Jewell Home Care

87202 Fire Clearance (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. (2) Bedridden personsThis requirement was not met as evidinced by: The LPA's observation that 1 of 5 clients makes use of full bed rails, and interview with staff where the client is described as not being able to rotate in bed without assistance. record review of the facility license showed no clients may be permited as bedridden.Not following this requirement presents a immedate risk to the health saftey and personal rights of clients in care.

87464 (d) A facility need not accept a particular resident for care. However, if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs as identified in the pre-admission appraisal specified in Section 87457, Pre-admission Appraisal and providing the other basic services specified below, either directly or through outside resources. This requirement was not met as evidenced by: R1 was observed to have significant bruising on the body, presumably from either the Aide providing baths unsupervised by the facility staff, or by personal care being provided to a bedridden person with inadequate staffing to provide the care necessary to safely meet the needs of R1.In either instance, the facility failed to provide the necessary care which poses an immediate risk to the health and safety to clients in care.

87466 Observation of the Resident The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as ...deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement was not met as evidenced by: interview where staff had applied an ointment to the bruising, and upon proving ineffective over two applications, reported bruising to the hospice care nurse instead of making arrangements for the client to go the hospital. Record review of the hospice care plan, where severe widespread bruising is not described as a responsibility of the hospice care agency. Record review of a residents medication history, where the client has not taken blood thinners.Not following this requirement poses an immediate risk to the health, saftey, and personal rights clients in care.

87211(c) Reporting Requirements (c) Any suspected physical abuse that does not result in serious bodily injury of an elder or dependent adult shall be reported to the local ombudsman, the corresponding licensing agency, and the local law enforcement agency within twenty-four (24) hours as required by Welfare and Institutions Code Section 15630(b)(1). This requirement was not met as evidenced by: interview where a staff had noticed mysterious bruising coinciding with home health aide visits in months previous to a complaint incident in october 2025, record review of the internal staff log where a vague documentation of the event exists in september 2025 and statements by the staff pertaining to the current investigation.Not following this requirement poses a immediate risk to the health, safety, and personal rights clients in care.

All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal.(2) Bedridden personsThis facility was found to be deficient as evidenced by the allowance of facility residents deemed to be Bedridden to be present receiving care and supervision without the proper issuance of a bedridden fire clearance. This posed an immediate threat to the Health, Safety, and Personal Rights of residents in care.

The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any.This facility was found to be deficient as evidenced by information concluding that the sole facility staff member left the premises so that facility residents were unsupervised for an unknown amount of time. In addition, facility staff did not regularly change and check on the residents to prevent the emergence of pressure injuries and other physical issues. This presented an immediate threat to the Health, Safety, and Personal Rights of residents in care.

Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds.This facility was found to be deficient as evidenced by information concluding that the sole facility staff member left the premises so that facility residents were unsupervised for an unknown amount of time. This presented an immediate threat to the Health, Safety, and Personal Rights of residents in care.

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 facility was found to be deficient as based on a records review conducted, 1 out of 6 residents, was found to be diagnosed with dementia and did not have an updated medical assessment on file. This posed an immediate threat to the Health, Safety, and Personal Rights of residents in care.

Prior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall:(1) Obtain a California clearance or a criminal record exemption as required by law or Department regulations or:This facility was found to be deficient as evidenced by the allowance of an individual to be present and employed at this facility prior to obtaining the required criminal clearance. This posed an immediate threat to the Health, Safety, and Personal Rights of residents in care.

A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:The licensee shall assist residents with self-administered medications as needed. This facility was found to be deficient as evidenced by a review of all (6) resident medication administration records revealing that medications were not properly handled, dispensed, or notated which presented an immediate threat to the Health, Safety, and Personal Rights of residents in care.

Residents in all residential care facilities for the elderly shall have all of the following personal rights:(1) To be accorded dignity in their personal relationships with staff, residents, and other persons.This facility was found to be deficient as evidenced by information concluding that facility staff members were arguing and engaing in disputes in front of the residents which presented an immediate threat to the Health, Safety, and Personal Rights of residents in care.

A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:The licensee shall assist residents with self-administered medications as needed. This facility was found to be deficient as evidenced by a review of all (6) resident medication administration records revealing that medications were not properly handled, dispensed, or notated which presented an immediate threat to the Health, Safety, and Personal Rights of residents in care.

Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds.This facility was found to be deficient as evidenced by information concluding that the sole facility staff member left the premises so that facility residents were unsupervised for an unknown amount of time. This presented an immediate threat to the Health, Safety, and Personal Rights of residents in care.

The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any.This facility was found to be deficient as evidenced by information concluding that the sole facility staff member left the premises so that facility residents were unsupervised for an unknown amount of time. In addition, facility staff did not regularly change and check on the residents to prevent the emergence of pressure injuries and other physical issues. This presented an immediate threat to the Health, Safety, and Personal Rights of residents in care.

Residents in all residential care facilities for the elderly shall have all of the following personal rights:(1) To be accorded dignity in their personal relationships with staff, residents, and other persons.This facility was found to be deficient as evidenced by information concluding that facility staff members were arguing and engaing in disputes in front of the residents which presented an immediate threat to the Health, Safety, and Personal Rights of residents in care.

All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal.(2) Bedridden personsThis facility was found to be deficient as evidenced by the allowance of facility residents deemed to be Bedridden to be present receiving care and supervision without the proper issuance of a bedridden fire clearance. This posed an immediate threat to the Health, Safety, and Personal Rights of residents in care.

Prior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall:(1) Obtain a California clearance or a criminal record exemption as required by law or Department regulations or:This facility was found to be deficient as evidenced by the allowance of an individual to be present and employed at this facility prior to obtaining the required criminal clearance. This posed an immediate threat to the Health, Safety, and Personal Rights of residents in care.

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 facility was found to be deficient as based on a records review conducted, 1 out of 6 residents, was found to be diagnosed with dementia and did not have an updated medical assessment on file. This posed an immediate threat to the Health, Safety, and Personal Rights of residents in care.