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Inspection visit

Health check

CLEGG CARE FACILITYLicense 3403178172 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Pang Lee arrived unannounced to conduct a health and safety case management visit. The facility is on quarterly visits due to non-compliance concerns discussed during a zoom meeting on 11/14/2023. LPA Lee met with licensee, Edna Clegg and explained the purpose of the visit. The census is 6 with 2 facility staff. During today's visit, LPA Lee reviewed facility records, residents medications and toured the facility. During the review of residents medications, LPA Lee observed medications made inaccessible to residents. LPA Lee also observed sharp objects made accessible to residents during today's visit. Due to insufficient time LPA Lee will return at a later date to complete the case management. As a result of this case management visit, the facility is not in compliance with Title 22 Regulation, and the deficiencies can be found on the LIC 809 D page. An exit interview was conducted, and a copy of these LIC 809 reports, LIC 809-D page, and Appeals rights were provided to the facility

Citations

8 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.

  • 87309(a)Type A

    9. 87309(a) Storage Space(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients.This requirement was not met as evidence by: Based on observation and interviews, licensee did not ensure that multiple disinfectants and cleaning solutions were made inaccessible to residents in care, which poses a potential health and safety risk to persons in care. This posed a potential health and safety risk to residents in care.

  • 87465(h)(2)Type A

    87465(h)(2) Incidental Medical and Dental Care(h) The following requirements shall apply to medications which are centrally stored:(2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.This requirement is not meet as evidenced by: Based on observations and interview the licensee did not comply with the section cited above. The licensee did not ensure that resident’s medication was made inaccessible to residents in care; which this poses a potential health and safety risk to persons in care. This posed a potential health and safety risk to residents in care.

  • 87303(a)Type B

    87303 Maintenance and Operation(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors…This requirement is not meet as evidenced by: Based on observations the licensee did not comply with the section cited above. The licensee did not ensure that the resident bathroom and the sliding door screen were in good repair, which poses a potential health and safety risk to persons in care. This posed a potential health and safety risk to residents in care.

  • 87405(c)Type B

    87405 Administrator - Qualifications and Duties(c) Failure to comply with all licensing requirements pertaining to certified administrators may constitute cause for revocation of the license of the facility.This requirement is not meet as evidenced by: Based on observations, record review, and interview the licensee did not comply with the section cited above. The licensee did not ensure that licensee complies with all licensing requirements during NCC meeting on 11/14/2023; which poses a potential health and safety risk to persons in care. This posed a potential health and safety risk to residents in care.

  • 87405(d)Type B

    87405 Administrator - Qualifications and Duties(d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply.This requirement is not meet as evidenced by: Based on observations, record review, and interview the licensee did not comply with the section cited above. The licensee did not ensure that licensee complied with all title 22 regulations knowledge of and ability to conform to applicable laws, rules and regulations, which this poses a potential health and safety risk to persons in care. This posed a potential health and safety risk to residents in care.

  • 87411(c)Type B

    87411 Personnel Requirements – General(c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69This requirement is not meet as evidenced by: Based on observations, record review, and interview the licensee did not comply with the section cited above. The licensee did not ensure that 4 out of 6 staff are receiving initial and annual training. Based on record review, no training for 2023 was documented for 4 out of 6 staff files, which this poses a potential health and safety risk to persons in care. This posed a potential health and safety risk to residents in care.

  • 87465(h)(6)Type B

    87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored:(6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes:This requirement is not meet as evidenced by: Based on observations record review the licensee did not comply with the section cited above. The licensee did not ensure that residents’ that a record of centrally store prescription of medications for residents were maintained, which this poses a potential health and safety risk to persons in care. This posed a potential health and safety risk to residents in care.

  • 87555(b)(24)Type B

    8. 87555 General Food Service RequirementsThe following food service requirements shall apply...Pesticides and other toxic substances shall not be stored in food storerooms, kitchen areas, or where kitchen equipment or utensils are stored. This requirement was not met as evidence by:This requirement is not meet as evidenced by: Based on observation and interview Licensee did not ensure insulin medication was stored separately from resident food, which poses a potential health and safety risk to persons in care. This posed a potential health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the February 16, 2024 inspection of CLEGG CARE FACILITY?

This was a other inspection of CLEGG CARE FACILITY on February 16, 2024. 2 citations were issued: 2 Type A (serious).

Were any citations issued to CLEGG CARE FACILITY on February 16, 2024?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "9. 87309(a) Storage Space(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a dan..."

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.