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Inspection visit

Follow-up on corrections

ABUNDANT PEACELicense 3427010136 citations on this visit
6 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Pang Lee arrived at this facility unannounced on 08/05/2025, to conduct a case management visit. LPA Lee met with Facility’s Designated Administrator (FDA) Barbara Hall Williams and explained the purpose of the visit. The purpose of this visit was to follow up on deficiencies identified during complaint investigation control # 27-AS-20250731120824 . During the investigation, it was discovered through an interview with FDA Williams that she had provided false or misleading information regarding an incident on July 10, 2025 , involving Resident 1 (R1), who had experienced a fall. Initially, FDA Williams stated she had gone for a walk lasting approximately five minutes and returned to the facility upon seeing EMTs on-site, with whom she stated that she had spoken to. However, when LPA Lee and Ombudsman Byron Toliver questioned the timeline of the incident, FDA Williams admitted to providing a false statement. She then corrected her account, stating that she had left the facility at approximately 10:46 PM and returned around 11:56 PM, resulting in a period of approximately 1 hour and 10 minutes during which no care staff were present. Upon her return, FDA Williams was informed by R1 and other residents that R1 had fallen and had been unable to get up. Further investigation revealed that no staff were available to provide assistance or contact emergency services during this time. Resident 2 (R2) then called EMT, who responded (exact arrival time unknown) and assisted R1 back into bed. Additionally, it was determined through interviews and a review of records that this incident was not reported to the Community Care Licensing Division or to R1’s responsible party (RP), as required. Upon request to review R1’s file, FDA Williams was unable to produce any documentation for R1. CONTINUED LIC 809-C During the visit, R1’s responsible party (RP) arrived at the facility, and FDA Williams attempted to work with RP to complete the necessary facility documents for R1. Per R1’s Responsible Party (RP), the RP will take the licensing documents to complete the paperwork. The RP also stated that they will request assistance from R1’s social workers in completing the documents and will return a copy to the facility once completed. Moreover, FDA Williams acknowledged that her husband (DW) regularly visits the facility about six time and they will sit outside to eat despite knowing that DW is not being associated with the facility. An immediate $500.00 civil penalty was assessed on August 05, 2025; based on interview, the administrator did not provide care and supervision in violation of California Code of Regulations Section 87464(f)(1). A $600.00 civil penalty was assessed on August 05, 2025, based on interview, the administrator did not adhere to personnel requirements/background association of DM who comes to the facility six times in violation of California Code of Regulations Section 87355(e). The following deficiencies were observed and cited from the California Code of Regulations, Title 22, and California Health and Safety Code. The deficiencies can be found on the LIC 809- D page. An exit interview was conducted with FDA Williams and a copy of the LIC 809 report, LIC 809-D page, and appeal rights were given to FDA Williams.

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.

  • 87465(a)(1)Type A

    87465(a)(1) Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each facility...(1) 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 interviews conducted, Administrator Williams did not assist Resident 1 (R1) in a timely manner after R1 experienced a fall and was unable to get up.

  • 87207Type B

    87207 False ClaimsNo licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility.This requirement is not met as evidenced by: Based on interviews, the administrator provided false statements to LPA Lee and Ombudsman Toliver. This poses/posed a potential health and safety risks to residents in care.

  • 87211(a)(1)(D)Type B

    87211(a) Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified…(D) Any incident which threatens the welfare, safety or health of any resident… This requirement is not met as evidenced by:Based on interviews and records reviews, the licensee/administrator is not reporting incident reports to CCLD. This poses/posed a potential health and safety risks to residents in care.

  • 87355(e)Type A

    87355(e) Criminal Record Clearance(e) All individuals subject to a criminal record review pursuant to the Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility:This requirement is not met as evidenced by: Based on interviews and records reviews, the licensee/administrator did not ensure that the administrator’s husband (DW) is associated with the facility prior to visiting the facility on multiple occasions.

  • 87405(d)(2)Type B

    87405(d)(2) 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.(2) Knowledge of and ability to conform to the applicable laws, rules and regulations.This requirement is not met as evidenced by: Based on interviews and records reviews the administrator did not conform to title 22 regulations when administrator left residents in care unsupervised, incidents reports are not reported to CCLD and responsible party, providing false statement and allowing an individual at the facility without being associated to the facility. This poses/posed a potential health and safety risks to residents in care.

  • 87464(f)(1)Type A

    87464(f)(1) Basic Services(f) Basic services shall at a minimum include:(1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c).This requirement is not met as evidenced by: Based on interviews, the licensee did not ensure care and supervision needs were provided on July 10, 2025, when the administrator left the facility resulted in absence of care and supervision for longer than 1 hour 10 minutes. This poses/posed an immediate health and safety risks to residents in care

  • 87506(d)Type B

    87506(d) Resident Records(d) All resident records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements: This requirement is not met as evidenced by:Based on interviews and records reviews, the licensee/administrator did not ensure that R1 has a complete file on site for LPA Lee and Ombudsman Toliver to review. This poses/posed a potential health and safety risks to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 5, 2025 inspection of ABUNDANT PEACE?

This was a other inspection of ABUNDANT PEACE on August 5, 2025. 6 citations were issued: 2 Type A (serious) and 4 Type B.

Were any citations issued to ABUNDANT PEACE on August 5, 2025?

Yes, 6 citations were issued (2 Type A, 4 Type B). The first citation was for: "87465(a)(1) Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by ea..."

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.