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Inspection visit

Follow-up

COMFORT HOME 2License 3664260811 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 03/06/2024 at 11:30 AM, Licensing Program Analysts (LPAs) Melody Brown and Paola Guerrero made an announced visit to the facility to amend the form LIC809D issued on 02/28/2024 due to computer error. LPA Brown met with a staff and was granted entry to the facility. Licensee Sushma Lal was contacted and informed of the visit. At the time of the visit there's (1) staff present, and five (5) residents present. During this visit, LPA Brown amended the form LIC809D issued on 02/28/2024 due to computer error and issued a new form LIC809D for Postural Supports 87608(a)(3) as Resident #1 (R1), Resident #3 (R3) and Resident #5 (R5) have half bed rails without their physician order indicating the need for half bed rail for mobility. Also, a civil penalty of $250.00 will be assessed as the facility was cited for the same violation within 12-months period. An exit interview was conducted, and this report (LIC809), LIC809D, and Appeal Rights were discussed and provided to Licensee Sushma Lal.

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.

  • 87608(a)(3)Type B

    87608 Postural Supports (a) Based on the individuals preadmission appraisal....(3) A written order from a physician indicating the need for the postural support shall be maintained in the residents record. The licensing agency... This requirement is not met as evidenced by: Based on observation, interview and record review, the licensee did not comply with the section cited above by allowing Resident #1 (R1), Resident #3 (R3) and Resident #5 (R5) have half bed rails without their physician order indicating the need for half bed rail for mobility in their facility file which poses a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 6, 2024 inspection of COMFORT HOME 2?

This was a other inspection of COMFORT HOME 2 on March 6, 2024. 1 citation were issued: 1 Type B.

Were any citations issued to COMFORT HOME 2 on March 6, 2024?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87608 Postural Supports (a) Based on the individuals preadmission appraisal....(3) A written order from a physician indi..."

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.