Inspection visit

Follow-up on correctionsMay 23, 2024

LITTLE BROOK CARE HOMELicense 3450030042 citations on this visit

2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Angela Hood arrived unannounced today, 5/23/24, and met with the Administrator, Persida Pop, to conduct a case management visit regarding information obtained during a complaint investigation, #59-AS-20240112110717, that was completed on 5/23/24. Emergency Medical Services (EMS) Prehospital Care Report dated 12/28/23 indicated that EMS was dispatched to the facility due to the owner reporting that resident (R1) was having chronic diarrhea for 3 weeks and new weakness. EMS report indicated that R1’s Power of Attorney (POA), R1, Administrator, and care staff stated that R1 was unable to self-administer insulin that evening, due to weakness. Interview with the Administrator indicated that they had a meeting with R1’s POA and physician by phone regarding chronic diarrhea and not eating. Administrator indicated that R1 was not receiving hospice services and was declining. Administrator indicated that R1 is not able to self-administer insulin during the PM shift. Care notes provided by the facility for the month of December 2023 did not indicate any instances of R1 having diarrhea or not being able to self-administer insulin. During the investigation, the Department requested documentation for all incidents where EMS were contacted regarding R1, any communications between the facility and R1’s physician, and incident reports pertaining to R1. Communication with the Administrator indicated that they did not contact R1’s physician and only reached out to the family and home health nurse. The Department requested documentation with correspondence between the facility and R1’s family and home health nurse. To date, the facility was unable to provide the requested documentation. Due to the information above, per California Code of Regulations, Title 22 Division 6, Chapter 8, a deficiency is being cited on the attached 809-D page. Exit interview was conducted. A copy of this report and appeal rights provided.

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.

1569.683(a)Type B
1569.683 Eviction notices; reasons for eviction contents; service (a) In addition to complying with other applicable regulations, a licensee of a residential care facility for the elderly who sends a notice of eviction to a resident shall set forth in the notice to quit the reasons relied upon for the eviction, with specific facts to permit determination of the date, place, witnesses, and circumstances concerning those reasons. In addition, the notice to quit shall include all of the following: (2) Resources available to assist in identifying alternative housing and care options, including public and private referral services and case management organizations. (3) Information about the resident's right to file a complaint with the department regarding the eviction, with the name, address, and telephone number of the nearest office of community care licensing and the State Ombudsman. This requirement is not met as evidenced by:Based on interviews conducted and records reviewed, the facility did not include required information in R1’s eviction notice prior to serving notice, including housing resources and the resident’s rights to file a complaint with contact information of the nearest community care licensing office and the State Ombudsman, which poses a potential health, safety, and personal rights risk to residents in care.
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87224(2)Type B
87224 Eviction Procedures (f) A written report of any eviction shall be sent to the licensing agency within five (5) days.This requirement if not met as evidenced by: Based on interviews conducted and records reviewed, the facility did not provide the Department with a written report of R1’s eviction within five (5) days, which poses a potential health, safety, and personal rights risk to residents in care.
87465(a)(1)Type A
87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents.This requirement is not met as evidenced by: Based on records reviewed and interviews conducted, the facility observed R1’s change in condition and did not seek medical attention timely, which poses an immediate health, safety, and personal rights risk to residents in care.
87465(a)(2)Type A
87465 Incidental Medical and Dental Care (a) A plan for incidental medical(…)shall be developed by each facility. The plan shall encourage routine medical(…)care and provide for assistance in obtaining such care, by compliance with the following: (2) The licensee shall provide assistance in meeting necessary medical(…)needs. This includes transportation which may be limited to the nearest available medical(…)facility which will meet the resident's need. In providing transportation the licensee shall do so directly or make arrangements for this service.This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, the facility did not ensure R1 received transportation services to their dialysis appointment, which poses an immediate health, safety, and personal rights risk to residents in care.
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87465(a)(4)Type A
87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility (...) by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed.This requirement is not met as evidenced by: Based on medication count and records reviewed, the facility did not ensure that residents (R1, R2, & R3) were receiving medications as prescribed, which poses an immediate health, safety, and personal rights risk to residents in care.
87468.1(a)(16)Type A
87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (16) To receive or reject medical care or other services.This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, the facility interfered with R1’s right to receive dialysis treatment on their scheduled appointment date, which poses an immediate health, safety, and personal rights risk to residents in care.
87466Type A
87466 Observation of the Resident: The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any.This requirement is not met as evidenced by: Based on records reviewed and interviews conducted, the facility observed changes in R1’s condition and did not document such changes or bring changes to the attention of R1’s physician or responsible party, which poses an immediate health, safety, and personal rights risk to residents in care.
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FAQ · About this visit

Common questions about this visit

What happened during the May 23, 2024 inspection of LITTLE BROOK CARE HOME?

This was a other inspection of LITTLE BROOK CARE HOME on May 23, 2024. 2 citations were issued: 2 Type A (serious).

Were any citations issued to LITTLE BROOK CARE HOME on May 23, 2024?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "1569.683 Eviction notices; reasons for eviction contents; service (a) In addition to complying with other applicable reg..."

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 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.

Follow-up on corrections·May 23, 2024