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Inspection visit

Routine inspection

INDIAN PEAK MANORLicense 1986022102 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 07/03/2024 Licensing Program Analyst (LPA) Mario Leon conducted an unannounced, Required Annual, inspection and met with Licensee Ricardo DeLa Torre and later by Glenda Marquez , Administrator . Six (6) residents and two (2) staff were present during this inspection. The above-mentioned facility is licensed to serve six (6) non-ambulatory residents, of which one (1) may be bedridden. The facility has a hospice waiver for two (2) residents. The facility is a single-story structure located in a residential neighborhood. It consists of four (4) bedrooms, two (2) full bathrooms, shaded back yard, front yard, and a laundry room in the attached two (2) car garage. Administrator Marquez accompanied LPA inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises. The screen in room four (4) needs to be replaced.Resident bathrooms were checked. Toilets and water faucets worked properly, yet both sinks in bathroom number two (#2) were clogged. Grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place. Hot water temperature properly measured at 110.3 degrees F which is within title 22 regulations. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked during today's visit. Common areas were clean and clear of hazards, doorways were free of obstructions and a comfortable indoor temperature was maintained at 76.1 degrees F. LPA toured the kitchen area and observed a two-day supply of perishable and a seven-day supply of non-perishable food, all stored properly with dates tagged on each storage bag. Knives and potentially dangerous toxins were kept in locked storage cabinet. First-Aid kit was available, with handbook, properly maintained. Two fire extinguishers were observed. One (1) in the kitchen and one (1) in the garage. Both extinguishers were fully charged, last serviced December 09, 2023. LPA tested carbon monoxide detectors and smoke detectors. All devices were connected and functional. LPA observed all medications were centrally stored and inaccessible to residents in care. Report continues, see LIC809C. LPA conducted record reviews which included six (6) residents (R1-R6) service records and two (2) (S1-S2) personnel records and all was observed to be maintained in order and complete. LPA observed all documents are posted as mandated and the last emergency drill was conducted on 06/14/2024. LPA observed required liability insurance is being maintained, from 04/13/2024 through 04/13/2025. During today's visit, there were two (2) deficiencies cited. Please see LIC809D. During today's visit, there were two (2) advisory notes (AN). One AN marked as a technical violation (TV) and the second (2nd) marked as technical assistance (TA) An exit interview was held with Glenda Marquez , Administrator, and a copy of the facilities' appeal rights, deficiencies, AN's and this report were provided.

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(c)Type B

    Based on (observation), the licensee did not comply with the section cited above in bedroom four (4). Window screen shall be replaced, as the screen does have a hole. Screens shall also be regularly maintained which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87303(e)(6)Type B

    Based on (observation), the licensee did not comply with the section cited above in both sinks in bathroom number two (#2) are currently clogged, 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 July 3, 2024 inspection of INDIAN PEAK MANOR?

This was a inspection inspection of INDIAN PEAK MANOR on July 3, 2024. 2 citations were issued: 2 Type B.

Were any citations issued to INDIAN PEAK MANOR on July 3, 2024?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "Based on (observation), the licensee did not comply with the section cited above in bedroom four (4). Window screen shal..."

What type of inspection was this?

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

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