Skip to main content

Inspection visit

Follow-up on corrections

AYANNA HOME CARELicense 1986034573 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Christian Gutierrez generated this Case Management - Deficiencies report in conjunction with complaint control 28-AS-20251114111409 pertaining to observations during record review. The purpose of the report was explained to staff. During complaint investigation, LPA Gutierrez discovered that Administrator failed to report R1’s hospitalization to Community Care Licensing, facility does not have a dementia care plan in the facility Plan of Operation and S3 did not have a criminal background. Based on observation, a citation is being issued. See LIC 809D. An exit interview was conducted, and a copy of the report and appeal rights were issued.

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.

    Read full inspector narrative
  • 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.

    Read full inspector narrative
  • 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 an other inspection of AYANNA HOME CARE on December 19, 2025. 3 citations were issued: 1 Type A (serious) and 2 Type B.

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

Yes, 3 citations were issued (1 Type A, 2 Type B). The first citation was for: "(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not l..."

What type of inspection was this?

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

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

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