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Inspection visit

Complaint

CARMELO PARKLicense 2752024802 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 10/30/2025, Licensing Program Analyst (LPA) V. Gorban arrived unannounced to deliver findings on a complaint investigation. LPA explained the purpose of the visit to staff Anna Martinez and was allowed entry. Administrator was notified of Licensing visit. During the course of the investigation, department conducted a facility tour, conducted interviews, and reviewed records. On 07/30/2025, staff observed R1 trapped between the bed's side rail and the mattress, with his legs and feet touching the floor at 0500 hours. Staff placed R1 on the floor and did not seek medical attention until 0740 hours. R1 was diagnosed with temporary paralysis on the left side of his body, rhabdomyolysis, as well as bruising, skin tears, and swelling. Staff interviewed acknowledged that EMS should have been called immediately. The preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. See citations on the attached LIC. 9099D. The issuance of additional civil penalties is pending and currently under review. The details of additional civil penalties will be outlined in a future report to the facility, if any. Exit Interview conducted. Appeal Rights 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.

  • 87411(a)Type A

    Facility personnel sufficiency and competence

    87411 (a) Personnel Requirements – General - Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not observe das evidenced by: Based on records reviewed and interviews conducted, facility staff left R1 on the ground after finding R1 trapped by his torso between the bed's side rail and the mattress. This resulted in R1 sustaining temporary paralysis on the left side of his body, rhabdomyolysis, as well as bruising, skin tears, and swelling, which poses an immediate health and safety concern to the resident.

  • 87411(d)(5)Type A

    Early illness recognition

    87411(d)(5) All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance: (5) Knowledge necessary in order to recognize early signs of illness and the need for professional help. Based on records reviewed and interviews conducted, facility staff failed to seek medical services after they found R1 trapped from a fall at 0500 hours. Staff placed R1 on the floor and waited until the house manager called EMS at 0740 hours, which poses an immediate health and safety concerns to the resident.

FAQ · About this visit

Common questions about this visit

What happened during the October 30, 2025 inspection of CARMELO PARK?

This was a complaint inspection of CARMELO PARK on October 30, 2025. 2 citations were issued: 2 Type A (serious).

Were any citations issued to CARMELO PARK on October 30, 2025?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "87411 (a) Personnel Requirements – General - Facility personnel shall at all times be sufficient in numbers, and compete..."

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.

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.