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Inspection visit

complaint

JEWELL HOME CARELicense 3927002641 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

According to interviews with both staff and the Administrator, the staff are not present when the residents are bathed by an outside agency. According to interview with S3, the believed that the aide caused the bruising but failed to report. A record review of R1's hospital visit 10/28/25 in relation to the bruising, noted the bruising appeared to be in a grabbing pattern to R1's right and left upper extremities at distal biceps, bilateral shins, and upper chest, secondary to handling r1 for care. R1 was not on any medications that would cause bruising. Observations of R1 detail they are bedbound and depend on caregivers for all activity's of daily living. R1 is nonverbal and its expression imposed difficulty on explaining how they sustained the injuries. Based on the departments observations and interviews and record review which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. The following deficiencies were observed (see LIC 9099D) and cited from the California Code of Regulations, Title 22, and California Health and Safety Code. This incident is currently under review and a future civil penalty may apply based on 1569.49(f) H&S. Failure to correct the deficiencies may also result in civil penalties. Exit interview conducted and appeal rights provided. A copy of the report was read, was given to the administrator.

Citations

3 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.

  • 87464(d)Type A

    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.

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  • 87211(c)Type A

    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.

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  • 87466(a)Type A

    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.

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FAQ · About this visit

Common questions about this visit

What happened during the February 25, 2026 inspection of JEWELL HOME CARE?

This was a complaint inspection of JEWELL HOME CARE on February 25, 2026. 1 citation were issued: 1 Type A (serious).

Were any citations issued to JEWELL HOME CARE on February 25, 2026?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87464 (d) A facility need not accept a particular resident for care. However, if a facility chooses to accept a particu..."

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.