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Inspection visit

Follow-up on corrections

MOTHER MARY CARE HOMELicense 3927011572 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 11/9/22 at 10:15am LPA Jensen arrived at facility to open a complaint investigation. LPA Jensen with Administrator Jean Alvarez and explained the purpose today's visit. During the course of the investigation, LPA Jensen discovered deficiencies and conducted a case management. LPA Jensen reviewed a resident file for resident 1 (R1). The file for R1 had incomplete documentation including the LIC 9158, LIC 613C and LIC 603. In addition the resident file was consent forms, emergency contact and ID forms, immunization forms and safeguards for property and valuables. LPA Jensen also determined that R1 and Resident 2 (R2) are bedridden. Both bedridden residents are on hospice care. LPA Jensen reviewed the facility sketch and there are no rooms designated for bedridden. LPA Jensen reviewed the STD 850 and determined there is no clearance for bedridden, only 6 non-ambulatory residents. LPA Jensen reviewed the LIC 200 and determined there is no request for bedridden capacity. LPA Jensen also observed a Inspection Record for Permit for voluntary fire sprinkler system dated 9/14/22. Deficiencies are being cited from the California Code of Regulations, Title 22, Division 6. A civil penalty is also being assessed. LPA Jensen observed the bedridden resident rooms to have exit doors and the facility had what appeared to be a fire sprinkler system. An exit interview was conducted a copy of this report along with appeal rights was provided to the Licensee.

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.

  • 87506(a)Type B

    (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident ...This requirement was not met as evidenced by: Based on LPA Jensens review of records for resident 1 which contained multiple incomplete and missing documents. This poses a potential health, safety and personal rights risk to residents in care.

  • 87633(l)Type A

    ...Nothing in this section [which deals with terminally ill residents and hospice care] shall be construed to relieve a licensed residential care facility for the elderly of its responsibility to notify the appropriate fire authority of the presence of a bedridden resident in the facility as required under subdivision (f) of Section 1569.72 and to obtain and maintain a fire clearance as required under Section 1569.149. This requirement was not met as evidenced by: Based on LPA's review of records including resident file, LIC 200, facility sketch and STD 850 as well as the interview with Administrator Jean Alvarez, there are two residents that are bedridden and no fire clearance for bedridden residents. This poses an immediate risk to the health , safety and personal rights of residents in care.

    Read full inspector narrative
  • 87468.1(a)(14)Type B

    Personal Rights of Residents in All Facilitiesa) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(14) To have reasonable access to telephones, to both make and receive confidential calls...This requirement was not as evidenced by: LPA Jensen's observation of 67 unretreived voicemails. This poses a potential health, safety and personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the November 9, 2022 inspection of MOTHER MARY CARE HOME?

This was a other inspection of MOTHER MARY CARE HOME on November 9, 2022. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to MOTHER MARY CARE HOME on November 9, 2022?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident ...This requ..."

What type of inspection was this?

This was a 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.