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Inspection visit

Follow-up on corrections

JAZBA CARE STAMP MILLLicense 3459200691 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection and initially met with with care staff, Kerry Parchmont and Nancy Carr. Edith Spiveyhorn, Lead Staff, arrived at approximately 2:-00 pm. During the course of complaint investigation (59-AS-20240321145120), it was discovered that an incident report was not submitted timely to the Department following a resident's (R1)'s fall at the facility on 3/9/24. An incident report was submitted for the incident on 4/8/24, after the Department requested it be. Per California Code of Regulations, Title 22, Division 6, Chapter 8, the following (1) deficiency is being cited on the 809-D page. Exit interview with Lead Staff as Administrator was not available during this time. Copy of report and appeal rights provided to the Administrator.

Citations

2 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(a)(1)(D)Type B

    87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident.This requirement is not met as evidenced by: Based on interviews and review of the Department's files, an incident report was not submitted for resident (R1) following a fall on 3/9/24, which posed a potential health and safety risk to residents in care.

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  • 87412(d)Type B

    87412 Personnel Records. (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee.This requirement is not met as evidenced by: Based on staff and administrator's statements, not all staff files were present and available for review and the (3) that were reviewed did not have all of the requirement documentation, which poses a potential health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 24, 2024 inspection of JAZBA CARE STAMP MILL?

This was a other inspection of JAZBA CARE STAMP MILL on April 24, 2024. 1 citation were issued: 1 Type B.

Were any citations issued to JAZBA CARE STAMP MILL on April 24, 2024?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports as the Department may r..."

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.