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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 10/23/24 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 was unavailable 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. The home is very clean and residents stated they are happy with care. LPA provided advisories regarding various topics. Citations issued for documentation of emergency training and drills. LPA reviewed 6 resident files. Files are complete and well organized. LPA advised more thorough Needs and Services and Home Health care plans. PIN 22-24-ASC provided. LPA reviewed 2 staff files. Increased training documentation needed Deficiencies are being cited as a result of todays inspection. Exit interview conducted with Caregiver. Due to Printer malfunction, copy of report and appeal rights are to be emailed to Licensee

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.

  • 1569.695(b)Type B

    Based on records review, the licensee did not comply with this section based on 2 of 2 staff records that did not have training on the facility's emergency and disaster plan. This posed a potential risk to residents

  • 1569.695(c)Type B

    Based on interview and record, the licensee did not comply with the section cited above in quarterly emergency drills have not been recored which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87211(a)Type B

    Licensee reports required by licensing agency

    Based on interview the licensee did not comply with the section cited above infor R4's recent incident and hospitalization 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 October 23, 2024 inspection of SIGNATURE LIVING ON CAMELIA AVENUE?

This was an inspection of SIGNATURE LIVING ON CAMELIA AVENUE on October 23, 2024. 3 citations were issued: 3 Type B.

Were any citations issued to SIGNATURE LIVING ON CAMELIA AVENUE on October 23, 2024?

Yes, 3 citations were issued (0 Type A, 3 Type B). The first citation was for: "Based on records review, the licensee did not comply with this section based on 2 of 2 staff records that did not have t..."

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.