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Inspection visit

Routine inspection

THERESE RESIDENTIAL CARE HOMELicense 4156007002 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

LPA Audrey Jeung toured facility and grounds, including two detached storage units and attached garage. There are 6 private client bedrooms, 3 full bathrooms, kitchen, living/dining area; two rear bedrooms with exits are cleared for bedridden clients. No accessible bodies of water or fire safety hazards observed. Medications, toxins and sharps are stored appropriately and inaccessible to clients, and a comfortable room temperature is maintained. Hot water temperature is tested at 120 degrees in shared client bathroom. Food supply and first-aid kit are inspected, and carbon monoxide detector is tested and operable. All client files are reviewed, and medications are recorded on Centrally Stored Medications Records. An updated Disaster and Mass Casualty Plan is posted. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed, as well as staff records. May Dela Rueda (x 11/24) and Emelita Capistrano are certified RCFE administrators that oversee facility operations. The following forms are left with facility representative to be completed and returned to CCL by 5/10/24: • LIC 309 Administrative Organization • LIC 308 Designation of Administrative Responsibility • LIC 500 Personnel Report • LIC 610D Emergency Disaster Plan (9pages) • Proof of current liability insurance • Proof of control of property (current signed lease agreement) Deficiencies of the California Code of Regulations, Title 22 are observed and cited on a following page:

Citations

2 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.

  • 1569.695(c)Type B

    Based on absence of documentation, the licensee did not comply with the section cited above, as there is no documentation that Emergency disaster drills were conducted.This poses a potential health, safety or personal rights risk to persons in care.

  • 87608(a)(5)(B)Type A

    Based on observation, the licensee did not comply with the section cited above, as two half bed rails are installed on bed of client #3, because he has behavior of getting out of bed on his own and wandering.This poses an immediate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 26, 2024 inspection of THERESE RESIDENTIAL CARE HOME?

This was an inspection of THERESE RESIDENTIAL CARE HOME on April 26, 2024. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to THERESE RESIDENTIAL CARE HOME on April 26, 2024?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "Based on absence of documentation, the licensee did not comply with the section cited above, as there is no documentatio..."

What type of inspection was this?

This was an inspection. 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.