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Inspection visit

complaint

FAMILY CARE - PEPITA HOMELicense 3060024292 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 06/02/2022, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced to the facility to deliver findings made during the investigation of complaint 22-AS-20220204075525. LPA was greeted and granted entry by Paul Bartolome, caregiver and explained the purpose of the visit. Administrator Russell Venanzi was notified of the visit and arrived later to assist with the visit. Based on the observations, interviews and file review conducted during the visit on 02/10/2022, LPAs were able to determine that on the allegation that staff trained to handle and dispense medications, LPAs found two staff members for whom training had been completed but not documented. On the allegation that staff are not trained to care for resident with restricted health condition, LPAs confirmed no training had been documented at the time of the visit and no Home Health Services were involved in the colostomy care. The preponderance of evidence standard has been met, therefore the above allegations are found to be Substantiated and are being cited on the attached LIC 9099D. An exit interview was conducted and a copy of the report and Appeal Rights were 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.

  • 87411(c)(3)(D)Type A

    87411 Personnel Requirements - General (c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training (...) (3) The training shall include, but not be limited to, the following:(...) (D) Policies and procedures regarding medications, (...) This requirement is not met as evidenced by the observations and interviews conducted during the site visit.

  • 87621Type A

    87621 Colostomy/Ileostomy the licensees shall be responsible for the following: (A) The ostomy bag (...) may be changed by facility staff who have been instructed by the professional. (B) There shall be written documentation by an appropriately skilled professional outlining the instruction of the procedures delegatedand the names of facility staff (...)This requirement is not met as evidenced by the absence

FAQ · About this visit

Common questions about this visit

What happened during the June 2, 2022 inspection of FAMILY CARE - PEPITA HOME?

This was a complaint inspection of FAMILY CARE - PEPITA HOME on June 2, 2022. 2 citations were issued: 2 Type A (serious).

Were any citations issued to FAMILY CARE - PEPITA HOME on June 2, 2022?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "87411 Personnel Requirements - General (c) All RCFE staff who assist residents with personal activities of daily living ..."

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.