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Inspection visit

Routine inspection

AGEWAY BOARDING CARE #2License 4156008353 citations on this visit
3 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 5 client bedrooms, full bathroom, 5 half bathrooms, shower room, kitchen, living and dining rooms, and recreation room. There are no accessible bodies of water or fire safety hazards observed. Hot water temperature is tested at 112 degrees in full bathroom. Food supply, signal system, 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. Staff records and medications will be reviewed at a later date, due to time constraints. Ana Dayeh, Mihael Dayeh (x11/24), and Grace Tolentino are certified RCFE administrators that oversee facility operations. There are 2 clients receiving hospice services. The following forms are requested to be completed and returned to CCL by 10/17/24: • LIC 308 Designation of Administrative Responsibility • LIC 309 Administrative Organization • LIC 500 Personnel Report • Facility Sketch (including dimensions) • Proof of control of property • LIC 610E Emergency Disaster Plan (9 pages, with signed and dated page 9) • LIC 9282 Infection Control Plan (page 5 signed and dated) 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--2 pages.

Citations

3 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.

  • 87608(a)(5)(B)Type A

    POSTURAL SUPPORTSBed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met, as client #4 has full bed rails, and there is no hospice care plan. Licensee failed to ensure that hospice care plan is maintained and includes full bed rails, which poses an immediate health, safety or personal rights risk to clients in care.

  • 87633(b)Type B

    Facility must keep complete hospice care plan on file

    HOSPICE CARE OF TERMINALLY ILLA current and complete hospice care plan shall be maintained in the facility for each hospice resident and include specific information. This requirement is not met, as hospice care plans for 2 out of 2 residents receiving hospice care are not maintained. This poses a potential health, safety or personal rights risk to clients in care.Clients #3 and #4 are receiving hospice services, but hospice care plans are not maintained.

  • 87705(c)(5)Type B

    CARE OF PERSONS WITH DEMENTIAEach resident with dementia shall have an annual medical assessment... and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs. This requirement is not met, as appraisals or Needs and Services Plans for 2 out of 5 clients are not current, which poses a potential health, safety or personal rights risk to clients in care.Clients #2 and #3 are diagnosed with dementia, but reappraisals are dated more than 12 months ago.

FAQ · About this visit

Common questions about this visit

What happened during the October 10, 2024 inspection of AGEWAY BOARDING CARE #2?

This was an inspection of AGEWAY BOARDING CARE #2 on October 10, 2024. 3 citations were issued: 1 Type A (serious) and 2 Type B.

Were any citations issued to AGEWAY BOARDING CARE #2 on October 10, 2024?

Yes, 3 citations were issued (1 Type A, 2 Type B). The first citation was for: "POSTURAL SUPPORTSBed rails that extend the entire length of the bed are prohibited except for residents who are currentl..."

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.