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Inspection visit

Routine inspection

SIGNATURE LIVING ON CAMELIA AVENUELicense 3150028533 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 11/29/23 to conduct a Annual Inspection utilizing the CARE inspection tool. LPA met with staff and explained the purpose of the visit. LPA requested for staff to notify Administrator that LPA is present at the facility to conduct an annual inspection. Administrator arrived to assist. LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. Advisories issued. The home is very clean and residents stated they are happy with care. Water temperature exceeded 125' F. LPA reviewed 6 resident files. Files are complete and well organized. Two resident files missing admission agreements and and appraisals. LPA reviewed 2 staff files. Files are complete. Advisories issued for documentation of training for restricted conditions. Licensee will submit LIC 9020, LIC 500, current facility sketch, training records for R2 (from other facility) and new Liability Insurance certificate. Deficiencies are being cited as a result of todays inspection. Exit interview conducted with licensee and copy of report left at the facility.

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.

  • 87303(e)(3)Type B

    Mark taps at high-temperature threshold

    Based on observation of temperature taken, the licensee did not comply with the section cited above in 2 of 2 resident bathrooms temperature measured at 126' F which poses/posed a potential health, safety or personal rights risk, due to their ambulatory status, to persons in care.

  • 87456(a)(2)Type B

    Perform a pre-admission resident appraisal

    Based on records review, the licensee did not comply with the section cited above in 2 out of 6 residents not have apraisals or care plans on file which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87507(c)Type B

    Admission agreement signing and dating deadline

    Based on records review, the licensee did not comply with the section cited above in 2] out of 6 resident files R5 and R6 did not have admission agreements on file which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the November 29, 2023 inspection of SIGNATURE LIVING ON CAMELIA AVENUE?

This was an inspection of SIGNATURE LIVING ON CAMELIA AVENUE on November 29, 2023. 3 citations were issued: 3 Type B.

Were any citations issued to SIGNATURE LIVING ON CAMELIA AVENUE on November 29, 2023?

Yes, 3 citations were issued (0 Type A, 3 Type B). The first citation was for: "Based on observation of temperature taken, the licensee did not comply with the section cited above in 2 of 2 resident b..."

What type of inspection was this?

This was an inspection. 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.