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Inspection visit

Routine inspection

ADELYA SENIOR HOME IILicense 3060047623 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

On July 3, 2025, Licensing Program Analyst (LPA) Eboni Bentley conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Bentley was greeted and granted entry by Caregiver (CG) Imelda Estrella. LPA spoke with Licensee (LI) Lawrence Lindsey over the phone and explained the purpose of the visit. LI Lindsey said they could not attend today’s visit and CG Estrella can sign for the report on their behalf. The facility is licensed to operate for six (6) non-ambulatory, of which one (1) may be bedridden, with a hospice waiver for three (3) residents. The home consists of 5 resident bedrooms, 1 staff bedroom, 3 bathrooms, living room, dining room, and kitchen. LPA Bentley toured inside and outside of the physical plant with CG Estrella. There were no bodies of water or obstructions on the premises. A comfortable temperature of 76 degrees F was maintained in the facility. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. The resident bedrooms were inspected and contained all the required elements. Bathrooms were found to be clean and operational. The water temperature measured between 132.6 to 138.2 degrees F. A deficiency was cited for water temperatures in bathrooms used by residents in care. CONTINUE TO LIC809-C PAGE.. LPA Bentley observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly. Emergency safety drills was last conducted on June 15, 2025 and are conducted quarterly. First aid kit is maintained and contains all the necessary elements. During the visit, LPA Bentley observed the smoke detectors and carbon monoxide detectors were operable. A working telephone (657-218-46-80) remains available. The facility has one (1) fire extinguisher that was charged, mounted in the hallway, with a purchase date of June 16, 2025. Liability Insurance is effective 7/1/2025 and expires on 7/1/2026. The facility does not have a sufficient amount of emergency food and emergency water stored in the garage. A deficiency was cited. Licensee/Administrator Lawrence Lindsey has an administrator certificate that expires on December 25, 2025. Based on observations, deficiencies are being cited during this visit as per Title 22 Division 6 Chapter 8 of the California Code of Regulations. An exit interview was conducted, a copy of this report, LIC809D and appeal rights were provided to Caregiver Imelda Estrella.

Citations

3 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.

  • 1569.895(a)(2)Type B

    Based on LPA observation, facility has 2 cases of emergency water available for 5 residents and 2 staff members and a 2-day supply of perishable food in garage. There was no non-perishable emergency food supply available at the time of the visit. This poses a potential health and safety or personal rights risk to persons in care.

  • 87303(e)(2)Type A

    Based on observation, the licensee did not comply with the section cited above in three out of three bathrooms, which poses an immediate health and safety risk to persons in care. LPA observed the water temperature measure between 132.6 to 138.2 degrees F.

  • 87303(a)Type B

    Based on LPA observation, 2 out of 4 stove burners are not operational without an external ignitor and kitchen refrigerator is in need of repairs. This poses an immediate health and safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the July 3, 2025 inspection of ADELYA SENIOR HOME II?

This was a inspection inspection of ADELYA SENIOR HOME II on July 3, 2025. 3 citations were issued: 1 Type A (serious) and 2 Type B.

Were any citations issued to ADELYA SENIOR HOME II on July 3, 2025?

Yes, 3 citations were issued (1 Type A, 2 Type B). The first citation was for: "Based on LPA observation, facility has 2 cases of emergency water available for 5 residents and 2 staff members and a 2-..."

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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