Inspection visit

Routine inspectionAugust 15, 2024

FOUNTAIN OF YOUTH SENIOR LIVINGLicense 3060063136 citations on this visit

6 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Lydia Martinez made an unannounced visit for the purpose of conducting an Annual Required inspection. LPA met with House Manager Brianna Bernal and purpose of visit was shared. Licensee/Administrator was not available. Facility is a 6-bedroom, 3-bathroom, 1-story house with an outside shed on the side of the kitchen that is used for storage. There is also a shed on the other side of the facility with staff's personal belongings, table, and a bed. Facility has a working telephone land line. There were 6 Residents of which one is receiving Hospice Care and three staff present during the visit. LPA observed the facility to be clean and in good repair. The home is maintained at a comfortable temperature. Lighting is sufficient for safety and comfort. Backyard has a covered patio for outdoor activities and sufficient seating for residents and visitors. Bedrooms were observed to be spacious and easily accommodate furnishings such as lamps, chair, dresser and a bed. Bathrooms were observed to be clean and have a supply of soap and paper towels. Hot water temperature was within regulatory requirements. Linen and hygiene supplies were stocked. Emergency Phone Numbers and Exit Plan were reviewed. Food prep area is clean and organized. Food supply meets the requirement of one (1) week supply of non-perishable and two (2) day supply of perishables. Smoke detectors and carbon monoxide detectors were found to be operational. Fire Extinguishers were charged and mounted. Stove burners, dishwasher, microwave, washer, and dryer are operational. Chemicals and sharps are made inaccessible to the residents. Medication was observed locked in a kitchen cabinet. Medications reviewed appear to have been dispensed accurately. LPA reviewed 6 resident files and 4 staff files. LPA interviewed residents and staff. LPA confirmed Administrator's certificate expired on 07/20/2024. Administrator Moe Jerrar has submitted documentation to renew Certificate. Based on observations made during today's visit, the following deficiencies are being cited. Advisory Note was also issued. An exit interview was conducted with House Manager and a copy of this report was sent to email on file.

Citations

6 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.

1569.625Type B
Based on observation, interviews, and record review, the licensee did not comply with the section cited above in that 4 out of 4 had no proof of training or needed their annual training, which poses/posed a potential health, safety or personal rights risk to persons in care.
87307(a)(2)(B)Type A
Prohibition on using other rooms as bedrooms
Based on observation, the licensee did not comply with the section cited above in that there was a beds, dresser, table, and personal belongings in an outside structure that is to be used for storage. This poses a potential health, safety or personal rights risk to staff and persons in care. Facility did not obtain a Fire Clearance approval to use the shed for staff sleeping quarters. This poses an immediate Health & Safety risk to the staff and residents in care.
87355(e)(1)Type A
Submit and maintain current mailing address
Based on observation, interviews, record review, the licensee did not comply with the section cited above in that Reliever, Guadalupe Meza Lopez, was hired approximately on 8/12/2024, has no fingerprint clearance & is not associated with the facility. Hiring staff without fingerprint clearance & association with the facility poses an immediate health, safety or personal rights risk to persons in care.
87411(c)(1)Type B
First aid training requirements
Based on observation, interviews, and record reviews, the licensee did not comply with the section cited above in that 4 out of 4 staff did not have First Aid and CPR training in file which poses/posed a potential health, safety or personal rights risk to persons in care.
87458(a)Type B
Obtain baseline medical assessment before resident admission
Based on record reviews, the licensee did not comply with the section cited above in that 3 of 6 files reviewed, 2 were missing Physician's Report and one need to be updated due to diagnosis, which poses/posed a potential health, safety or personal rights risk to persons in care.
87608(a)(5)(B)Type B
Based on observation, interview and record review the licensee did not comply with the section cited above in that Resident 4 has a full bed rail and is not receiving Hospice care, 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 August 15, 2024 inspection of FOUNTAIN OF YOUTH SENIOR LIVING?

This was an inspection of FOUNTAIN OF YOUTH SENIOR LIVING on August 15, 2024. 6 citations were issued: 2 Type A (serious) and 4 Type B.

Were any citations issued to FOUNTAIN OF YOUTH SENIOR LIVING on August 15, 2024?

Yes, 6 citations were issued (2 Type A, 4 Type B). The first citation was for: "Based on observation, interviews, and record review, the licensee did not comply with the section cited above in that 4 ..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLD View original report

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CCLD public records. Last updated June 1, 2026. If you believe any information is inaccurate, report it here.

Routine inspection·August 15, 2024