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Inspection visit

Routine inspection (multi-day)

ADELYA SENIOR HOME IILicense 3060047625 citations on this visit
5 citations recorded

Inspector’s narrative

What the inspector wrote

On July 14, 2025, Licensing Program Analyst (LPA) Eboni Bentley conducted an unannounced required continuation annual visit. 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. LPA Bentley toured inside and outside of the physical plant with CG Estrella. The resident bedrooms were inspected and contained all the required elements. Bathrooms were found to be clean and operational, however, there were no slip mats available at the time of the initial tour. During today’s visit, interviews were conducted with five (5) residents and one (1) staff during today’s visit. Medication and Medication Administration Record (MAR) reviewed. LPA Bentley conducted an audit of five (5) resident files (R1-R5) and three (3) staff files (S1-S3). Based on observation, interview, and record review, licensee did not ensure annual training was complete/up-to-date for three staff members, three residents do not have bed rail orders on record, Needs and Appraisal forms are incomplete for five residents, Centrally Stored Medication Administration Record is incomplete, Slip mats were missing in three bathrooms and later provided. Based on today’s observations, deficiencies are being cited as per Title 22 Division 6 Chapter 8 of the California Code of Regulations. An exit interview was conducted and a copy of this report, LIC809-D, Technical Violations, and appeal rights were provided to Caregiver (CG) Imelda Estrella.

Citations

5 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(e)(5)Type B

    Based on observation, the licensee did not ensure three out of three showers had non-slip mats, which poses a potential safety risk to persons in care.

  • 87463(a)Type B

    Based on observation and record review, the licensee did not comply with the section cited by completing a current Needs & Services Plan in five out of the five resident records, which poses a potential health, safety or personal rights risk to persons in care.

  • 87465(h)(6)(A-F)Type B

    Based on review of the centrally stored medication form & MAR, the licensee did not comply with the section cited above infive out of five resident records, which poses a potential health and safety risk to persons in care. Based on Residentmedication and record review, the licensee failed to update/document five resident records of centrally storedprescription medications for each resident and MARs.

  • 87608(a)(3)Type B

    Based on observation and record review, the licensee did not comply with the section cited above in thre out of five resident records, which poses a potential health and safety risk to persons in care.

  • 87705(b)(1)(A)Type B

    Based on observation, interview, and record review, licensee did not ensure current training was completed in three out of three staff, which poses a potential Health, Safety, and Personal Rights risk to persons with Dementia in care.

FAQ · About this visit

Common questions about this visit

What happened during the July 14, 2025 inspection of ADELYA SENIOR HOME II?

This was a other inspection of ADELYA SENIOR HOME II on July 14, 2025. 5 citations were issued: 5 Type B.

Were any citations issued to ADELYA SENIOR HOME II on July 14, 2025?

Yes, 5 citations were issued (0 Type A, 5 Type B). The first citation was for: "Based on observation, the licensee did not ensure three out of three showers had non-slip mats, which poses a potential ..."

What type of inspection was this?

This was a other inspection. other 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.