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Inspection visit

Follow-up on corrections

ZEALCARE HOMELicense 2868040256 citations on this visit
6 citations recorded

Inspector’s narrative

What the inspector wrote

License Program Analyst (LPA) Shannan Hansen arrived at 9:30 AM to conduct an unannounced case management and met with Luisita Makalintal , staff who called Madonna Martinez, Administrator to inform of visit but was unable to speak with Admin. LPA also called Administrator but also was only able to leave a message. On 3/28/2024 LPA conducted a continuation of annual inspection and cited facility 5 citations on deficiencies observed during inspection: 87705(c)(5) Care Persons with Dementia, resident did not have a physician’s report, 87463(c) Reappraisals, resident did not have reassessed care plan, 1569.618(c)(3) Employee Scheduling, staff did not have required current CPR or First Aid certification, 87411(f)Personnel Requirements, staff did not have health screening or TB report, & 87465(i) Incidental Medical and Dental Care, 4 months of medications to be destroyed were still at facility. Plan of Correction (POC) date for all was 4/10/2024. LPA gave extension to Licensee on 4/19/2024 to submit all POC’s by 4/22/2024. As of today (4/30/2024) the department has not received corrections and is re-citing all 5 citations. LPA is also citing facility for 87405(a) Administrator – Qualifications and Duties as the RCFE Administrator's Certificate expired on June 20, 2023; A renewal application was submitted on February 26, 2024; The status of the renewal application is pending; The Administrator has stated that a renewal application was submitted timely in 2023 but has not produced documentation to prove the claim. LPA has conducted multiple visits and has yet to meet with the Administrator. Staff signed for administrator at today's visit. Exit interview conducted with Luisita Makalintal, Staff. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided..

Citations

6 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.

  • 1569.618(c)(3)Type B

    1569.618(c)(3) Employee Scheduling - Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement was not met as evidenced by: Based on interview the licensee failed to have at least one staff member who has CPR and 1st Aid training on duty at all times. Facility has 5 out of 5 caregivers that work at the facility without a valid CPR certificate which poses a potential health, safety risk to residents in care.

  • 87405(a)Type A

    Certified administrator requirements and substitute coverage

    87405(a) Administrator – Qualifications and Duties. All facilities shall have a qualified and currently certified administrator. *** Based on statements and documents reviewed, this requirement has not been met as evidenced by: The facility’s Administrator Certificate expired on June 20, 2023 and the renewal application, submitted 2/26/2024, is in pending status. This poses an immediate risk to the health and safety of residents in care.

  • 87411(f)Type B

    Health screening and fitness requirements

    87411(f)Personnel Requirements – General All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure.This requirement is not met as evidenced by: Based on review of records, Staff S1 lack a health screening report, including TB test and results. the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87463(c)Type B

    Document behavioral expression and related causes

    87463(c) Reappraisals- (c)The licensee shall arrange a meeting with the resident, the resident’s representative... when there is significant change in the resident’s condition, or once every 12 months, whichever occurs first... This requirement has not been met as evidenced by: Based on LPA file review showing that resident's care plans for 1 out of 4 resident (R1) were not been performed within last 12 months. This is a potential risk to the health and safety of residents in care.

  • 87465(i)Type B

    Dispose of unused medications with required witness

    87465(i) Incidental Medical and Dental Care (i) Prescription medications which are not taken.. upon termination of services..are otherwise to be disposed of shall be destroyed.This requirement is not met as evidenced by: Based on LPAs observation and discussion with Administrator that the facility did not destroy aprox 8 bags of medications that have been kept for aprox 4 months, poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87705(c)(5)Type B

    87705(c)(5) Care Persons with Dementia - Licensees who accept and retain residents with dementia shall be responsible for ensuring the following:(5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs. This requirement was not met as evidenced by: during inspection of R1's records it was observed R1 did not have a Physician Repoprt & Admin informed it was taken out to be replaced with updated after visit that has been scheduled . This is a potential risk to the health and safety of residents in care

FAQ · About this visit

Common questions about this visit

What happened during the April 30, 2024 inspection of ZEALCARE HOME?

This was an other inspection of ZEALCARE HOME on April 30, 2024. 6 citations were issued: 1 Type A (serious) and 5 Type B.

Were any citations issued to ZEALCARE HOME on April 30, 2024?

Yes, 6 citations were issued (1 Type A, 5 Type B). The first citation was for: "1569.618(c)(3) Employee Scheduling - Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) t..."

What type of inspection was this?

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

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