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Inspection visit

Follow-up on corrections

A HUMBLE ABODE INCLicense 1976104051 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This LIC 809 is being created in conjunction with a complaint visit done today at the above-named address (complaint control number 31-AS-20231127111119). During the initial complaint visit, LPA Duguma discovered that facility staff did not report an incident that took place at the facility on the evening of 11/23/2023. Resident #1, who was not deemed a suicide risk, attempted to commit suicide and staff walked in, stopped the attempt, removed everything dangerous that might be used and reported the incident to their superior. A review of the departments records confirms that facility did not submit an Incident Report and facility failed to contact medical service. Failure to contact medical services was addressed on the complaint via LIC9099 and LIC9099-D. Per CCR, Title 22, Division 6, Chapter 8, the following is noted as a result of the visit: (see LIC 809-D for any deficiencies cited). No health and safety hazards were noted during the visit. Exit interview conducted and a copy of the report was issued.

Citations

3 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.

  • 87211(a)(1)(D)Type B

    (a) Each licensee shall furnish to the licensing agency such reports as the Department may require,...(1)A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events... (D)Any incident which threatens the welfare, safety or health of any resident.This requirement is not met as evidenced by; Based on interviews, facility did not submit incident report to the Dept. which poses a potential health, safety and personal rights risk to resident in care.

  • 87464(f)(6)Type A

    87464 Basic Services (f) Basic services shall at a minimum include: (6) Arrangements to meet health needs, …, as specified in Section 87465, Incidental Medical and Dental Care Services... This requirement is not met as evidenced by: Based on interviews, facility did not arrange to meet residents’ health needs after a serious incident which poses an immediate health, safety and personal rights risk to residents in care.

  • 87465(a)(2)Type A

    Incidental Medical and Dental Care(a) A plan for incidental medical…care..shall be developed by each facility. The plan shall…provide for assistance in obtaining such care, by compliance with the following:(2) The licensee shall provide assistance in meeting necessary medical...needs. This requirement is not met as evidenced by; Based on interviews, facility did not provide assistance in meeting necessary medical needs after a serious incident which poses an immediate health, safety and personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the November 30, 2023 inspection of A HUMBLE ABODE INC?

This was a other inspection of A HUMBLE ABODE INC on November 30, 2023. 1 citation were issued: 1 Type B.

Were any citations issued to A HUMBLE ABODE INC on November 30, 2023?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "(a) Each licensee shall furnish to the licensing agency such reports as the Department may require,...(1)A written repor..."

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.