Skip to main content
ReadyRule homepageReadyRule

Inspection visit

Follow-up on corrections

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

Inspector’s narrative

What the inspector wrote

On 06/27/2023 in conjunction with an initial complaint visit control number 31-AS-20230619091039, Licensing Program Analyst (LPA) Evelin Rios completed an unannounced CASE MANAGEMENT- Deficiencies visit. LPA met with Administrator Jozam Latayan Batulan, explained the purpose of the visit. At 12:15 p.m. LPA reviewed two (2) out of two (2) resident records. Review revealed resident #1(R1) and resident#2 (R2) records are incomplete by missing the following: Identification and emergency information, pre- admission appraisal, needs and services and functional capabilities. Administrator confirmed they did not complete documentation missing in residents' records. Per the California Code of Regulations (CCR), Title 22, Division 6, Chapter 8, the following deficiency was observed and cited (Refer to LIC 809-D). Copy of this report provided, appeal rights given. 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 other inspection of ANNIKA GRACE CARE HOME on June 27, 2023. 1 citation were issued: 1 Type B.

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

Yes, 1 citation was issued (0 Type A, 1 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 other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

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