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Inspection visit

Follow-up on corrections

SHASTA RESIDENTIAL CARELicense 3060062802 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On today's date, Licensing Program Analyst (LPA) Rosie Quiroz conducted a subsequent unannounced visit after delivering findings for complaint control # 22-AS-20240404121611 . LPA Quiroz was greeted by Caregiver 1 (CG1) and met with Caregiver 2 (CG2) and discussed purpose of today's visit. LPA Quiroz attempted to call Administrator (AD) Kevin Dinh multiple times with no response or call back. Caregivers in care indicated "There's a person in charge when Kevin is away on vacations her name is Janice. LPA Quiroz called and spoke to AD Janice Jabonero who indicated "I didn't know he was on vacations. He asked me in February to cover during his absence but didn't tell me the dates. " (SEE LIC 809-D) On or about 2:35pm while conducting tour and interviewing Resident 3, LPA Quiroz observed centrally stored medication and vitamins stored on shelves in staff bedroom with door unlocked readily available for residents in care. On or about 2:53am while conducting inspection tour of living room and kitchen area, LPA Quiroz observed loose screen door in living room area, as evidenced by Caregiver 2 requiring to pull it out from frame and reinstalling it back in order to open screen door per Resident 1's request. On or about 2:40pm, while inspecting garage area, LPA Quiroz observed staff pulling on garage door stating "It's hard to open and close, we had to use both of our hands to open and close but now we just use one but pull hard." (SEE LIC 809-D) During today's inspection visit, while conducting tour of the facility and conducting interviews for complaint control #22-AS-20240404121611, the following deficiencies were observed and are being cited via this case management deficiency. 87303 (a)- Maintenance and Operation 87405 (a)- Administrator - Qualifications and Duties The facility is being cited per Title 22, Division 6 of the California Code of Regulations. An exit interview was conducted with Caregivers on site, and a copy of this report, 809-D Page, Appeal Rights and LIC 811 were provided at exit.

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.

  • 87303(a)Type B

    Maintenance and Operation-87303(a): (a) The facility shall be clean, safe, sanitary and in good repair at all times...This requirement is not met as evidenced by, LPA Quiroz observed On or about 2:35pm while conducting tour and interviewing Resident 3, LPA Quiroz observed centrally stored CONT... medication and vitamins stored on shelves in staff bedroom with door unlocked readily available for residents in care.On or about 2:53am while conducting inspection tour of living room and kitchen area, LPA Quiroz observed loose screen door in living room area and staff struggling to open and close

  • 87405(a)Type B

    87405(a)Administrator - Qualifications and Duties:(a)All facilities shall have a qualified and currently certified administrator...The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the CONT... management and administration of the facility as specified in this section. When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications adequate to be responsible and accountable...This requirement was not met as evidenced by:

FAQ · About this visit

Common questions about this visit

What happened during the April 10, 2024 inspection of SHASTA RESIDENTIAL CARE?

This was a other inspection of SHASTA RESIDENTIAL CARE on April 10, 2024. 2 citations were issued: 2 Type B.

Were any citations issued to SHASTA RESIDENTIAL CARE on April 10, 2024?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "Maintenance and Operation-87303(a): (a) The facility shall be clean, safe, sanitary and in good repair at all times...Th..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.