Skip to main content
ReadyRule homepageReadyRule

Inspection visit

Follow-up on corrections

SIEBENTHAL CARE HOMELicense 3470049584 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

On 10/23/24 at 9:20am, Licensing Program Analyst (LPA) Kevin Gould conducted an unannounced case management inspection to address deficiencies observed regarding facility staff and resident records maintained by the facility. LPA met with the licensee and together discussed LPA's observations. LPA identified missing/incomplete records observed and provided licensee with ample time to locate items requested and identified as missing in resident and staff files. LPA observed the following: There is currently not a certified administrator associated to the facility. The licensee (S1) has completed all required hours for recertification but has not yet submitted the documents to be recertified. LPA observed there is a pending initial administrator certificate for the other licensee (S2). Although the licensee claims they are renewing the administrator certificate, could not provide LPA with the most recent certificate and the documents submitted did not identify the certificate number for S2 and did not include an expiration date. Additionally, LPA reviewed all staff files and observed the facility did not follow title 22 regulations in 2017 when they hired a 17 year old caregiver identified as S3. Upon additional file reviews for staff member LPA observed S2, S4, S5 and S6 did not have current health screening or TB test on file. LPA also observed that S6 also does not have a criminal record clearance despite working at the facility since 4/28/24. S7 must obtain a criminal record clearance and be associated to the facility prior to being present in the facility or working with residents. Report continued on LIC 9099-C LPA reviewed all five current resident files and one former resident file. LPA observed all residents placed at the facility have a diagnosis of dementia per their physician's report (LIC 602) LPA observed two of the current residents did not have a current 602 as they were over a year old. Per the California Codes of Regulations, Title 22, the following deficiencies are cited during today's inspection. An immediate civil penalty has been issued as one of the staff members present does not have a criminal record clearance. Exit interview conducted and a copy of this report and appeal rights were left at the facility.

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.

  • 87355(e)(1)Type A

    Submit and maintain current mailing address

    Criminal Record Clearance. Prior to working, residing or volunteering in a licensed facility, all individuals subject to a criminal record review shall obtain a clearance or criminal record exemption. This requirement was not met as evidenced by statements from S1 regarding S6's working at the facility since April 2024 without a criminal record clearance which poses an immediate health, safety or personal rights risk to residents in care.

  • 87405(a)Type A

    Certified administrator requirements and substitute coverage

    Administrator - Qualifications and Duties: All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be one and the same person. The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility as specified in this section. When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications adequate to be responsible and accountable for management and administration of the facility as specified in this section... this requirement was not met as evidenced by: LPA observations there is no current certified administrator and the administrators whose certificate expired has yet to submit documents for renewal which poses an immediate health, safety or personal rights risk to residents in care.

    Read full inspector narrative
  • 87411(f)Type A

    Health screening and fitness requirements

    Personnel Requirements - General: All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall test, performed bya be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents wich poses an immediate health, safety or personal rights risk to residents incare.

  • 87705(c)(5)Type B

    Care of Persons with Dementia: Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs. This requirement was not met as evidenced by LPA observations that two of the five resident's in placement did not have an annual 602 and needs and services plan updated annually pre regulations which poses a potential health, safety or personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 23, 2024 inspection of SIEBENTHAL CARE HOME?

This was an other inspection of SIEBENTHAL CARE HOME on October 23, 2024. 4 citations were issued: 3 Type A (serious) and 1 Type B.

Were any citations issued to SIEBENTHAL CARE HOME on October 23, 2024?

Yes, 4 citations were issued (3 Type A, 1 Type B). The first citation was for: "Criminal Record Clearance. Prior to working, residing or volunteering in a licensed facility, all individuals subject t..."

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.