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Inspection visit

Routine inspection

JANIE'S HOMELicense 4156008098 citations on this visit
8 citations recorded

Inspector’s narrative

What the inspector wrote

On January 10, 2024 Licensing Program Analyst (LPA) Murial Han conduct an annual inspection. LPA met with assistant administrator and explained the purpose of today's visit. Assistant administrator provided a tour of the facility and grounds. No accessible bodies of water or fire safety hazards observed. This is single story facility with 5 resident bedrooms and one of them being shared room that is currently occupied by one resident. The facility observed to clean, tidy and in good repair. Bedrooms were equipped with the required furniture for residents to use. Bathrooms are equipped with grab bars, and nonskid mats. Facility temperature is comfortable. During the tour, LPA observed an Accessory Dwelling Unit (ADU) in the garage with a bed, table, TV and other furniture. This ADU is not part of the facility sketch on record. According to the assistant administrator it was build in 2019 without a proper permit. Chemicals, toxins, sharps and medications are observed to be unlocked and accessible to residents in care. Centrally stored medication was reviewed and observed 4 out of 4 residents did not have a centrally stored medication record. 2 days of perishables and 7 days of nonperishable foods were observed for the residents. Facility is equipped with smoke detectors and carbon monoxide detectors. Fire drill records reviewed. Hot water temperature through-out the facility is measured at 108- 115 degrees F. LPA reviewed 4 resident records and all of them contained admission agreement, medical assessment- LIC 602 (Physician Order), Resident Rights, Resident Identification information. However, 1 out of 4 resident's Appraisal Needs and Service Plan was incomplete, and 3 out of 4 resident's Appraisals were not signed and dated by the facility representative and the applicant or the responsible party. LPA reviewed 3 staff files and all of them contained personnel records, TB screening, First Aide/CPR, Criminal Record Statement, fingerprint cleared and associated to the facility and training records except for staff #1(S1) who did not have the initial training records. Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed with the asst. administrator. A copy of this report and the appeal rights were provided.

Citations

8 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.

  • 1569.69(a)(2)Type B

    Based on observation, interview and record review, the licensee did not comply with the section cited above as staff #1 (S1) did not have documents to proof that the initial training was completed prior to working which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87305(a)Type A

    Requirement for building permit before construction

    Based on observation, record review and interview the licensee did not comply with the section cited above as LPA observed an Accessory Dwelling Unit (ADU) as living space in the garage without a proper permit which poses an immediate health, safety or personal rights risk to persons in care.

  • 87309(a)Type A

    Ensure hazardous items are locked and not unattended

    Based on observation and interview the licensee did not comply with the section cited above as sharps and chemicals were not locked and accessible to resident in care which poses an immediate health, safety or personal rights risk to persons in care.

  • 87465(a)(6)Type A

    Maintain records of centrally stored medication dosages

    Based on observation, interview and record review the licensee did not comply with the section cited above as 4 out of 4 residents did not have Centrally Stored Medication Record which poses an immediate health, safety or personal rights risk to persons in care.

  • 87608(a)(3)Type A

    Maintain physician order documentation in resident record

    Based on observation, record review and interview the licensee did not comply with the section cited above as 3 out of 4 resident's appraisals were not signed by the facility representative and applicant and responsible party which poses an immediate health, safety or personal rights risk to persons in care.

  • 87465(h)(2)Type A

    Store centrally held medications in locked secure place

    Based on observation, and interview the licensee did not comply with the section cited above as medications were observed in the living room to be unlocked and accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.

  • 1569.695(c)Type A

    Based on observation, record review and interview the licensee did not comply with the section cited above as drills were not completed accordingly which poses an immediate health, safety or personal rights risk to persons in care.

  • 87463(a)Type B

    Update reappraisal at required intervals

    Based on observation, record review and interview the licensee did not comply with the section cited above as 1 out of 4 resident's appraisal service needs and plan was incomplete which poses/posed 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 January 10, 2024 inspection of JANIE'S HOME?

This was an inspection of JANIE'S HOME on January 10, 2024. 8 citations were issued: 6 Type A (serious) and 2 Type B.

Were any citations issued to JANIE'S HOME on January 10, 2024?

Yes, 8 citations were issued (6 Type A, 2 Type B). The first citation was for: "Based on observation, interview and record review, the licensee did not comply with the section cited above as staff #1 ..."

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.