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Inspection visit

Follow-up on corrections

AMELIA ROSE SENIOR CARE COTTAGELicense 1986034642 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Tena Herrera conducted a case management visit to note deficiencies observed during a complaint investigation visit conducted on 4/22/25 by LPA Mary Flores. LPA met with Lakeisha Ogesby and explained the reason for the visit. LPA spoke with Cheryl Dallas (Administrator) via phone call and delivered findings. · On 4/22/25 LPA Flores conducted a complaint investigation visit. During the visit LPA reviewed 5 residents’ medication around 12:00pm and found that in 3 out of 5 residents, resident #2,#4 and #5(R2,R4,R5) staff had initialed in the PM/evening section of 4/22/25 for dose needed to be provided in the afternoon. Per administrator, staff initial medication sheet once the medication is provided and medication was still in package and not provided to the residents. · On 4/22/25 LPA Flores interview administrator and staff who stated Resident #3(R3) had gone out to the hospital in January of 2025 via emergency responders (911) as R3 had been feeling ill. Per administrator, did not submit an incident report as administrator did not know it was reportable to Community Care Licensing (CCLD). Deficiencies are noted on LIC 9099D per Title 22 Regulations. Exit interview was conducted with Lakeisha Ogesby and a copy of this report, LIC 809D, and appeal rights were provided.

Citations

4 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)Type B

    87411 Personnel Requirements - General (c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69. This requirement is not met as evidence by: Based on observations and document review licensee did not ensure that S2 received, and records were maintained for training provided which poses a potential risk to the health, safety, or personal rights of the persons in care.

  • 87405(a)Type B

    Certified administrator requirements and substitute coverage

    87405 Administrator - Qualifications and Duties (a) All facilities shall have a qualified and currently certified administrator... When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications adequate to be responsible and accountable for management … Based on observation and document review licensee did not ensure to notify or appoint via LIC 308 a designee of responsibility before going on vacation which poses a potential risk to the health, safety, or personal rights of the persons in care.

  • 87506(a)Type B

    Maintain separate complete record for each resident

    87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff.This requirement is not met as evidence by: Based on observation and document review licensee did not ensure staff was accurately noting the medication sheets to show current medication which poses a potential risk to the health, safety, and personal rights of the persons in care.

  • 87211(a)Type B

    Licensee reports required by licensing agency

    87211 Reporting Requirements: (a) Each licensee shall furnish to the licensing agency …the following: (1) A written report shall be submitted … within seven days of the occurrence of any of the events … Based on interviews and documents reviewed the licensee did not ensure to report R3 was taken to the hospital via emergency personnel which poses a potential risk to the health, safety, and personal rights of the persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the June 28, 2025 inspection of AMELIA ROSE SENIOR CARE COTTAGE?

This was an other inspection of AMELIA ROSE SENIOR CARE COTTAGE on June 28, 2025. 2 citations were issued: 2 Type B.

Were any citations issued to AMELIA ROSE SENIOR CARE COTTAGE on June 28, 2025?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "87411 Personnel Requirements - General (c) All RCFE staff who assist residents with personal activities of daily living ..."

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 CCLDView original report

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