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Inspection visit

Routine inspection (multi-day)

JW CARE HOME, LLCLicense 19761031214 citations on this visit
14 citations recorded

Inspector’s narrative

What the inspector wrote

On 9/29/2025 at approximately 09:50 AM, Licensing Program Analyst (LPA), Angelica Segovia conducted an unannounced annual continuation visit to the facility. LPA was greeted by the caregiver and stated the reason for their visit. The Administrator, Jojomaureli Salamero arrived shortly after to assist with today’s visit. The updated census for the facility is four (4). Common areas: The living room and dining room were observed to be in proper condition. The rooms were observed to be properly furnished and in good repair. The facility maintains a comfortable temperature at 70°F. LPA observed a fire extinguisher to be located near the kitchen and dated 08/26/2025. LPA observed required postings such as See/Say Something and Personal Rights to be located alongside the hallway’s passageway. A working telephone was observed. LPA observed the fireplace to be covered and inaccessible to residents. Kitchen: The kitchen was observed to be clean and free from pests. Sufficient supplies of seven (7) day nonperishable foods and two (2) day perishable foods were observed. The cleaning solutions/toxins/knives/sharps were observed to be kept locked underneath the kitchen sink. Kitchen appliances were observed to be working and in proper condition. Bedrooms: The residents’ rooms are adequately furnished with appropriate furniture and lighting system. Hallways/passageways are lighted appropriately. Extra linens/covers were observed to be stored in storage closet located within the hallway’s passageway. Staff room: LPA observed staff room to be locked. (Continue to LIC 809-C) Bathrooms: The bathrooms were checked for cleanliness and proper operation. The hot water temperature was measured within regulations. LPA observed appropriate grab rails and slip-resistant mats to be in proper condition. Backyard: The backyard of the facility is equipped with a designated shaded area with outdoor furniture for residents. There is no body of water located at the facility. Garage: The garage can be accessed from inside of the facility with its entrance observed to be located in the staff room. The garage was observed to be kept locked and used for storage purposes. Laundry Room: The laundry appliances were observed to located within the garage. The laundry appliances were observed to be working and in proper condition. Medications: The medications where observed to be kept in locked cabinet located in the hallway’s passageway. First-aid kit observed to be equipped with but not limited to bandages, scissors and tweezer. LPA observed the First-Aid Manuel to be missing. Smoke detectors and carbon monoxide observed to be working properly and were tested. Residents/Staff Records: LPA conducted a complete file review of resident records. Resident records were observed to be incomplete. Staff records: LPA conducted a file review of staff records. Staff records appeared to be incomplete. Per LPA’s initial annual visit on 8/26/2025 deficiencies were observed. Today’s annual continuation visit observed additional deficiencies that will be cited. Citations issued, please refer to 809-D There were no other immediate health and safety hazards observed during the day of inspection. Exit interview conducted, appeal rights given and a copy of this report was provided to the Administrator.

Citations

14 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.

  • 1569.618(c)(3)Type A

    Based on observation, interview, record review, the licensee did not comply with the section cited above in Staff 1 the only staff member present upon LPA’s initial arrival (8-26-25) did not have proof of First-Aid/CPR training which poses an immediate health, safety or personal rights risk to persons in care.

  • 1569.69(a)(2)Type B

    Based on observation, interview and record review, the licensee did not comply with the section cited above in S1 did not have any documentated training and stated they help residents with their medication and ADLs which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87309(b)Type B

    Based on observation, interview and record review, the licensee did not comply with the section cited above in 1 of 4 residents cannot have access to personal hygiene items documented on their Physcian's order which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87412(a)Type B

    Based on observation, interview and record review, the licensee did not comply with the section cited above in S1's file not maintained and/or current which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87456(a)(2)Type B

    Based on observation, interview and record review, the licensee did not comply with the section cited above in 2 out of 2 residents were missing their pre-appraisal which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(a)(8)(A)Type B

    Based on observation and interview, the licensee did not comply with the section cited above in LPA observed the First-Aid Manuel to be missing which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87608(a)(3)Type B

    Based on observation, interview and record review, the licensee did not comply with the section cited above in 1 of 1 resident who has full bed rails does not have a written order for postural support which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87633(b)(4)Type A

    Based on observation, interview and record review, the licensee did not comply with the section cited above in 2 out of 2 residents did not have their current and complete hospice care plan which poses an immediate health, safety or personal rights risk to persons in care.

  • 87705(b)(1)(A)Type B

    Based on observation, interview and record review, the licensee did not comply with the section cited above in S1 did not have dementia training and was the only staff present with all residents which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87705(b)(2)Type B

    Based on observation, interview and record review, the licensee did not comply with the section cited above in 2 out of 4 residents require awake staff through physician's report indicating "elopment" and "wandering" for each resident, additionally LPA observed one of the resident's to leave the facility without staff being aware which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87309(a)Type A

    Based on observation, the licensee did not comply with the section cited above in 1 out of 1 accessible storage unit unlocked containing multiple cans of paint and toxins which poses an immediate health, safety or personal rights risk to persons in care.

  • 87412(d)Type B

    Based on observation, interview and record review, the licensee did not comply with the section cited above in the Administrator’s certificate expired on 7/05/2024 which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87208(a)Type B

    Based on observation, interview and record review, the licensee did not comply with the section cited above in 3 out of 4 residents missing needs/service and have been in the facility for longer than 2 weeks. Found under Needs and Service Plan located within the plan of operation/program. which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87303(a)Type B

    Based on observation, the licensee did not comply with the section cited above in the shaded area located in the backyard not to be clean and safe. LPA observed debris and the chairs not to be in proper condition which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 29, 2025 inspection of JW CARE HOME, LLC?

This was a other inspection of JW CARE HOME, LLC on September 29, 2025. 14 citations were issued: 3 Type A (serious) and 11 Type B.

Were any citations issued to JW CARE HOME, LLC on September 29, 2025?

Yes, 14 citations were issued (3 Type A, 11 Type B). The first citation was for: "Based on observation, interview, record review, the licensee did not comply with the section cited above in Staff 1 the ..."

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.