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Inspection visit

complaint

A LOVING AND JOYFUL HOME RCFELicense 3127009011 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

LPA discussed with Administrator that as they are aware of the need for criminal records clearance before staff are present at the facility, they could have discussed their challenges with Guardian and use of paper transfer request forms. In addition to citations issued, civil penalties are to be applied. As a result of this investigation, LPA finds allegation to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. (A)This poses an immediate Health and Safety risk to clients/residents in care. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care. Report reviewed with Anita Heydon. Copy of this report, civil penalties and appeal rights provided.

Citations

4 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.

  • 87203Type A

    Fire Safety- All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic.This requirement was not met based on records and interviews finding facility over 6 resident capacity. This posed an immediate risk to residents.Civil penalties apply

  • 87355(b)(1)(D)Type A

    Criminal Record Clearance (b) In addition to the applicant, the provisions of this section shall apply to criminal convictions of the following persons: (1) (D) Any staff person, volunteer, or employee who has contact with the clients. this requirement was not met based on interviews and records reviews that found 5 of 6 staff were not criminal record cleared and or associated to this home.This posed an immediate risk to residents.

  • 87412(a)Type B

    Personnel Records (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. This requirement was not met in review of 5 of 7 employee files. This posed a potential risk to residents.

  • 87465(h)(2)Type A

    Incidental Medical and Dental Care(h)(2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement was not met based on observation that medications were not safely stored or disposed of when expired.This posed an immediate risk to residents.

FAQ · About this visit

Common questions about this visit

What happened during the August 15, 2023 inspection of A LOVING AND JOYFUL HOME RCFE?

This was a complaint inspection of A LOVING AND JOYFUL HOME RCFE on August 15, 2023. 1 citation were issued: 1 Type A (serious).

Were any citations issued to A LOVING AND JOYFUL HOME RCFE on August 15, 2023?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "Fire Safety- All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for..."

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.