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Inspection visit

Follow-up on corrections

WELLSPRING MANOR SENIOR CARE INCLicense 1983200262 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

This is an amended report. The administrator did not have signature on the original report. On 9/12/2022, Licensing Program Analyst (LPA) Lourdes Montoya conducted a unannounced case management - deficiency visit observed during an unrelated complaint visit. LPA met with Administrator Teresita Bautista (S1) and and three staff (S2-S4). Deficiencies: 1) Based on LPA's interview with S4, he began working in this facility on 8/22/2022 on a part-time basis. S4 stated he works on Mondays and Tuesdays, 6:00 am:7:00 pm. S4 stated he is a caregiver and he provides ADL care to residents. During LPA's interview with Staff 2, S4 has a background clearance under a different facility. S4 stated he has not submitted a transfer of clearance for S4 to CCLD. 2) During LPA's tour of the facility, LPA observed the garage is cluttered with boxes, frame frame, used wheelchairs, oxygen tank and other miscellaneous items. A technical violation is used to licensee. Deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. A civil penalty of $500 was assessed. Failure to correct the deficiencies may result in additional civil penalties. Exit interview conducted and appeal rights discussed. A copy of this report and appeal rights provided to Administrator Teresita Bautista.

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.

  • 87303(a)Type B

    Maintain facility in clean, safe, sanitary condition

    (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidenced by: During LPA's tour of the facility, LPA observed the garage is cluttered with boxes, frame frame, used wheelchairs, oxygen tank and other miscellaneous items.

  • Obtain required California clearance or exemption

    (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c). This requirement was not met as evidenced by: Based on LPA's interview with S4, he began working in this facility on 8/22/2022 on a part-time basis. S4 stated he works on Mondays and Tuesdays, 6:00 am:7:00 pm. S4 stated he is a caregiver and he provides ADL care to residents. During LPA's interview with Staff#2, S4 has a background clearance under a different facility. S2 stated he has not submitted a transfer of clearance for S4 to CCLD.

FAQ · About this visit

Common questions about this visit

What happened during the September 12, 2022 inspection of WELLSPRING MANOR SENIOR CARE INC?

This was an other inspection of WELLSPRING MANOR SENIOR CARE INC on September 12, 2022. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to WELLSPRING MANOR SENIOR CARE INC on September 12, 2022?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of..."

What type of inspection was this?

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

SourceView on CCLDView original report

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