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Inspection visit

complaint

C.A.L.L.-CARMELITA HOUSELicense 4058017012 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

The facility had high turn over and was not staffed with a lead/supervisor or Administrator several times throughout 2024. The Administrator on record did check in at the facility but did not have set schedule to spend time at the facility on a regular bases. The Administrators are assigned to homes to meet the administrator requirement but do not work at some of the homes regularly to oversee the business operation. The lead/Supervisor position is the staff that is scheduled at the home regularly but during the 2024 year this position had high turnover and staff was not in this home regularly to oversee the staff, residents, and business operation. Due to not having Administrator or lead/supervisor the facility was not getting the job duties of these position done creating staff to have to notify them of residents needs and not getting timely attention of those residents needs. The medical records and paperwork were not getting completed which led to staff not having important paperwork and records when needed. Based on the evidence this allegation is Substantiated at this time. On the allegation: Staff do not ensure residents are taken to medical and dental appointments. LPA interviewed staff and reviewed resident’s records which revealed staff did notify leads/supervisors/administrator of the need for medical and dental appointments for residents in care. Due to high turned over and not having the staff available to arrange these appointments timely so appointments did not get made timely, some appointments were made but several months out which did not address the needs of the residents timely and some appointments had to be rescheduled. The staff did not follow up on medical and dental issues in a timely matter for some of the residents in care. Based on the evidence this allegation is Substantiated at this time. Exit interview conducted, deficiencies cited, copy of report and appeal rights printed for Supervisor.

Citations

5 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.

  • 87405(a)Type B

    (a)All facilities shall have a qualified and currently certified administrator....shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility...This requirement was not met as evidenced by: Based on staff interview and record review the Licensee did not comply with the regulations above, Administrators or back up were not on the premises, to permit adequate attention to the management or administration of the facility operations which possess a potential health, safety, and personal rights risk to residents in care.

  • 87468.1(a)(16)Type A

    (a)Residents in all residential care facilities for the elderly shall have all of the following personal rights: (16)To receive or reject medical care or other services. This requirement was not met as evidenced by: Based on staff interviews and charting records the Licensee did not comply with the regulation above R1 was having discharge and odor in 2024 but R1 was not taken to see a doctor till 2025 which poses an immediate health, safety, and personal rights risk to residents in care.

  • 1569.695(e)(1Type A

    (e)...:(1) A resident roster with the date of birth for each resident.(2) An ANS plan for each resident.(3) A resident medication list for residents with centrally stored medications.(4) Contact information for the responsible party and physician for each resident. This requirement was not met as evidenced by: Based on interviews and record review the Licensee did not comply with the regulation above, staff were unable to locate the records for Resident to provide the EMT’s on a 911 call, which poses an immediate health, safety and personal rights risk to residents in care.

  • 87411(c)Type B

    (c)All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69. This requirement was not met as evidenced by: Based on record review the Licensee did not comply with the regulation above staff were not properly training meeting all initial and annual training requirement which poses a potential health, safety, and personal rights risk to residents in care.

  • 87465(a)(1)Type A

    (a) plan for incidental medical and dental care shall be developed by each facility. The...:(1)The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidenced by: Based on staff interviews and records review the Licensee did not comply with the regulation above, R1 had immediate dental needs that were not addressed timely by the lead/supervisor based on staff charting notes and verbal notifications which poses an immediate health, safety and personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 29, 2025 inspection of C.A.L.L.-CARMELITA HOUSE?

This was a complaint inspection of C.A.L.L.-CARMELITA HOUSE on January 29, 2025. 2 citations were issued: 2 Type B.

Were any citations issued to C.A.L.L.-CARMELITA HOUSE on January 29, 2025?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "(a)All facilities shall have a qualified and currently certified administrator....shall be on the premises a sufficient ..."

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.