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Inspection visit

Routine inspection

WELLCARE HOMELicense 19761073121 citations on this visit
21 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an annual required visit and inspection of the facility. LPA met with staff,Irene Lantang and Chris Raig, and explained the reason for the visit. Staff does not have background clearance, Immediate Civil Penalty (LIC 421CG) will be issued. Approximately, around 9:55 AM new licensee, Tigran Gevorgyan, arrived and was explained for the reason of the visit. New licensee is not associated with the above facility and an application was receive from Centralized Application Bureau (CAB) for Change of Ownership (CHOW) on 8.11.2025. At 10:00 AM, with the assistance of new licensee, LPA took a tour of the physical plant. Required postings were observed in the entry area. At 10:58 AM smoke alarms were tested and are operational. There are carbon monoxide detectors that functions properly. The fire extinguisher is located in the kitchen with a charge date of 7.16.2025. During the visit the facility is at 73 degrees Fahrenheit. The facility is fire cleared for six (06) residents six (6) non-ambulatory resident, of which one (1) maybe bedridden, cleared for bedroom #2; hospice waiver for five (5). Kitchen: The kitchen appliances and fixtures were functional. The kitchen has a working gas stove, faucet, freezer, refrigerator, and microwave. LPA found enough at least two (2) days perishable and seven (7) days non-perishable food at the facility that is properly stored. Frozen foods are wrap, dated, and stored properly as well. Knives were stored in a locked drawer in the kitchen. Bedrooms: There were three (3) bedrooms designated for residents' use. Bedroom #1, bedroom #2, and bedroom #3 are shared and is used for residents only, Bedrooms were properly furnished with appropriate dresser, beddings, and linens with sufficient lighting. Continue to LIC 809-C Bathrooms: The facility has two and a half (2.5) bathrooms. Bathroom #0.5 is located by the living room by the facility entrance. Hot water measured at 105.4 degrees Fahrenheit. Bathroom #1 is located by the hallway beside bedroom #1. Hot water measured at 106.1 degrees Fahrenheit. Bathroom #2 is located inside bedroom #2. Hot water measured at 113.5 degrees Fahrenheit. The bathrooms were observed to have the proper fixtures, grab bars, and non-skid mats. Common Areas : These included the living room and dining area for residents. The common areas were properly furnished. The auditory alarms on all exit doors were on and functional at the time of the visit. Residents dining table fits enough for six (6). In the kitchen area LPA observe a sofa for staff to rest and take a break. LPA also observe that the sofa is a sofa bed where staff stated that they sleep in. Deficiency will be cited on LIC 9099-D. Surrounding Grounds : Entry and exits were free of obstruction. The furniture were observe to be appropriate for outdoor use. The outdoor area was free of hazards. The facility does have a garage and is use for storage and laundry. Detergents and cleaning supplies are being stored in the locked garage. The facility does have a swimming pool and was observe by the LPA to be unlocked. Deficiency will be cited in LIC 9099-D. Office space is beside the entrance of the facility. Properly labeled medications were locked in the kitchen cabinets. LPA observe medications were prep in a plastic ramekin and was accessible and unlock on the kitchen counter-top beside the microwave. Deficiency will be cited in LIC 9099-D. Resident Files : LPA was not able to conduct a file review of resident records to ensure compliance of licensing forms. No files are available for LPA. Deficiency will be cited in LIC 9099-D. Staff Files : LPA was not able to conduct a file review of staff records to ensure forms and training are up to date and compliance with licensing forms. Deficiency will be cited in LIC 9099-D. Medications : No Medication and Medication Records (MMR) were able for LPA to review for proper documentation. Deficiency will be cited in LIC 9099-D. Pursuant to Title 22 Division 6 of the CA Code of Regulations, deficiencies were observed during the visit. Exit interview conducted and a copy of the report issued.

Citations

21 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.

  • 1569.605Type B

    Based on interview, the licensee did not comply with the section cited above in 1 out of 1 facility does not have liability insurance, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.618(c)(3)Type A

    Based on interview, licensee did not comply with the section cited above in 1 out of 1 all staff does not have CPR which poses an immediate health, safety or personal rights risk to persons in care.

  • 1569.695(a)(1)Type B

    Based on observation and interview, the licensee did not comply with the section cited above in 1 out 1, no records are avaible for LPA to review, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87307(a)(2)(B)Type B

    Based on observation, the licensee did not comply with the section cited above in 1 out of 1, staff revealed they sleep in the kitchen area, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87307(e)(2)(A)Type A

    Based on observation and interview, the licensee did not comply with the section cited above in 1 out 1, pool fence lock was observe to be unlock, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87412(a)(13)Type A

    Based on observation and interview, the licensee did not comply with the section cited above in 1 out of 1, 2 staff and licensee are not fingerprint cleared to be working at the facility, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87457(c)(1)(A)Type B

    Based on interview, the licensee did not comply with the section cited above in 1 out of 1, no residents records are available for LPA to review, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87458(c)(1)Type B

    Based on observation and interview, the licensee did not comply with the section cited above in 1 out of 1, all of residents Physician report was not available, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87458(c)(1)(A)Type B

    Based on observation and interview, the licensee did not comply with the section cited above in 1 out of 1, all residents records were not avaialble for LPA check for TB test which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87458(c)(5)Type B

    Based on observation and interview, the licensee did not comply with the section cited above in 1 out of 1, licensee did not provided ambulatory status of all the 6 residents, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(a)(8)Type B

    Based on interview, the licensee did not comply with the section cited above in 1 out of 1, licensee stated that they do not have first aid kit, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(c)(3)Type B

    Based on interview, the licensee did not comply with the section cited above in 1 out of 1, licensee could not provide CSMDR of residents, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(h)(5)Type B

    Based on observation, the licensee did not comply with the section cited above in 1 out of 1 all residents medication were observe to be accessible in the kitchen counter top that was transferred from its orginal container to a plastic ramekin, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87467(a)Type B

    Based on observation and interview, the licensee did not comply with the section cited above in 1 out 1, no residents records are avaible for LPA to review, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87468(b)Type B

    Based on interrview, the licensee did not comply with the section cited above in 1 out of 1 all of the 6 residents does not have admission agreement for LPA to review, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87506(a)Type B

    Based on interview, the licensee did not comply with the section cited above in 1 out of 1, licensee did not provide any records for LPA to review, facility file, staff file, and residents file needs to be accessible for LPA to review. which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87507(c)Type B

    Based on observation and interview, the licensee did not comply with the section cited above in 1 out 1, no admission agreement was avialble for LPA to review, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87608(a)Type B

    Based on observation and interview, the licensee did not comply with the section cited above in 1 out 1, no residents records are avaible for LPA to review, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.153(d)Type B

    Based on observation and interview, the licensee did not comply with the section cited above in 1 out 1, no residents records are avaible for LPA to review, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87470(c)(1)(C)Type B

    Based on interview, the licensee did not comply with the section cited above in 1 out of 1 no infection control documents were provided to LPA, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87508(b)Type B

    Based on observation and interview, the licensee did not comply with the section cited above in 1 out 1, no records are avaible for LPA to review, 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 March 25, 2026 inspection of WELLCARE HOME?

This was a inspection inspection of WELLCARE HOME on March 25, 2026. 21 citations were issued: 3 Type A (serious) and 18 Type B.

Were any citations issued to WELLCARE HOME on March 25, 2026?

Yes, 21 citations were issued (3 Type A, 18 Type B). The first citation was for: "Based on interview, the licensee did not comply with the section cited above in 1 out of 1 facility does not have liabil..."

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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