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Inspection visit

Follow-up on corrections

SANTA FE HOME CARE IILicense 1986021523 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

On 09/29/23, Licensing Program Analyst (LPA) Ernand Dabuet conducted a case management inspection visit at this facility. LPA met with House Manager Lucy A. Dezell and explained the purpose of the visit. During an investigation visit on 09/29/23 associated with complaint #11-AS-20230911101639, LPA, was informed that hospice file records for resident #1 (R1) were not available. LPA was informed by administrator Virginia Asis that (R1) was no longer a resident and was uncertain of the date when (R1) was discharged and had to confirm with the business office. The facility did not have discharge paperwork available nor hospice file and Medication Administration Records (MAR) for all residents. The facility did not have available during the investigation visit on 09/14/23 and 09/28/23 a Personnel Report LIC 500 was not provided. Based on the information provided by the administrator, the facility violates the 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 Lucy Denzell.

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.

  • 8706(a)Type B

    87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff.This requirement is not met as evidence by: Based on observation and interview, Licensee failed to provide resident records for (R1) hospice records and Medicaiton Administration Record during visits. This poses a potential health and safety risk to residents in care.

  • 87405(1)(2)Type B

    87405 Administrator - Qualifications and Duties (b) The administrator of a facility.. shall have the responsibility and authority to carry out the policies... (1) Knowledge of the requirements for providing care and supervision... (2) Knowledge of and ability to conform to the applicable laws, rules, and regulations This requirement was not met as evidenced by: Based on observation record and interviews, the Administrator failed to adhere to Title 22 regulations, resulting to multiple deficiencies cited. This violation poses/posed a potential health, safety, or personal rights risk to persons in care.

  • 87412(e)Type B

    87412 Personnel Records (e) In all cases, personnel records shall demonstrate adequate staff coverage necessary for facility operation by documenting the hours actually worked.This requirement is not met as evidence by: Based on observation and interview, Licensee failed to provide personnel report LIC 500 during visits. Uncertain of adequate staff coverage. This poses a potential health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 29, 2023 inspection of SANTA FE HOME CARE II?

This was an other inspection of SANTA FE HOME CARE II on September 29, 2023. 3 citations were issued: 3 Type B.

Were any citations issued to SANTA FE HOME CARE II on September 29, 2023?

Yes, 3 citations were issued (0 Type A, 3 Type B). The first citation was for: "87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for ea..."

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