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Inspection visit

Follow-up on corrections

KINAH MAE HOME LLCLicense 1983203042 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 03/19/2026, at 2:00pm, Licensing Program Analyst, LPA Zina Brown conducted a Case Management – Deficiencies for complaint Control Number 11-AS-20260220083158. LPA met with Renette De La Cruz (Administrator) as the purpose of the visit was explained. On 02/24/2026, between the hours of 10:48am – 1:22pm, LPA conducted an initial unannounced complaint investigation at the facility. The complaint investigation included interviews with the Administrator (A1), staff, and residents, as well as a review of facility records. This requirement was not met by, based on interviews, observation, and records review, LPA observed the following: The Administrator Renette De La Cruz is listed as the instructor for the In-Service Education Record. The following training was on file: · 06/04/2024 – Safety in the Home: Fall Prevention · 02/10/2025 – Basic Life Support (10:00am – 1:00pm) – 2 staff in attendance · 02/10/2025 – Annual Staff Training (20 Required Hours) – Completed by 1 staff · 02/18/2025 – Medication Administration – 6 staff in attendance · 05/17/2025 – Personal Hygiene (9:00am – 12:00pm) – 2 staff in attendance · 02/24/2026 – Review of Dementia, Alzheimer's, Sundowning & Parkinson's (3:00pm – 4:00pm) – 3 staff in attendance · 02/25/2026 – Client Rights (9:00am – 12:00pm) – 4 staff in attendance · 02/27/2026 – Dehydration and the Importance of Hydration – 2 staff in attendance All staff do not have the required training for Title 22 regulations. Report continues on LIC 809-C Based on interviews, observation, and records review, LPA observed the following from the communication logs: · 01/29/2026 – Resident 1 (R1) fell on the floor. · 02/11/2026 – R1 felt numbness in the right leg from hitting the right leg. · 02/14/2026 – R1 vomited after eating. Upon further review, LPA conducted a file review and observed that the facility failed to report the above incidents to the Department as required. Deficiency cited under California Code of Regulation Title 22 Division 6 Chapter 8 are being cited on the attached LIC 809-D. Exit interview conducted with Renette De La Cruz (Administrator) and copy of this report was provided with appeal rights.

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)Type B

    Reporting Requirements(a)(1)Each licensee shall submit serious incident reports to. . . the Department may require, including the following: (1) A written report shall be submitted . . .within 7 days of the occurrence of any of the events . This requirement was not met as evidenced by: Based observation, LPA observed that the facility did not submit LIC 624 in regards to R1’s fall, numbness in right leg from hitting right leg and vomited after eating to the department within 7 day of incidents occurring.

  • 87411(c)Type B

    Personnel Requirements – General: (c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69. Based on observation, interviews and record review, the facility failed to ensure all caregiver completed the required training per Title 22 regulations,

  • 87224(a)Type B

    (a) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required except as otherwise specified in paragraph (5). . This requirement was not met by: Based on interview, observation & records review the licensee issued an eviction notice to Resident's 1 (R1) responsible parties which is not in complliance with Title 22 regulations. This violation poses a potential health and safety or personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 19, 2026 inspection of KINAH MAE HOME LLC?

This was a other inspection of KINAH MAE HOME LLC on March 19, 2026. 2 citations were issued: 2 Type B.

Were any citations issued to KINAH MAE HOME LLC on March 19, 2026?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "Reporting Requirements(a)(1)Each licensee shall submit serious incident reports to. . . the Department may require, incl..."

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.