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Inspection visit

Health check

ELDERLY INN I, THELicense 3470012891 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 health and safety check. LPA met with caregiver, Icolyn "Sonia" Powell who called Administrator Designee, David Tif, who arrived at 12:00 pm. Also present was staff, Jodie Ann Thomas, who was cutting fruit in the kitchen. LPA stated reason for today's inspection. LPA observed (1) resident watching television in the common area at the start of the inspection and (3) residents enter in the common area later during the inspection. During today's inspection, LPA and caregiver toured the interior of the facility, including both individual resident and common areas. LPA observed the facility to be clean, in good repair and odor-free. There was sufficient 2+day perishable and 7+day non-perishable supply of food on hand. LPA observed (2) unlocked medications in the refrigerator. Both medications belong to resident (R1), who moved in around 8/28/24. LPA reviewed medications and documentation for (R1). LPA and David Tif contacted Robert Tif, Administrator, to discuss the reason for today's inspection. Also discussed were (3) outstanding Plan of Correction (POC) that were due in August 2024. LPA was advised that staff training has not been completed as of today. Administrator, Robert agreed to complete the required staff training within the next week, or by 9/14/24. LPA clarified the specific training that is required per the deficiencies issued. LPA and David Tiff also contacted Sam Toplean, spouse of Licensee, by phone, to interview. LPA also briefly spoke to resident (R2). As a result of today's inspection, (1) deficiency is being cited pursuant to California Code of Regulations, Title 22 Division 6, Chapter 8, on the attached 809-D page. Exit interview. Copy of report and appeal rights provided to the Administrator Designee.

Citations

1 citation 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.

  • 87465(h)(2)Type A

    87465 Incidental Medical and Dental Care(h) The following requirements shall apply to medications which are centrally stored:(2) 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 is not met as evidenced by: Based on observation, the Licensee did not ensure that (2) medications (Valproic Acid 250mg and Deep Relief CBD 50mg/ml), belonging to resident (R1), that need refrigeration were kept in a safe and locked place in the refrigerator, and inaccessible to residents, posing an immediate health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 7, 2024 inspection of ELDERLY INN I, THE?

This was a other inspection of ELDERLY INN I, THE on September 7, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to ELDERLY INN I, THE on September 7, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87465 Incidental Medical and Dental Care(h) The following requirements shall apply to medications which are centrally st..."

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.