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Inspection visit

Follow-up on corrections

JEWELL HOME CARELicense 3927002642 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 2/25/25 at 6:30, LPA Wolf Petersen arrived to conduct a case management related to the findings of a complaint. LPA met with administrator Monica Plowden by phone to explain the findings of a departmental report. In interview, staff provided a statement that they were insufficiently following facility procedures and regulatory requirements to report the bruises and follow up with seeking medical attention. In record review of the medical reports generated from the 10/28/25 visit related to bruising, R1 was diagnosed with both a uti and obstruction. LPA gave guidance that staff should document changes in status, to include bruising. If its reasonable to suspect that physical abuse is occurring, the facility should be reporting to licensing, the ombudsman, and local law enforcement within 24 hours via an IR, telephone call and SOC341. If its reasonable to suspect medical attention is required, the facility should be arranging for medical care. Observation of resident and changes in mood, condition or functional ability should be reported to the physician and if necessary appropriate medical intervention sought in a timely manner. Having hospice does not preclude the licensee from seeking timely medical attention. The Department is Requesting the 602, any Hospice Care Plan, and any Home Health Plan, for all residents currently in the facility. Provide to the lpa via email: noel.wolfpetersen@dss.ca.gov. 3/6/25 Citation(s) are issued, A copy of the report was read, appeal rights and the copy of the report was given to the administrator. An exit interview was conducted.

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 other inspection of JEWELL HOME CARE on February 25, 2026. 2 citations were issued: 2 Type A (serious).

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

Yes, 2 citations were issued (2 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 other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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