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Inspection visit

Routine inspection

Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

On 09/11/24 at 10:20am Licensing Program Analyst (LPA) Javina George to conduct an unannounced annual visit 1 year required visit. LPA was greeted an granted entry by Caregiver Maria Guiterrez, where LPA explained the purpose of the visit. The Administrator Winston Falcon had accompanied a resident to an appointment and arrived at 11:32am. The facility is approved for six (6) bedridden residents, aged 60 and older. The facility has an approved dementia plan of operation and a hospice waiver for 4 residents. There are currently (2) residents receiving hospice services, in addition to (2) residents receiving home health services. LPA conducted a tour of the interior and exterior areas of the facility. The facility is a single story home consisting of 5 resident bedrooms, and 3 bathrooms, laundry room, living room, kitchen, garage and backyard. The resident bedrooms beds were observed to have clean linens, a chest of drawers, and night stand. The facility was observed to be clean, and clutter free. The hot water temperature was tested and measured 112-113 degrees Fahrenheit within regulatory limits. The facility has (2) fully charged fire extinguishers, with the tags in tact. The medications are stored in a locked cabinet in the hallway, across from the laundry room. The smoke and carbon monoxide detectors were tested and observed to be operable. The facility conducts emergency disaster drills on a quarterly basis, the last drill was conducted in June 2024, a drill is due by the end of the month in order to remain in compliance. LPA conducted a records review and observed for both staff and residents. All staff present were observed to have obtained criminal record clearance and to be associated to the facility, as well as to possess valid CPR certification. The administrator Winston was observed to have a valid administrator's certificate that expires 07/24/25. The resident files had the required documentation such as admissions agreement, medical and medical assessment. The facility food supply was observed to meet the requirements of a 2 day supply of perishable and a 7 day supply of non perishable food items. Based on today's inspection no deficiencies were issued in accordance with the California Code of Regulations (Title 22, Division 6, Chapter 8). An exit interview was conducted and a copy of this report was provided to Winston Falcon, Administrator.

Citations

No citations recorded on this visit

The inspector found no violations of California child care regulations during this visit.

FAQ · About this visit

Common questions about this visit

What happened during the September 11, 2024 inspection of PEBBLE BROOK SENIOR HOME CARE?

This was a inspection inspection of PEBBLE BROOK SENIOR HOME CARE on September 11, 2024. The inspection found no deficiencies and no citations were issued.

Were any citations issued to PEBBLE BROOK SENIOR HOME CARE on September 11, 2024?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was a inspection inspection. 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.