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Inspection visit

Routine inspection

GOOD SAMARITAN IILicense 3060010282 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting the Required Annual Inspection. LPA was greeted and granted entry by facility administrators Leo and Susan Cambio. During the inspection, LPA and facility staff conducted a tour of the physical plant and observed the following: The facility is a one-story home with a loft, two private bedrooms, two shared bedrooms and one staff room in addition to the facility's common living areas and two bathrooms, including one en-suite. All resident bedrooms have the required furnishing, bathrooms are equipped with grab bars and slip mats. LPA observed all beds have linens and blankets. The backyard has a shaded area and the routes of egress are free of clutter and obstructions. There are currently three residents admitted to the facility with no resident receiving hospice care at the time of the visit. The current hospice waiver allows for one resident. Residents are observed to be clean and appear well taken care of. Bathrooms faucets and toilets were operational. Water temperature was verified to be within acceptable range. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted. Fire drills are conducted quarterly. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required. Smoke and carbon monoxide detectors tested operational. One fire extinguisher present is observed to be fully charged. LPA advised licensee to ensure annual maintenance or replacement of the fire safety equipment. Sharp items and cleaning supplies were confirmed to be inaccessible throughout the physical plant. The medication central storage was also observed to be secure, however the daily prepared medication were located in a separate drawer without a lock. Medication was reviewed for accuracy during the visit. LPA reviewed three resident files along with one staff file. One staff member on the roster was found to be background cleared but not associated to this specific licensed location. Based on the observations made during today’s inspection, two type A deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report along with appeal rights was left at the facility.

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.

  • Request a transfer of criminal record clearance

    Based on records reviewed and interview conducted, the licensee did not comply with the section cited above as one staff member was found to not be associated to this licensed location in Guardian which poses an immediate health, safety or personal rights risk to persons in care.

  • Store centrally held medications in locked secure place

    Based on observation conducted during the tour of the physical plant, the licensee did not comply with the section cited above as prepared medication for the same day's lunch was found to be stored in an unlocked drawer rather than the secure central storage which poses an immediate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the July 26, 2024 inspection of GOOD SAMARITAN II?

This was an inspection of GOOD SAMARITAN II on July 26, 2024. 2 citations were issued: 2 Type A (serious).

Were any citations issued to GOOD SAMARITAN II on July 26, 2024?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "Based on records reviewed and interview conducted, the licensee did not comply with the section cited above as one staff..."

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.