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Inspection visit

Routine inspection

SERENITY SENIORS HOME IIILicense 1986022811 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Ulysses Coronel conducted an unannounced Annual required visit with a primary focus on infection control measures. LPA was met by Antoinette Richardson, administrator and the purpose of today’s visit was explained. The facility is licensed to serve residents age range 60 and over. 4 non-ambulatory of which 1 may be bedridden. There are currently 4 South Central Los Angeles Regional Center clients in placement. One out of four residents is non-ambulatory. The facility is a single story structure located in a residential neighborhood. It consists of the following: living room, kitchen, dining room, two (2) resident bedrooms, two (2) bathrooms with a two car detached garage and patio with chairs. LPA and administrator toured the physical plant. There are no bodies of water or firearm/ammunition on the premises. All client rooms were checked. Beds and bedding were in good condition, adequate lighting provided, storage for client personal belongings was observed. Walls and floors were in good repair. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. A comfortable temperature is maintained in the facility. LPA observed the facility to be clean and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning agents, toxins, and sharps were inaccessible to clients. The kitchen was inspected and there is enough perishable and non-perishable food available which is stored properly. Fire extinguisher was charged, smoke detectors and Carbon Monoxide were operable. During the visit, LPA observed the facility infection control practices. LPA observed screening protocols for visitors, staff and residents, sanitizing stations ( Located in common areas and restrooms). LPA observed staff and residents were wearing face coverings, an isolation room and required postings throughout the facility. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). LPA advised the Administrator to continuously monitor the Centers for Disease Control (CDC) website and Community Care Licensing Provider Informational Notices (PIN) for any updates relating to COVID-19 guidance. During today’s visit there were deficiencies observed, the water temperature measured between 124.1 and 126.0 F. Title 22, Division 6 Chapter 8 Article 08 is being cited, please see LIC9099D. Exit interview held and plans of correction developed. A copy of the report and appeal rights were provided to Antoinette Richardson.

Citations

1 citation 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(e)(2)Type A

    Based on LPA observation and interviews conducted, the licensee did not comply with the section cited above trhe hot watwer temperature measured between 124.1 and 126.0 degrees F which poses an immediate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 14, 2021 inspection of SERENITY SENIORS HOME III?

This was a inspection inspection of SERENITY SENIORS HOME III on October 14, 2021. 1 citation were issued: 1 Type A (serious).

Were any citations issued to SERENITY SENIORS HOME III on October 14, 2021?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "Based on LPA observation and interviews conducted, the licensee did not comply with the section cited above trhe hot wat..."

What type of inspection was this?

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

SourceView on CCLDView original report

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