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Inspection visit

Routine inspection

AMAZING HOMELicense 4156008016 citations on this visit
6 citations recorded

Inspector’s narrative

What the inspector wrote

LPA Audrey Jeung toured facility and grounds--including detached storage shed--for this 6 bed RCFE, consisting of 4 client bedrooms, staff room with 2 beds, 2 full bathrooms, kitchen, living/dining room, and 2-car garage, used by staff for rest and office space. There are no accessible bodies of water or fire safety hazards observed. Hot water temperature is tested at 108 degrees in common bathroom. Food supply and first-aid kit are inspected, and hygiene items for general use are maintained. Client files are reviewed, An Emergency Disaster Plan is posted. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed, as well as required staff records. There are no hospice services being provided at this time. There are 5 RCFE certified administrators associated with facility: Necia Conde (x 10/24), Iress Caguiat (x 9/25), Leandra Salvador (x 2/26), Ivy Lagonero (x 6/24), Renalin Salvadico (x 3/26). The following forms are requested to be completed and returned to CCL by 10/29/24: • LIC 308 Designation of Administrative Responsibility • LIC 309 Administrative Organization • LIC 500 Personnel Report • Facility Sketch (including dimensions) • Proof of control of property (signed and dated lease agreement) • LIC 9282 Infection Control Plan (page 5 signed and dated) - Proof of current liability insurance The (LIC 610E) Emergency Disaster Plan--9 pages, with signed and dated page 9-- is given to LPA today. Deficiencies of the RCFE California Code of Regulations, Title 22, Division 6, Chapter 8 are observed and cited on following pages. See also Technical Advisory Notes--3 pages.

Citations

6 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.

  • 87457(c)Type B

    Complete admission suitability appraisal

    Based on review of clients' records, the licensee did not comply with the section cited above in 1 out of 6 client files reviewed, which poses a potential health, safety or personal rights risk to persons in care.- There is no pre-admission appraisal/needs and services plan for client #5, who was admitted 2/2023.

  • 1569.695(c)Type B

    Based on facility records review, the licensee did not comply with the section cited above, as the most recent disaster drill was documented in December 2023. This poses a potential health, safety or personal rights risk to persons in care.

  • 87303(e)(4)Type B

    Maintain grab bars for toileting and bathing

    Based on observation, the licensee did not comply with the section cited above in 1 out of 2 client bathrooms observed, which poses a potential health, safety or personal rights risk to persons in care.- In private bathroom in master bedroom, there are no grab bars in shower stall and toilet.

  • 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 spray sanitizer--labeled Keep out of Reach of Children--is stored in room of client #5, Comet liquid cleanser stored in common bathroom, wood cleaner stored in linen closet. All cleaners are accessible to clients. which poses an immediate health, safety or personal rights risk to persons in care.

  • 87411(f)Type B

    Health screening and fitness requirements

    Based on staff records review, the licensee did not comply with the section cited above in 3 out of 6 staff files reviewed, which poses a potential health, safety or personal rights risk to persons in care.There is no health screening and/or TB test result on file for staff #3, #5, #6.

  • 87506(b)(15)Type B

    Maintain admission agreement and appraisal

    Based on review of clients' records, the licensee did not comply with the section cited above in 3 out of 5 client records reviewed, which poses a potential health, safety or personal rights risk to persons in care.- Monthly rate for basic services is not included on Admission Agreements for clients #1, #4, #5, who are place by Institute on Aging. The "IOA Agreement for Financial Responsibility as part of Community Care Settings Program"--which specifies monthly rates--is not maintained for these 3 residents.

FAQ · About this visit

Common questions about this visit

What happened during the October 15, 2024 inspection of AMAZING HOME?

This was an inspection of AMAZING HOME on October 15, 2024. 6 citations were issued: 1 Type A (serious) and 5 Type B.

Were any citations issued to AMAZING HOME on October 15, 2024?

Yes, 6 citations were issued (1 Type A, 5 Type B). The first citation was for: "Based on review of clients' records, the licensee did not comply with the section cited above in 1 out of 6 client files..."

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.