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Inspection visit

Routine inspection

MORNINGSTAR OF PASADENALicense 198603416
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced Annual Required Visit on 08/31/2023 at 8:25 am. LPA was met by Administrator Taliaferro and explained the purpose of the visit. Facility is licensed to serve residents over 60 years old. The facility cares for elderly residents and is allowed to care for three-hundred ten (310) non-ambulatory residents of which twenty-five (25) may be bedridden residents. The facility currently has an approved hospice waiver for thirty (30) residents. LPA Ramirez requested copies and obtained of Personnel Report (LIC 500) and Resident Roster (LIC 9020). LPA OBSERVATIONS: Tour began at 8:31 am and was led by Administrator Taliaferro. The facility is low-rise 4 story building located near a residential area and several retail centers. Front Lobby: Was clean and well maintained. No hazards were observed. LPA Ramirez observed PPE supply station upon entry to the facility. Kitchen: LPA Ramirez observed sufficient 2 days of perishables and 7-day supply on non-perishables. Walk in refrigerator thermostat was observed to read 37 degrees F. LPA Ramirez observed staff preparing lunch at 10:15 am. LPA Ramirez observed staff wearing gloves while handling food. Kitchen appliances were observed to be clean and in working order. LPA Ramirez observed fully charged fire extinguishers in this area. Dining Room: Dining room was observed to be clean and contained plenty of seating. LPA Ramirez observed three (3) servers taking residents orders and bringing out their meal. Linen/Laundry/Supply Room: Contained plenty linens, towels, and hygiene products. SEE 809-C for continuation. Resident Rooms: LPA Ramirez observed all resident bedrooms to contain the required linens, furnishings, and lighting. LPA Ramirez selected eight (8) resident rooms at random to inspect. Bathrooms: LPA Ramirez tested water temperature in eight (8) resident bathroom sinks. Water temperatures were within 105- 120 degrees F. Bathrooms were observed to be clean and have required non-slip mats and grab bars in shower and near toilet. Centrally Stored Medications: LPA Ramirez observed several medications carts to be locked during visit. LPA Ramirez observed med techs dispensing medications during visit. Carbon Monoxide Detectors/Fire Alarm/Fire Extinguisher & Emergency Disaster Plan: LPA observed carbon monoxide in hallways and smoke detectors LPA Ramirez observed posted Emergency Disaster Plan. Due to time constraints, LPA Ramirez will return to complete file reviews, conduct staff and resident interviews. No deficiencies are being cited today. Exit interview was conducted Administrator Taliaferro and a copy of this report and appeals 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.

  • 87303(a)Type B

    87303 Maintanance and Operation.(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidence by:R1 had flooding in room coming from kitchen sink which caused plumbing issues and flooding.

  • 87468.2(14)Type A

    87468.2(14)Additional Personal Rights of Residents in Privately Operated Facilities-To reasonable accommodation of their individual needs and preferences in all aspects of life in the facility, except when accommodation would endanger the health or safety of the individual resident or other residents. This requirement is not met as evidence by:Facility placed R1 in memory care unit eventhough R1 does not require memory care assistance or have a MCI diagnosis.

FAQ · About this visit

Common questions about this visit

What happened during the August 31, 2023 inspection of MORNINGSTAR OF PASADENA?

This was a inspection inspection of MORNINGSTAR OF PASADENA on August 31, 2023. The inspection found no deficiencies and no citations were issued.

Were any citations issued to MORNINGSTAR OF PASADENA on August 31, 2023?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

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