Inspection visit

Follow-up on correctionsSeptember 1, 2024

AMELIA ROSE SENIOR CARE COTTAGELicense 1986034641 citation on this visit

1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Kimberly Ramirez conducted a Case Management Visit-Deficiencies on 09/01/2024, stemming from annual inspection conducted on 09/01/2024. LPA Ramirez was greeted by Home Care Aide Registry Staff- Tyra R. Case Management-Deficiencies findings: LPA Ramirez returned to the facility to conduct exit interview of earlier annual inspection conducted on 9/1/2024. At approximately 5:10:pm, LPA Ramirez was greeted by Registry Staff- Tyra R. Tyra advised LPA Ramirez that Administrator Dallas had left the facility and requested LPA Ramirez call Administrator Dallas once LPA Ramirez arrived. Tyra confirmed to LPA Ramirez she was the only staff at the facility and no other staff was available to conduct exit interview. LPA Ramirez telephoned Administrator Dallas and advised her LPA was ready to conduct the exit interview. Administrator Dallas stated she was unable to meet LPA Ramirez due to feeling ill. LPA Ramirez again asked Administrator Dallas if any other staff was available to discuss deficiencies and inspection report. Administrator Dallas advised LPA Ramirez no other staff were available and began to express her disapproval with LPA Ramirez conducting an annual inspection at the facility on a Sunday; expressed that due to LPA’s unexpected weekend arrival and deficiencies discussed earlier, Administrator Dallas was now ill. LPA Ramirez advised Administrator Dallas that the report will indicate her refusal to conduct exit interview via phone or in person and will indicate “REFUSE TO SIGN” on the report. Administrator Dallas advised LPA Ramirez that she was not coming or sending anyone to meet LPA and LPA could proceed forward with any course of action. At 5:16pm, LPA Ramirez attempted to make way to the backyard to take a picture of the facility perimeter gate that earlier was observed to be in noncompliance. LPA Ramirez advised Tyra that the facility is being cited and LPA was going to take a picture for documentation purposes. Tyra called Administrator Dallas to notify her of LPA’s intent to take a picture of the perimeter gate. Tyra advised LPA Ramirez that Administrator Dallas said to “leave now!”. LPA Ramirez could hear Administrator Dallas shouting “TELL HER TO GET OUT NOW! LEAVE RIGHT NOW!” LPA Ramirez asked Tyra to put the call on speaker so LPA Ramirez could advise Administrator Dallas of the consequences of not allowing LPA Ramirez to enter and inspect the entire premise even after proper identification and stating my purpose. LPA Ramirez could hear Administrator Dallas shout “I DON’T CARE! I DON’T WANT TO TALK TO HER! GET OUT!” LPA Ramirez collected her belongings and left the facility at 5:18pm. An Immediate Civil Penalty of $500 was assessed due LPA Ramirez being denied entry to backyard and being asked to leave the facility by Administrator Dallas during annual inspection of facility. A copy of this report, 809-D, LIC 421IM and appeals rights was provided via email.

Citations

10 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.

87355(e)Type A
Address and clearance obligations before facility work
Based on record review, S4 did not have proof of criminal clearance prior to gaining employment at the facility, the licensee did not comply with the section cited above in 5 out of 5 residents which poses an immediate health, safety or personal rights risk to persons in care.
87705(f)(2)Type A
Fire approval and staff access to unlock systems
Based on observation, 1 bottle of laundry sanitizer and 1 spray bottle of disinfectant spray was observed in bathrooms#1 and 2, the licensee did not comply with the section cited above in 3 out of 5 out of residents with dementia, which poses an immediate health, safety or personal rights risk to persons in care.
87113Type B
Based on observation, license was not posted in prominent location in the facility, the licensee did not comply with the section cited above in 5 out of 5 residents which poses/posed a potential health, safety or personal rights risk to persons in care.
87303(a)Type B
Maintain facility in clean, safe, sanitary condition
Based on observation,facility door bell is in disrepair, 1 out of 3 light bulbs in bathroom#1 and #2 were in disrepair, the licensee did not comply with the section cited above in 5 out of 5 residents, staff and/or vistors which poses/posed a potential health, safety or personal rights risk to persons in care.
87465(a)(6)Type B
Maintain records of centrally stored medication dosages
Based on record review, R5 was missing centrally stored medications record, the licensee did not comply with the section cited above in 1 out of 5 residents, which poses/posed a potential health, safety or personal rights risk to persons in care.
87456(a)(3)Type B
Obtain and evaluate recent medical assessment
Based on record review, R1 did not have any recent medical assessment, the licensee did not comply with the section cited above in 1 out of 5 residents which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.695(c)Type B
Based on record review, no proof of documented drills for 2024, the licensee did not comply with the section cited above in 5 out of 5 residents, staff and/or visitors which poses/posed a potential health, safety or personal rights risk to persons in care.
87608(a)(5)(B)Type B
Based on observation and record reviewed, R2 does not have an order for full bed rails, the licensee did not comply with the section cited above in 1 out of 5 residents which poses/posed a potential health, safety or personal rights risk to persons in care.
87705(I)(1)(2)(3)Type B
Based on observation, combination lock was observed on perimeter fence without waiver from this licensing agency, no approval from on fire clearance inspection sheet and/or notification from Licensee's intent to lock perimeter gates, the licensee did not comply with the section cited above in 5 out of 5 residents which poses/posed a potential health, safety or personal rights risk to persons in care.
87755(a)Type A
(a) Any duly authorized officer, employee or agent of the licensing agency may, upon proper identification and upon stating the purpose of his/her visit, enter and inspect the entire premise of any place providing services at any time, with or without advance notice. This requirement was not met as evidenced by: LPA Ramirez was denied entry to backyard to complete inspection.

FAQ · About this visit

Common questions about this visit

What happened during the September 1, 2024 inspection of AMELIA ROSE SENIOR CARE COTTAGE?

This was an other inspection of AMELIA ROSE SENIOR CARE COTTAGE on September 1, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to AMELIA ROSE SENIOR CARE COTTAGE on September 1, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "Based on record review, S4 did not have proof of criminal clearance prior to gaining employment at the facility, the lic..."

What type of inspection was this?

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

SourceView on CCLD View original report

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Data from CCLD public records. Last updated July 13, 2026. If you believe any information is inaccurate, report it here.

Follow-up on corrections·September 1, 2024