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Inspection visit

Routine inspection

GOOD SAMARITAN IILicense 3060010281 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit for the purpose of conducting a required/ annual visit. LPA was greeted and granted entry into the facility by Caregiver Mayra Fernandez and explained the reason for the visit. Licensees Leo and Susan Cambio arrived during visit. At 11:10 AM, LPA toured the facility with Licensee Cambio. Facility has 5 residents during today's visit. LPA observed residents relaxing in the facility. All residents appeared happy and well taken care of. Facility appears clean and sanitary. All resident's rooms had the required elements as well as restrooms stocked with soap/ sanitizer. LPA observed the screening/ sanitizing station in the entrance of the facility. Facility takes resident temperatures daily. Facility has covid precaution postings as well as all required department postings. Facility has completed the mitigation plan and LPA approved the plan during the visit. LPA observed adequate emergency food supply as well as the first aid kit which contained all required items. Facility has all items of PPE on site. LPA toured the outside grounds and observed ample shaded outside visitation areas. Exit gate is unlocked and self latching. LPA observed the locked medication storage area. Facility has a plan for covid testing residents and staff as needed as well as a plan for isolation. All staff and residents are vaccinated for Covid-19. LPA reviewed all resident files and all contained emergency information. LPA observed six out of six physician reports are outdated. All six residents have a Dementia diagnosis. LPA consulted with Licensee regarding the importance of documenting temperatures taken daily as well as having ample emergency water supply in the facility at all times. Based on the observations made during today’s visit, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the facility representative and a copy was provided as well as appeal rights.

Citations

1 citation 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.

  • 87705(c)(5)Type B

    Based on record review, the licensee did not comply with the section cited above in six out of six physician reports are outdated. All six residents are diagnosed with Dementia and have physician reports out of date. This poses a potential health and safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the July 16, 2021 inspection of GOOD SAMARITAN II?

This was an inspection of GOOD SAMARITAN II on July 16, 2021. 1 citation were issued: 1 Type B.

Were any citations issued to GOOD SAMARITAN II on July 16, 2021?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Based on record review, the licensee did not comply with the section cited above in six out of six physician reports are..."

What type of inspection was this?

This was an inspection. 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.