Inspection visit

Follow-up on correctionsOctober 13, 2022

ANGELIC HANDS ASSISTED LIVINGLicense 3364267475 citations on this visit

5 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Crystal Colvin was at the facility conducting an investigation on open complaints (#18-AS-20220824151755 & #18-AS-20221006144016) when LPA Colvin observed the following items which were addressed: Admissions Agreements/Other Fees: In reviewed of resident's (R1) Admissions Agreement, LPA Colvin observed that R1's Admissions Agreement had additional Optional Services hand written in, such as "haircuts, pedicures & manicures, transportation, private caregiver". LPA Colvin that there was no list of fees for each item, and only the basic service fee of $7,500 was listed. Deficiency cited. LPA Colvin additionally observed that the Admissions Agreement the facility used for R1 is significantly different than that which was approved by Licensing from the facility's application for a License. Deficiency cited. Pre-Admissions Fee Refunds: LPA Colvin observed that Resident 2 (R2) resided in the facility for less than three weeks and their family was not provided with any refund of the $1,500 Pre-Admission Fee. LPA Colvin notes that Title 22 Regulations has a very specific refund schedule for Pre-Admission Fees in excess of over $500. R2 should have been refunded $800 of the fee (80% of the amount over $500, or 80% of $1,000) due to passing away within the first 30-days of tenancy. Deficiency cited. Reporting Requirements: LPA Colvin observed that R2's tenancy at the facility ended due to R2's passing away at the end of the month in September. Licensing does not have any record on file of the facility reporting R2's passing, as they are required to do for each resident within seven (7) days of their passing. Deficiency cited. Resident Records : LPA Colvin did not have access to resident files during today's inspection, and Administrator was unable to provide access, as they had an appointment in another city. Deficiency cited. Since this is a repeated deficiency, LPA Colvin wil be assessing a $250 civil penalty on today's date. Based on observations made by LPA Colvin, the facility was cited and deficiencies noted on LIC809D. A copy of this report, LIC809Ds, LIC421FC, and appeal rights were provided to caregiver Tinisha Sherley, who refused to sign the report.

Citations

7 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.

87208(a)(2)Type B
Plan of Operation: (a) Each facility shall have and maintain a current, written definitive plan of operation...Any significant changes in the plan of operation...shall be submitted to the licensing agency for approval. The plan and related materials shall contain the following: (2)...Admission Agreement... The Licensee did not comply with the above regulation with at least one resident. LPA Colvin observed that the Admissions Agreement for R1 was entirely different than the Admissions Agreement Licensing has on file from the application for licensure. This is a potential personal rights violation of R1.
87211(a)(1)(A)Type B
Reporting Requirements: (a) Each licensee shall furnish to the licensing agency such reports... including...: (1) A written report shall be submitted...within seven days of the occurrence of any of the events...(A)Death of any resident from any cause regardless of where the death occurred... The Licensee did not comply with the above regulation with at least one resident. LPA Colvin observed that R2 passed away in September 2022, but Licensing never received a Death Report from the facility.
87506(d)Type B
Resident Records: (d) All resident records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours.... This requirement was not met as evidenced by: Based on observation and interview, the Licensee did not comply with the above regulation with one resident file. LPA Colvin was unable to access records for R2 during the inspection. This is a potential personal rights violation.
87507(g)(5)(E)(2)(b)Type A
Admission Agreements: (g)...shall..:(5) Refund...(E) Preadmission fees shall be refunded...: 2...fees that are greater than ...($500) shall be refunded...:a. A refund of at least 80 percent...iin excess of $500...resident leaves the facility for any reason during the first month of residency. The Licensee did not comply with the above regulation with at least one resident. R2resided at the facility for less than one month before passing away. Family removed items from facility and was not provided any refund of preadmission fees. This was an immediate personal rights violation of R2.
1569.652(a)Type A
Termination of admission agreement upon death of residen...refund of fees paid...and refunds: (a) A residential care facility for the elderly shall not require advance notice ...upon the death of a resident. No fees shall accrue once all personal property...is removed... This requirement was not met by: Based on interviews conducted, the Licensee did not comply with the above regulation with at least one resident. LPA Colvin confirmed that R1's family did not receive a refund for fees prepaid for R1 through 10/18/22. R1 passed away and proprty removed 9/29. This is an immediate personal rights violation of R1.
87507(e)Type B
Admission Agreements: (e) The licensee shall provide a copy of the signed and dated current admission agreement,...to the resident or the resident's representative...immediately upon signing the admission agreement... This requirement was not met by: Based on interviews conducted, the Licensee did not comply with the above regulation with at least one resident (R1). Administrator does not have proof that a copy was provided to R1's family, and multiple interviews state that no Admisssions Agreement has been received. This is a potential personal rights violation of R1.
87507(g)(3)(B)(1)Type B
Admission Agreements: (g)...shall specify the following: (3) Payment provisions, including the following: (B) Rate for additional items and services, including: 1. A...description of and the corresponding fee schedule for all additional items and services not included in the fees for basic services... The Licensee did not comply with the above regulation with at least one resident. LPA Colvin observed that R1's agreement had written in additional services (hairbuts, transportation), without listing cost of these additional services. This was a potential personal rights violation of R1.

FAQ · About this visit

Common questions about this visit

What happened during the October 13, 2022 inspection of ANGELIC HANDS ASSISTED LIVING?

This was a other inspection of ANGELIC HANDS ASSISTED LIVING on October 13, 2022. 5 citations were issued: 1 Type A (serious) and 4 Type B.

Were any citations issued to ANGELIC HANDS ASSISTED LIVING on October 13, 2022?

Yes, 5 citations were issued (1 Type A, 4 Type B). The first citation was for: "Plan of Operation: (a) Each facility shall have and maintain a current, written definitive plan of operation...Any signi..."

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 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.

Follow-up on corrections·October 13, 2022