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Inspection visit

Routine inspection

JAZBA CARE TUOLUMNELicense 3427010691 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 8/24/22 at 1:15pm Licensing Program Analyst (LPA) Kevin Gould conducted an unannounced Required 1 year annual inspection at Jazba Care LLC. LPA met with Licensee Shane Stumpf and together conducted a tour of the home and conducted file review for the resident in care. LPA and Administrator evaluated the physical plant to ensure the health and safety of the residents in care. Areas inspected are including but not limited to the kitchen, resident bedrooms; resident bathrooms, living and dining room and outdoor areas. LPA observed the facility to be free of odor, clean and in good repair. LPA observed that all rooms are equipped with the required furniture and sufficient lighting throughout the facility. LPA observed 3 interior cameras in the facility. LPA was able to observe no cameras had a view of a resident bedroom or bathroom utilized by a resident. LPA measured the water temperature, temperature measured at 105 degrees F which meets the 105-120 degree Fahrenheit regulation. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Fire extinguishers and smoke detectors are current and in compliance with fire safety. LPA notes the facility had the required carbon monoxide detectors. First aid kit was checked and is complete. LPA observed centrally stored medications secure from residents. LPA Gould reviewed three resident files and observed them to be complete and well organized. LPA reviewed two staff files and Licensee could not locate several staff documents including LIC 503 for both staff files. Licensee searched for items but could not locate. LPA and Licensee discussed organizational strategies for staff files and provided Licensee with LIC 311F indicating the documents required for the facility to maintain. Per California Code of Regulations, Title 22 the following deficiencies were cited during today's inspection. An exit interview was conducted, a copy of this report and appeal rights were left at the facility.

Citations

1 citation 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.

  • 87412(g)Type B

    Maintain personnel records at facility location

    Based on LPA review of two staff files the licensee did not comply with the section cited above in 2 out of 2 staff files reviewed by LPA and could not locate several employee files including but not limited to LIC 503 health screening which poses/posed a potential health, safety or personal rights risk to persons in care. LPA observed several files being stored electronically but could not be accessed at the time of inspection.

FAQ · About this visit

Common questions about this visit

What happened during the August 24, 2022 inspection of JAZBA CARE TUOLUMNE?

This was an inspection of JAZBA CARE TUOLUMNE on August 24, 2022. 1 citation were issued: 1 Type B.

Were any citations issued to JAZBA CARE TUOLUMNE on August 24, 2022?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Based on LPA review of two staff files the licensee did not comply with the section cited above in 2 out of 2 staff file..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

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