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Inspection visit

complaint

JEWELL HOME CARELicense 3927002642 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Based on interviews conducted during the course of this investigation, it was learned that there wasn't a cohesion within the core group of facility caregivers, which there were (3) main facility staff persons at this time. It was learned that on at least (1) occasion, the oncoming staff came on and discovered that the scheduled staff for the previous shift had left the facility without notification to the oncoming shift or the facility administrative team. It was learned that the facility residents had been left alone, without any facility staff care and supervision, for an unknown amount of time before the oncoming shift finally arrived to take over. It was learned that there were notifications, in the form of phone calls and text messages, that were exchanged with the facility designated Administrator in regards to this incident. Based on interviews conducted during the course of this investigation, it was learned that there was evidence to support that facility residents were left in soiled depends for extended periods of time leading to the development of pressure injuries and other health related injuries. It was learned that these other possible injuries led facility residents to be diagnosed with Urinary Tract Infection (UTI) as well. It was learned that these types of incidents would lead facility staff persons to have several verbal exchanges, which were highly unprofessional, to take place in front of the residents at times. It was learned that facility staff persons would raise their voices, yell, and even use profanity as well while all in the presence of the facility residents. As a result of this investigation, this LPA found the allegations to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegations were valid because the preponderance of the evidence standard had been met. The following deficiencies were observed and cited on the following LIC 9099-D pursuant to Title 22 Rules and Regulations, Division 6 and Health and Safety Codes. Appeal rights were printed and a copy was left with the facility designated representative at this time. Exit Interview

Citations

7 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.

  • 87411(a)Type A

    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.

  • 87465(a)(4)Type A

    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.

  • 87202(a)(2)Type 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 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.

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  • 87411(g)Type A

    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.

  • 87705(c)(5)Type A

    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.

  • 87466Type A

    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.

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  • 87468.1(a)(1)Type A

    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.

FAQ · About this visit

Common questions about this visit

What happened during the November 14, 2024 inspection of JEWELL HOME CARE?

This was a complaint inspection of JEWELL HOME CARE on November 14, 2024. 2 citations were issued: 2 Type A (serious).

Were any citations issued to JEWELL HOME CARE on November 14, 2024?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet ..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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.