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Inspection visit

Follow-up on corrections

ABOUNDING PEACE ELDERLY CARE IILicense 3427010916 citations on this visit
6 citations recorded

Inspector’s narrative

What the inspector wrote

On 2/12/26 at 9:30am, Licensing Program Analyst (LPA) Kevin Gould conducted a case management deficiencies inspection to address deficiencies of facility operation while conducting an unannounced case management inspection. LPA met with Administrator Una Waqalala. LPA observed the following: Expired canned goods and perishable food supplies such as milk and items that are required to be refrigerated after opening were stored in cabinet such as jelly and BBQ sauce. LPA also observed medications stored in one of the refrigerators that were unsecured from residents and stored with resident's food supply. LPA observed one resident's medication was mixed with hot chocolate and was unaware medications were being administered. LPA observed no physician's order and this was confirmed by the administrator and staff member (S1) who hid medications in hot chocolate. In discussions with S1 it was determined they did receive training in medications but did not take any exam to verify competency of medication administration per regulations. Additionally, LPA observed one staff member (S2) not associated to the facility. LPA confirmed the individual has a criminal record clearance but was to associated to the facility. Per the California Code of Regulations, Title 22, The following deficiencies are cited. An immediate civil penalty was also issued. Exit interview conducted and a copy of this report and appeal rights were provided.

Citations

6 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.

  • 1569.69(a)(5)Type A

    Employees assisting residents with self-administration of medication; training requirements: To complete the training requirements set forth in this subdivision, each employee shall pass an examination that tests the employee's comprehension of, and competency in, the subjects listed in paragraph (3). This requirement was not met as evidenced by statements from S1 and file review for S1 that indicates S1 did not receive or pass a competency exam for medication administration which poses an immediate health, safety and personal rights risk to residents in care.

  • 87355(e)(2)Type A

    Criminal Record Clearance: Obtain a California clearance or a criminal record exemption as required by the Department. This requirement was not met as evidenced by LPA review of staff files and individual associations and observed R1 (see LIC 811 dated 2/12/26) did not have their criminal record clearance associated to the facility which poses an immediate health, safety and personal rights risk to residents in care.

  • 87405(d)(2)Type A

    Administrator - Qualifications and Duties: Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement was not met as evidenced by the number of violations observed and the nature of the violations has demonstrated to the department the administrator has not demonstrated an knowledge of or ability to conform to the applicable laws, rules and regulations which poses an immediate health, safety and personal rights risk to residents in care.

  • 87465(a)(5)(D)Type A

    Incidental Medical and Dental Care: Assistance with self-administration does not include forcing a resident to take medication, hiding or camouflaging medications in other substances without the resident's knowledge and consent, or otherwise infringing upon a resident's right to refuse to take a medication. This requirement was not met as evidenced by LPA observations of staff members camouflaging medications in other substances as LPA observed open capsules of medications next to a cup of hot chocolate and residue of medications still visible in the cup. This was confirmed by S1 who administered the medications which poses an immediate health safety and personal rights risk to residents in care.

  • 87465(h)(2)Type A

    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 was not met as evidenced by LPA observations of a resident medication stored in a fridge without a lock box and accessible to residents in care which poses an immediate health, safety and personal rights risk to residents in care.

  • 87468.2(a)(6)Type A

    Additional Personal Rights of Residents in Privately Operated Facilities: To make choices concerning their daily lives in the facility. This requirement was not met as evidenced by LPA observations of staff member camouflaging medications in resident's hot chocolate without the resident's knowledge which poses an immediate health, safety and personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the February 12, 2026 inspection of ABOUNDING PEACE ELDERLY CARE II?

This was a other inspection of ABOUNDING PEACE ELDERLY CARE II on February 12, 2026. 6 citations were issued: 6 Type A (serious).

Were any citations issued to ABOUNDING PEACE ELDERLY CARE II on February 12, 2026?

Yes, 6 citations were issued (6 Type A, 0 Type B). The first citation was for: "Employees assisting residents with self-administration of medication; training requirements: To complete the training re..."

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.