Skip to main content
ReadyRule homepageReadyRule

Inspection visit

Routine inspection (multi-day)

BELLA GARDENSLicense 1986018244 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

On 08/01/22 Licensing Program Analyst (LPA) Ernand Dabuet conducted a case management - annual continuation visit at this facility. Upon arrival at the facility, LPA greeted assistant administrator Anchie Reyes and conducted a risk assessment. Based on the assessment, the facility is clear of COVID-19 infection. The facility has smoke detectors, and carbon monoxide that was operable in all resident's rooms and common areas. LPA reviewed Medication Administration Records (MAR) and it revealed to be accurate and maintained in order. DEFICIENCIES: LPA toured the inside and outside grounds of the facility. LPA identified at 1:20 pm resident #4 (R4) who is not on hospice care had full bed rails which is prohibited according to Postural Supports Regulations 87608. LPA reviewed service records for resident #2 (R2) who was admitted on 06/14/22 under hospice care and failed to notify CCL within five days of admittance according to Hospice Care Waiver Regulation 87632. The facility has not conducted a Fire/Earthquake Drill since 09/2021. This is a violation according to Care of Persons with Dementia Regulations 87705. The administrator is being cited according to Administrator's Qualifications Regulations 87405 resulting in multiple deficiencies cited. INFECTION CONTROL: During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. LPA observed staff wearing face coverings, LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. A review of staff and resident tests and vaccination results was conducted. The facility has an approved Mitigation Plan Report on file with CCLD. The facility submitted an Infection Control Plan for 2022 with CCLD. California Code of Regulations (Title 22, Division 6, Chapter 8), deficiencies were observed, and citations were issued (ref. LIC 9099-D). An exit interview was conducted and a copy of the Evaluation Report and Appeal Rights were provided to Anchie Reyes.

Citations

4 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.

  • 87405(b)(2Type B

    87405(b)(2) Administrator - Qualifications and Duties. (b)The administrator of a facility or facilities shall have the responsibility and authority to carry out the policies of the licensee. (2 )Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement was not met as evidenced by:Based on interview and record reviews the Licensee/Administrator failed to adhere to Title 22 regulations, resulting to multiple deficiencies cited, which poses a potential health and safety risk to residents in care.

  • 87608(B)Type B

    87608 Postural Supports (B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidence by:Based on interview with administrator, Licensee failed to show proof for full bed rails for (R4) who is not a hospice reisdent. This violation possess a potential Health and Safety risk to residents in care.

  • 87632(2)Type B

    87632 Hospice Care Waiver(2) The licensee shall notify the Department in writing within five working days of the initiation of hospice care services for any terminally ill resident in the facility or within five working days of admitting a resident already receiving hospice care services... This requirement is not met as evidence by:Based on interview with licensee, Licensee failed to report to CCL with resident R2 admitted at this facility as of 6/14/22. This violation possess a potential Health and Safety risk to residents in care.

  • 87705(3)Type B

    87705 Care of Persons with Dementia (3) Fire and earthquake drills shall be conducted at least once every three months on each shift and shall include, at a minimum, all direct care staff. This requirement is not met as evidence by:Based on records review with the administrator, Licensee failed to show proof quarterly fire and eaarthquake drills are conducted. This violation possess a potential Health and Safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 1, 2022 inspection of BELLA GARDENS?

This was a other inspection of BELLA GARDENS on August 1, 2022. 4 citations were issued: 4 Type B.

Were any citations issued to BELLA GARDENS on August 1, 2022?

Yes, 4 citations were issued (0 Type A, 4 Type B). The first citation was for: "87405(b)(2) Administrator - Qualifications and Duties. (b)The administrator of a facility or facilities shall have the r..."

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

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.