Inspection visit
Routine inspection
Inspector’s narrative
What the inspector wrote
Citations
14 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.
- 1569.319(a)Type B
Based on observation, the licensee did not comply with the section cited above, as there is no dedicated internet capable device for resident use, which poses a potential health, safety or personal rights risk to persons in care.
- 1569.605Type B
Based on absence of proof of liability insurance, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care.- Facility does not maintain proof of current liability insurance.
- 1569.625(b)(2)Type B
Based on records review, the licensee did not comply with the section cited above in 2 out of 5 staff records reviewed, which poses a potential health, safety or personal rights risk to persons in care.- There is no proof of annual 8 hours of dementia training and 4 hours of restricted health conditions, hospice care and postural supports training for staff #1 and #3. This was cited on 3/11/25. Civil penalty of $250 is assessed today and will continue to accrue at $100/day until corrected and LPA is notified.
- 1569.69(a)Type B
Based on records review, the licensee did not comply with the section cited above in 2 out of 5 staff records reviewed, which poses a potential health, safety or personal rights risk to persons in care.- There is no proof that staff #1 and staff #3 received annual 8 hours of medication training.
- 1569.695(c)Type B
Based on records review, the licensee did not comply with the section cited above, as quarterly Emergency Disaster drills are not documented adequately. This poses a potential health, safety or personal rights risk to persons in care.This deficiency was cited on 11/5/24 and 3/11/25 and not corrected.
- 1569.695(f)(2)Type B
A. All occupied resident units; B. All facility vehicles; C. All facility exit doors; D. All facility cabinets, cupboards or files that contain elements of the emergency and disaster plan, including, but not limited to, food supplies and protective shelter supplies.Based on absence of spare set of emergency keys, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care.- Facility does not maintain a spare emergency set of keys, including storage shed in backyard
- 87303(e)(2)Type A
Provide resident hot water for personal care
Based on observation, the licensee did not comply with the section cited above, as hot water temperature tested at 129 degrees in main client bathroom, which poses an immediate health, safety or personal rights risk to persons in care.This was cited during last annual inspection on 11/5/24.
- 87309(a)Type A
Ensure hazardous items are locked and not unattended
Based on observation, the licensee did not comply with the section cited above, as cleaning products are stored in unlocked lower kitchen cabinet, which poses an immediate health, safety or personal rights risk to persons in care.This was observed and cited on 11/5/24.
- 87411(f)Type B
Health screening and fitness requirements
Based on review of staff records, the licensee did not comply with the section cited above in 2 out of 5 records reviewed, which poses a potential health, safety or personal rights risk to persons in care.There are no health screenings and TB test results maintained for staff #3 and #4.This was observed and cited previously on 3/11/25.
- 87463(a)Type B
Update reappraisal at required intervals
Based on records review, the licensee did not comply with the section cited above in 1 out of 5 client records reviewed, which poses a potential health, safety or personal rights risk to persons in care.- Appraisal for client #5 is dated 4/2024
- 87465(h)(2)Type A
Store centrally held medications in locked secure place
Based on observation, the licensee did not comply with the section cited above as staff medications are stored in unlocked hall closet and clients' medications are stored in unlocked kitchen cabinet, accessible to clients. This poses an immediate health, safety or personal rights risk to persons in care.
- 87465(h)(6)Type A
Record centrally stored prescriptions and refill data
Based on absence of Centrally Stored Medication Records, the licensee did not comply with the section cited above, which poses an immediate health, safety or personal rights risk to persons in care.This was cited previously on 11/5/24.
- 87470(c)Type B
Infection control plan required in operations plan
Based on absence of Infection Control Plan, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care.- Infection Control Plan is not maintained.
- 87555(b)(26)Type B
Onsite food stock levels for nonperishables and perishables
Based on observation, the licensee did not comply with the section cited above, as there are no canned fruits maintained for 7-day supply and not enough fresh vegetables and protein for 2-day supply. This poses a potential health, safety or personal rights risk to persons in care.
FAQ · About this visit
Common questions about this visit
What happened during the November 17, 2025 inspection of COMFORT HOME II?
This was an inspection of COMFORT HOME II on November 17, 2025. 14 citations were issued: 4 Type A (serious) and 10 Type B.
Were any citations issued to COMFORT HOME II on November 17, 2025?
Yes, 14 citations were issued (4 Type A, 10 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section cited above, as there is no dedicated internet capab..."
What type of inspection was this?
This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.
Next steps
If this is your facility,claim this pageand correct anything the record gets wrong. Free.
Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.
Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.