Inspection visit

Routine inspectionAugust 31, 2023

Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

On 8/31/23 at approximately 10am, Licensing Program Analysts (LPAs) Maja Jensen and Jennifer Fain arrived at facility unannounced to conduct a required one year annual visit. LPAs met with Licensee Arvin Davis and explained the purpose of today's visit. The facility is a single story building with an additional building on the property for staff quarters and laundry. The facility is licensed for 4 residents and has 2 bedrooms for double occupancy. LPAs had their temperatures taken and were asked about covid symptoms on entry. Facility had one resident in care. Resident was resting in room. During the visit Home Health arrived to see resident. LPA Fain toured the facility including but not limited to living room, dining room, kitchen, laundry room, bedrooms and bathrooms. The facility had adequate lighting and furniture for the comfort of residents in care. The temperature in the facility was 77 degrees which falls within the required range of 68-85 degrees. The first aid kit was observed to be complete including but not limited to scissors, thermometer, tweezers, gauze, bandages and 1st aid manual. Toxins, medications and sharp objects were observed to be locked and inaccessible to residents. The kitchen was observed to be clean and sanitary. There was a 7 day supply of non-perishable food and 2 day supply of perishable food. The fire extinguisher was last serviced on 7/14/23 and is in compliance. The resident bathroom water temperature was measured at 107.2 degrees. Continued on 809C Continued from 809 LPA Fain observed laundry room door propped open and pesticide and detergents accessible to residents in care. The grounds were observed to be maintained and clear of debris with easily accessible fire escape routes. LPA Fain requested resident’s admission agreement, 602 and needs and service plan be emailed to LPA by end of business today. Staff files will be reviewed at a future visit when the annual is completed. Pursuant to the California Code of Regulations, Title 22, and California Health and Safety Code deficiencies were observed and will be cited at the completion of the annual. An exit interview was conducted and a copy of this report was provided to Arvin Davis.

Citations

4 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.

80072(a)(1)Type B
Personal Rights...each client shall have personal rights which include, but are not limited to, the following:(1) To be accorded dignity in his/her personal relationships with staff and other person. This requirement was not met as evidenced by: Based on a review of the admission agreement for R1, section 8 states the facility uses audio monitoring when staff are not present in the facility. This poses a potential risk to the health, safety and personal rights of residents in care.
87405(d)(2)Type B
Administrator - Qualifications and DutiesThe administrator shall have the qualifications specified in Sections 87405(d)(1) through (7)...Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement was not met as evidenced by: Based on the facility accepting a resident with a prohibited health condition without an exception by the Department. This poses a potential risk to the health, safety and personal rights of residents in care.
87411(g)(2)Type A
Personnel Requirements - GeneralPrior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall:...Request a transfer of a criminal record clearance as specified in Section 87355(c) Based on Co-Administrator Arvin Davis' own admission that the staff present during the course of the visit was not associated to the facility. This poses an immediate risk to the health, safety and personal rights of residents in care.
87615Type A
Prohibited Health ConditionsPersons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly:(1) Stage 3 and 4 pressure injuries.(2) Gastrostomy tubes.(3) Naso-gastric tubes.(4) Staphylococcus aureus ("staph") infection or other serious infection.(5) Residents who depend on others to perform all activities of daily living for them as set forth in Section 87459, Functional Capabilities. This requirement was not as evidenced by:(6) Tracheostomies. Based on LPA Fains observation of R1 and a file review for R1 and the Co-Administrators own admission that a resident with prohibited health conditions was accepted. This poses an immediate risk to the health, safety and personal rights of residents in care.
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FAQ · About this visit

Common questions about this visit

What happened during the August 31, 2023 inspection of ARVEAH'S CARE HOMES 4?

This was a inspection inspection of ARVEAH'S CARE HOMES 4 on August 31, 2023. The inspection found no deficiencies and no citations were issued.

Were any citations issued to ARVEAH'S CARE HOMES 4 on August 31, 2023?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was a inspection inspection. inspection 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.

Routine inspection·August 31, 2023