)(1)Type A

    87615(a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly:(1) Stage 3 and 4 pressure injuries. This requirement is not met as evidenced by: Based on interviews and record review, the licensee failed to ensure above regulation by retaining R1 with a stage 3 pressure injury, which poses an immediate health and safety risk to residents in care.

  • 87506(a)Type B

    87506(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Based on interviews and record review, the licensee failed to ensure complete and required records were created and kept for two(2) out of two (2) residents in care which poses a possible health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the June 27, 2023 inspection of ANNIKA GRACE CARE HOME?

This was a complaint inspection of ANNIKA GRACE CARE HOME on June 27, 2023. 1 citation were issued: 1 Type A (serious).

Were any citations issued to ANNIKA GRACE CARE HOME on June 27, 2023?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87615(a) Persons who require health services for or have a health condition including, but not limited to, those specifi..."

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.