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Inspection visit

Routine inspection

SIGNATURE LIVING ON CAMELIA AVENUELicense 3150028532 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 11/25/25 to conduct a Annual Inspection utilizing the CARE inspection tool. LPA met with staff and explained the purpose of the visit. House manager, Jacob, assisted with the visit. 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. LPA discussed deep cleaning of the kitchen, R2's blinds replacement and dresser knobs, and the condition of the property fence. Facility records review found absence of quarterly emergency drills. LPA reviewed 3 resident and 2 staff files. Files were complete for residents. Staff training on file was insufficient. LPA requested the following documents to update the facility file: Liability insurance and LIC 500. As a result of this inspection, deficiencies are cited. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care. Exit interview conducted with Ayunasia "Jacob" Sogari and copy of report and appeal rights left at the facility.

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.

  • 1569.695(c)Type B

    Based on interview and records, the licensee did not comply with the section cited above in staff training was not completed quarterly which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.625(b)(2)Type B

    Based on records review, the licensee did not comply with the section cited above in 2 of 2 staff, S1 and S1, not having 20 hours annual training 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 25, 2025 inspection of SIGNATURE LIVING ON CAMELIA AVENUE?

This was an inspection of SIGNATURE LIVING ON CAMELIA AVENUE on November 25, 2025. 2 citations were issued: 2 Type B.

Were any citations issued to SIGNATURE LIVING ON CAMELIA AVENUE on November 25, 2025?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "Based on interview and records, the licensee did not comply with the section cited above in staff training was not compl..."

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.