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Inspection visit

Routine inspection

BALBOA ISLAND BOARD & CARELicense 3006063382 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On today’s date, Licensing Program Analyst (LPA) LPA Rosie Quiroz conducted an unannounced visit for the purpose of conducting a required annual inspection. LPA Quiroz was greeted and granted entry into the facility by caregiver Patrick Guillemer. During today's visit, LPA Quiroz called Licensee/Administrator (L/AD) Cynthia Barton introduced self and discussed purpose of the call. Caregiver Rose Breton arrived to facility on or about 11:08am. L/AD Cynthia Barton arrived to facility on or about 12:00pm. This facility is licensed to provide services to 4 Non-Ambulatory residents. (L/AD) Cynthia Barton has an Administrator Certificate with expiration date of 1/14/2022. L/AD Cynthia Barton indicated "Hoping to complete by April 15, 2022 due to COVID-19." On or about 11:12am, LPA Quiroz reviewed 1 of 1 resident records. On or about 11:25am, LPA Quiroz along with Caregiver Rose Breton toured the inside and outside of the facility. There is one (1)resident in care and there are no active COVID-19 cases. During today's inspection visit, LPA Quiroz observed one (1) resident in living room resting interacting with staff. One of One resident present in the facility appeared to be clean and well taken care of. LPA Quiroz did not observe required department postings in the facility as well as hand washing signs in the restrooms. All restrooms observed to have ample soap/sanitizer and appeared clean. LPA Quiroz inspected residents’ bedrooms and appeared clean and sanitary. All bedrooms observed to have all required components. LPA Quiroz did not observe a COVID-19 check in station in the main entry of the facility. LPA Quiroz inquired about visitor sign in sheet/Log and COVID-19 screening check in station, Caregiver Rose Breton indicated "We don't have a thermometer and we don't have a visitor sign in sheet/ log either." CONTINUED ON NEXT PAGE... CONTINUED... Caregiver Patrick Guillemer indicated facility is taking temperatures daily; and documenting results. LPA Quiroz observed the emergency disaster and evacuation plan. Facility has back-up emergency food, water supply as well as PPE supplies. LPA Quiroz observed ample seating area with table and chairs for resident’s enjoyment in front porch area. Facility has completed the LIC 808 Mitigation plan dated 7/08/2021. The LIC 808 Mitigation Plan pending review at this time. L/AD Cynthia Barton indicated, "Need to print it out and place a copy at facility." During today's inspection visit, Caregiver Rose Breton indicated "All staff and resident are fully vaccinated and have received booster for COVID-19." Based on the observation made during today’s visit, deficiencies were noted during today's visit per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with L/AD Cynthia Barton, and a copy of this report, LIC 809-D, Appeal Rights and LIC 811 were provided to L/AD Cynthia Barton via email.

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.

  • 87303(2)Type A

    87303 Maintenance and Operation (2)Faucets used by residents for personal care...not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). This requirement was not met as evidence by: At 12:10pm, LPA Quiroz recorded water temperature to be 139.1 in resident hallway restroom. L/AD Barton indicated "I knew it was high, it's a new heater. I will call plumber and schedule him to bring water temperature down." This poses an immediate risk to residents in care.

  • 87705(f)(1)Type A

    87705 :Care of Persons with Dementia (f)(1)(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). This requirement was not met as evidence by: Kitchen cabinet where knives are kept locked was unlocked. Caregiver Rose Breton indicated "It's broken, doesn't work." This poses an immediate risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 28, 2022 inspection of BALBOA ISLAND BOARD & CARE?

This was a inspection inspection of BALBOA ISLAND BOARD & CARE on March 28, 2022. 2 citations were issued: 2 Type A (serious).

Were any citations issued to BALBOA ISLAND BOARD & CARE on March 28, 2022?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "87303 Maintenance and Operation (2)Faucets used by residents for personal care...not less than 105 degree F (41 degree C..."

What type of inspection was this?

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

SourceView on CCLDView original report

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