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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, 4 half bathrooms, shower room, kitchen, living and dining rooms, recreation room and staff bedroom. There are no accessible bodies of water or fire safety hazards observed. Hot water temperature is tested at 111 degrees in full 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, and staff have current first-aid training. Mihael Dayeh (x11/26) and Grace Tolentino (x 8/26) are certified RCFE administrators that oversee facility operations. There are 3 clients receiving hospice services. The following information or forms are requested to be completed and returned to CCL by 11/4//25: • LIC 309 Administrative Organization (with current terms) • LIC 500 Personnel Report • Proof of control of property • Proof of current liability insurance Deficiencies of the RCFE California Code of Regulations, Title 22, Division 6, Chapter 8 are observed and cited on following 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.

  • 87307(d)(6)Type B

    Passageways and stairways kept clear

    PERSONAL ACCOMMODATIONS/SVCSAll outdoor and indoor passageways and stairways shall be kept free of obstruction.This requirement was not met, as unclosed padlock is observed on metal gate on east side of house, which connects backyard to street. Licensee failed to ensure that side passageway is unobstructed, which poses a potential health, safety or personal rights risk to clients in care.

  • 87463(h)(1)Type B

    Record annual routine visit documentation

    REAPPRAISALSThe licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every12 months, either in person or by video appointment. Documentation of the annual routine visit, such as a visit summary, shall be added to the resident's record. This requirement is not met, as MD report for client #3 is dated in 2023. Licensee failed to ensure that annual MD assessment report is maintained, which poses a potential health, safety or personal rights risk to clients in care.

  • 87633(b)(1Type B

    HOSPICE CAREA 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 there is no current hospice care plan for client #3. Licensee failed to ensure that hospice care plans are maintained for all residents receiving hospice services, which poses a potential health, safety or personal rights risk to clients in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 21, 2025 inspection of AGEWAY BOARDING CARE #2?

This was an inspection of AGEWAY BOARDING CARE #2 on October 21, 2025. 3 citations were issued: 3 Type B.

Were any citations issued to AGEWAY BOARDING CARE #2 on October 21, 2025?

Yes, 3 citations were issued (0 Type A, 3 Type B). The first citation was for: "PERSONAL ACCOMMODATIONS/SVCSAll outdoor and indoor passageways and stairways shall be kept free of obstruction.This requ..."

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.