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Inspection visit

Incident investigation

TLC HOME CARE IILicense 3856004548 citations on this visit
8 citations recorded

Inspector’s narrative

What the inspector wrote

On October 4, 2023, Licensing Program Analyst John Calandra and Licensing Program Manager Cara Smith conducted an unannounced case management visit to the facility in regards to an incident report submitted. LPA Calandra and LPM Smith were greeted at the door by the Administrator, Jason Pineda and explained the purpose of today's visit. LPA Calandra and LPM Smith toured the facility with Administrator, Jason Pineda and observed expired food, unsecured sharp objects, accessible medications, unsupervised residents, no call buttons in downstairs bedroom, unsecured medication, and lid free trash cans. The tour consisted of 3 bedrooms, the kitchen, dining room, living room, staff bedrooms, bathrooms, etc. In Bedroom 3, the LPA and LPM observed a wall where the bed used to be, in disrepair. In the Kitchen, eggs were observed to be sitting on a counter, a slice of Carrot cake on a table, and perishable food items that needed to be refrigerated upon opening. Medications for both staff and residents were observed to be accessible to persons in care and expired food inside of the refrigerator. The LPA observed the administrator remove the items from the fridge and dispose of. The tour continued downstairs where laundry detergent was observed on the floor of the staff room that was unsecured. Administrator, Jason removed the detergent. In R4's bedroom, a kitchenette was observed that is not displayed on the facility map. In the fridge, LPA Calandra and LPM Smith found expired foods. Next to the refrigerator, in an unsecured drawer were sharp knives. In the bathroom, a trash can with no lid and a air vent was covered with duct tape. In bedroom 2 downstairs, it was observed that bedrails on both beds were out of compliance. The tour concluded in the staff bathroom on the first floor where medication was observed in a cabinet on the wall accessible to persons in care. Records were reviewed for residents: R1, R2, and R3. Documents were requested during the visit from the administrator including the LIC500, LIC 308, LIC 501, Administrator Certificate and LIC 508: Criminal Record Statement. Deficiencies are cited under California Code of Regulations, Title 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. Report was discussed with Administrator. A copy of this report and the Appeal Rights were provided.

Citations

8 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.

  • 87305(a)Type A

    Requirement for building permit before construction

    This is an Amended ReportThe report was generated in error This is an Amended ReportThe report was generated in error

  • 87303(a)Type A

    Maintain facility in clean, safe, sanitary condition

    Maintenance and Operation: (a)The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by an interview with the administrator and observation of bedroom 3 which has a wall that needs to be patched and/or painted.

  • 87309(a)(1)Type A

    Store disinfectants separately from food supplies

    Storage Space: (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. (1) Storage areas for poisons, and firearms and other dangerous weapons shall be locked.This requirement is not evidenced by interview with administrator and observation of chemicals on the floor and accessible to persons in care. This poses an immediate health and safety risk to persons in care.

  • 87463(c)Type A

    Document behavioral expression and related causes

    Appraisals (c) The licensee shall arrange a meeting with the resident, the resident's representative, if any, appropriate facility staff, and a representative of the resident's home health agency, if any, when there is significant change in the resident's condition, or once every 12 months. This requirement is not met as evidence by record reviews of R1, R2, and R3. R1’s needs and services plan (LIC625) was dated 01/05/2022 and unsigned. R2 and R3 does not have a copy of the needs and services plan.

  • 87465(h)(2)Type A

    Store centrally held medications in locked secure place

    Incident Medication and Dental Care: 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 observation of staff and resident medication in areas throughout facility that are accessible to persons in care which poses an immediate health and safety risk to residents.

  • 87555(b)(23)Type A

    Rapid-growth perishable foods must be covered

    General Food Service Requirements:All readily perishable foods or beverages capable of supporting rapid and progressive growth of micro-organisms which can cause food infections or food intoxications shall be stored in covered containers at appropriate temperatures.This requirement is not met as evidenced by observation of food that needs to be refrigerated after opening not refrigerated.

  • 87555(b)(8)Type A

    Food quality controls and rejected damaged goods

    General Food Service Requirements: All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. This requirement is not met as evidenced by interview of administrator and observation of a slice of Carrot cake on a table and multiple expired food/food products inside of refrigerators upstairs and downstairs.

  • 87608(a)(3)Type B

    Maintain physician order documentation in resident record

    Postural Supports (a) Based on the individual's preadmission appraisal, Postural supports may be used under the following conditions. (3) A written order from a physician indicating the need for the postural support. This requirement is not met as evidence by: R2 has half bed rails up by the head of the bed and there was no written order from their physician which poses a potential health risks to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 4, 2023 inspection of TLC HOME CARE II?

This was an other inspection of TLC HOME CARE II on October 4, 2023. 8 citations were issued: 7 Type A (serious) and 1 Type B.

Were any citations issued to TLC HOME CARE II on October 4, 2023?

Yes, 8 citations were issued (7 Type A, 1 Type B). The first citation was for: "This is an Amended ReportThe report was generated in error This is an Amended ReportThe report was generated in error"

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

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