Inspection visit

complaintJuly 28, 2023

ANGELA'S CARE HOMELicense 3318805442 citations on this visit

2 citations recorded

Inspector’s narrative

What the inspector wrote

that the Licensee was worried about funding. The licensee wanted the hospital to pay for the current and additional months of rent since the family had not paid as promised. Based on this fact that the licensee dropped off the resident at the hospital, refused to pick up the resident for the lack of payment the allegation that the resident was abandoned at the hospital is Substantiated. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. Allegation, Licensee did not distribute resident's medication as prescribed. It was further alleged that Licensee was not dispensing medication as prescribed. Interview with Licensee indicated that R1 lived at the facility for approximately one month. On the second month the licensee knew that R1 was out of medication, but failed to seek medication refill because as she stated "she was way to busy getting the file ready for the LPA so that she would not get cited". R1 was without medication for one week and was thereafter dropped off at the hospital for lack of payment. Based on this fact that the licensee dropped off the resident at the hospital, and failed to refill the resident medication as required that allegation that the licensee failed to dispense medications as prescribed is thereby substantiated. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. An exit interview was conducted where a copy of this report was provided to Licensee/Administrator Angela Zhang along with copies of the LIC811, LIC9099-D, and Appeal Rights.

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.

80072(a)(3)Type B
PERSONAL RIGHTS (a)..each client shall have personal rights which include..(3)..withholding of shelter.. This requirement is not being met as evidenced by: Based on LPA interviews, Licensee did not provide R1 the means to have shelter. This poses a potential health and safety risk and personal rights to residents in care.
87465(a)(1)Type A
Incidental Medical and Dental Care: (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents.The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidenced by: Based on interview with Licensee, Resident was admitted to the facility with pressure injuries, without an assessment. Staff were alleged to have been caring for R1; however, the Licensee admitted that R1 had eventually moved to skilled nursing due to the inability to care for R1's wounds. This poses an immediate health and safety and/or personal rights risk to residents in care.
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87158(a)Type A
Capacity:A license shall be issued for a specific capacity which shall be the maximum number of residents which can be provided care at any given time. This requirement was not being met as evidenced by: Based on interview with Licensee, Licensee indicated that they are over capacity by one resident. This presents an immediate health and safety risk to residents in care.
87458(a)Type B
Medical Assessments: (a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment.This requirement was not being met as evidenced by: Based on interview with Licensee, R1 was not offered a proper assessment upon admission to the facility. Licensee understood that R1's pressure injuries got worse under her care. Licensee indicated that R1 was turned every 2-3 hours, but the wound to her coccyx got larger. Even though R1 was allegedly to have been assessed, Licensee does not have documentation to prove that it did. This poses a potential health and safety risk to residents in care.
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FAQ · About this visit

Common questions about this visit

What happened during the July 28, 2023 inspection of ANGELA'S CARE HOME?

This was a complaint inspection of ANGELA'S CARE HOME on July 28, 2023. 2 citations were issued: 2 Type B.

Were any citations issued to ANGELA'S CARE HOME on July 28, 2023?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "PERSONAL RIGHTS (a)..each client shall have personal rights which include..(3)..withholding of shelter.. This requiremen..."

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 CCLD View original report

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Data from CCLD public records. Last updated May 25, 2026. If you believe any information is inaccurate, report it here.

complaint·July 28, 2023