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Inspection visit

Follow-up on corrections

ST MATTHEWS HOME FOR THE ELDERLY IILicense 1986028761 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced case management visit during a complaint investigation visit. LPA met with Nenita Capistrano caregiver and explained the reason for the visit. On 11/3/22 LPA Flores conducted an unannounced complaint investigation visit. During this visit LPA requested Administrator Michelle Aguirre to email the following documents: staff roster, Caregiver schedules for the month of September, October, and November 2022, Trainings or In-services provided during 2022, Visitor’s log for September, October, November 2022, as they were not available for review at the facility. On 1/18/23 LPA Flores followed up regarding documents requested, LPA did not received the documents. Deficiencies are being cited under Title 22 Regulations on LIC 809D. Exit interview was conducted with caregiver and a copy of this report, LIC 809D, and appeal rights 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.

  • 87411(c)(6)Type B

    87411 Personnel Requirements - General:(c) All RCFE...(6)The licensee shall maintain documentation pertaining to staff training in the personnel records, ... For on-the-job training,..This requirement is not met as evidence by: Based on document review and observation licensee failed to ensure staff #1 and #2 files were available for review during the visit conducted on 11/3/23 and to provide documents after which poses a potenital risk to the health, safety, personal rights of the persons in care.

  • 87468.1(a)(2)Type A

    87468.1 Personal Rights of Residents in All Facilities: (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.This requirement is not met as evidence by: Based on observation licensee did not ensure staff did not wear mask properly as observed on visit conducted on 11/3/22 which poses an immediate risk to the health, safety, personal rights to the persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 22, 2023 inspection of ST MATTHEWS HOME FOR THE ELDERLY II?

This was a other inspection of ST MATTHEWS HOME FOR THE ELDERLY II on August 22, 2023. 1 citation were issued: 1 Type B.

Were any citations issued to ST MATTHEWS HOME FOR THE ELDERLY II on August 22, 2023?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87411 Personnel Requirements - General:(c) All RCFE...(6)The licensee shall maintain documentation pertaining to staff t..."

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.