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Inspection visit

Complaint

AYANNA HOME CARELicense 198603457
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

In regard to the allegation “facility is not meeting resident’s needs”, it is alleged that R1 may need a higher level of care than what the facility could provide. During interviews with Administrator and staff three (3) out of three (3) stated that they believed that they could care for R1. Administrator stated that R1 was at the facility for less than three weeks in total and during that time enough care was provided. LPA was able to obtain documents stating that prior to admission to facility R1 was in VA hospital and did not come to facility till 10/17/2025. Facility obtained a LIC 602 physicians report that did not indicate any prohibited health conditions, on 10/22/2025 family took R1 to a doctor’s appointment for a checkup and no health concerns were reported, on 10/30/2025 family took R1 to emergency room where he stayed for two weeks, on 11/17/2025 R1 went back to hospital and did not return back to facility due to being transferred to a skilled nursing home. During interviews with residents four (4) out of five (5) residents stated facility staff take care of them. R4 stated that it is wonderful here. Based on interviews conducted and records reviewed, there is insufficient evidence to support the allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was given to Mitchell Castaneda. _

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.

  • 87211(a)(1)(D)Type B

    (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case.(D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. Based on record review Admiistrator did not report to CCLD when resident was in hospital which poses a potential risk to the persons safety, health, or personal rights of the persons in care.

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  • 87208(a)Type B

    Maintain and operate facility under definitive plan

    87208 Plan of Operation(a)The licensee shall have and maintain a current, written definitive plan of operation for the facility. The licensee shall operate the facility in accordance with the terms specified in the plan of operation and may be cited for not doing so pursuant to Health and Safety Code section 1569.49. The plan and related materials shall be on file in the facility and shall be submitted to the licensing agency with the license application. Any significant changes in the plan of operation which would affect the services to residents shall be submitted to the licensing agency for approval. The plan and related materials shall contain the following: Based on record review facility does not have a dementia care plan and currently has three residets with dementia which poses a potential risk to the persons safety, health, or personal rights of the persons in care.

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  • Obtain required California clearance or exemption

    87355 Criminal Record Clearance(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Obtain a California clearance or a criminal record exemption as required by the Department This requirement was not met as evidenced by: S3 did not have record of criminal clearance . This poses an immediate risk to the health, safety, or personal rights of persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the December 19, 2025 inspection of AYANNA HOME CARE?

This was a complaint inspection of AYANNA HOME CARE on December 19, 2025. The inspection found no deficiencies and no citations were issued.

Were any citations issued to AYANNA HOME CARE on December 19, 2025?

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 complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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