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Inspection visit

Follow-up on corrections

EASTVALE SENIOR HOME CARE IILicense 3318004242 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 01/30/2026 Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit in regards to complaint 56-AS-20250808100431. LPA met with facility staff and explained purpose of visit. During investigation of complaint, it was revealed Staff #1 (S1) was not associated to facility until 9/25/2025, however, S1 became employed several months prior to association. Additionally, Resident #1 (R1) care plan was not complete. Based on the observations made during today’s visit, deficencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) (LIC809D) was discussed and provided to Administrator Arjan Marlo Banez. Along with a copy of the appeal rights.

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.

  • 87411(d)(5)Type A

    87411 Personnel Requirements - General (d) All personnel shall be given on the job training or have related experience in the job assigned to them... (5) Knowledge necessary in order to recognize early signs of illness and the need for professional help.This requirement is not met as evidenced by: Based on observation and interviews, the licensee did not comply with section cited above by not ensuring R1 received care from an appropriate skilled professional and having staff care for R1 instead, which poses an immediate health, saftey, and personal rights risk to residents in care,

  • 87466Type A

    87466 Observation of the Resident: The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs... Based on observation and interviews, the licensee did not comply with section cited above by not ensuring R1's responsible party was notified of change of condition in R1, which poses an immediate health, saftey, and personal rights risk to persons in care.

  • 87468.2(a)(4)Type A

    87468.2 Additional Personal Rights of Residents in Privately Operate Facilities (a) In addition to the rights listed... (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient...This requirement was not met as evidenced by: Based upon review of facility and other records, observations, and interviews with pertinent individuals, licensee failed to ensure that R1 was provided with care, supervision, and services required. As a result, R1 sustained an unstageable pressure injury while at facility. This violation posed an immediate health and saftey risk to residents in care.

  • 87615(a)(1)Type A

    87615 Prohibited Health Conditions (a) ) Persons who require health services for or have a health condition...(1) Stage 3 and 4 pressure injuries.This requirement was not met as evidenced by: Based on observations and interviews, the licensee did not comply with section cited above by not ensuring that R1 was relocated due to pressure injury and or notified licensing department, which poses an immediate health, saftey and personal rights risk to residents in care.

  • 87467(a)Type A

    87467 Resident Participation in Decisionmaking (a) Prior to, or within two weeks of the resident’s admission, the licensee shall arrange a meeting with the resident, the resident’s representative, if any, appropriate facility staff, and a representative of the resident... Based on observation and record review, the licensee did not comply with section cited above by not ensuring R1 had a completed care plan while living at the facility, which poses an immediate health, safety and personal rights risk to persons in care.

  • 87355(e)(1)Type A

    87355(e)(1) Criminal Record Clearance(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall...facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department orThis requirement is not met as evidenced by: Based on observations and recordreview, the Administrator did not comply with section cited above by not obtaining a criminal record clearance for Staff #1 (S1) prior to working at the facility, whichposes 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 January 30, 2026 inspection of EASTVALE SENIOR HOME CARE II?

This was a other inspection of EASTVALE SENIOR HOME CARE II on January 30, 2026. 2 citations were issued: 2 Type A (serious).

Were any citations issued to EASTVALE SENIOR HOME CARE II on January 30, 2026?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "87411 Personnel Requirements - General (d) All personnel shall be given on the job training or have related experience i..."

What type of inspection was this?

This was a other inspection. other 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.