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Inspection visit

Follow-up

LEGACY SENIOR CARELicense 345920063
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

A case management visit was conducted at this facility today. Licesning Program Analyst (LPA) Cheyenne Ratajcak and Licesning Program Manager (LPM) Laura Munoz met with Licensee/Administrator Lina Tuiloma. During today's case management visit, LPM conducted an informal conference with the licensee at the facility. During this meeting, the licensee was made aware that this Informal conference is a part of the Administrative Action process. Issues discussed during this meeting were: Staffing concerns Administrator qualifications Recent deficiencies Facility records Reporting requirements To support the facility maintaining substantial compliance with Health and Safety Statute and Title 22 regulations, the department has issued citations. The licensee has been notified the department will provide additional case management visits as well as complete a referral to TSP (Technical Support Program) for the licensee. . An exit interview was conducted with administrator.

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.

  • 87211(2)Type B

    87211 Reporting Requirements(2)Occurrences, such as epidemic outbreaks, poisonings, catastrophes or major accidents which threaten the welfare, safety or health of residents, personnel or visitors, shall be reported within 24 hours either by telephone or facsimile to the licensing agency and to the local health officer when appropriate. This requirement is not met as evidenced by:Based on interviews, the licensee did not comply with the section cited above due to Administrator not reporting to Community Care Licensing (CCL) when the facility heater was out for two (2) days.

  • 87309(a)Type A

    87309 Storage Space and Access(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients.This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above due facility laundry room door being unlocked and open making chemicals assessable to residents in care.

  • 87355(e)(2)Type A

    87355 Criminal Record Clearance(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c) or This requirement is not met as evidenced by:Based on record review, the licensee did not comply with the section cited above due to caregiver not being associated with the facility which poses an immediate health and safety risk to persons in care.

  • 87411(a)Type B

    87411(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. This requirement is not met as evidenced by:Based on interviews and records, the licensee did not comply with the section cited above as it has been identified that resident’s require additional staff during waking hours.

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  • 87506(a)Type B

    87506 Resident Records(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff.This requirement is not met as evidenced by: Based on record review the licensee did not comply with the section cited above due two (2) out of six (6) residents files being incomplete with signatures.

  • 87468.2(a)(4)Type A

    87468.2 Additional Personal Rights of Residents in Privately Operated Facilities(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidenced by:Based on interviews the licensee did not comply with the section cited above as staff had left the facility and residents were left unattended.

FAQ · About this visit

Common questions about this visit

What happened during the February 19, 2025 inspection of LEGACY SENIOR CARE?

This was a other inspection of LEGACY SENIOR CARE on February 19, 2025. The inspection found no deficiencies and no citations were issued.

Were any citations issued to LEGACY SENIOR CARE on February 19, 2025?

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 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.