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Inspection visit

Follow-up on corrections

WESTBOROUGH MANOR 6License 4156008484 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

On September 12, 2023 at 1:15 p.m, San Bruno Regional Office conducted an office meeting with Licensee, Anthony and Sheila Diaz to discuss the findings from an audit that was completed by CCL Audit Section. Present in the meeting was Regional Manager, Vivien Helbling, Licensing Program Manager, Jackie Jin, Licensing Program Analyst, Murial Han and Auditor, Jacqueline Juarez joined virtually. The Department has requested an audit to be completed by the CCL Audit Section to ensure that the facility has sufficient funds to continue operations as the sister facility that was operated by the same owner was closed due to non-payment of rent. Based on the audit result, the licensee does not have a sound financial plan, has negative equity and is not generating enough income to meet its expenses. Licensee to ensure their corporate statues is reinstated and obligation with Franchise Tax Board (FTB) are paid. Licensee should work to reduce payroll cost, as payroll is absorbing all income earned. With paying savings, Licensee to increase food expenses and become current with all utilities. During today's meeting, the following findings and the violations were reviewed with the licensee: finding #1 Finances, the audit revealed that the Licensee is not making sufficient income to meet operating expenses; finding #2 Accountability of Licensing Governing Body, the audit revealed that the licensee did not pay operational expenses timely; finding #3, General Food Service Required, the audit revealed that the facility did not spend sufficient funds on food for 5 residents based on the USDA guidelines for male and female ages 51-70 and 71+; finding #4, Administrator Qualification, the audit revealed that the administrator did not ensure operating expenses were paid on time, and residents were supplied with sufficient food according to the USDA guidelines. Based on the audit findings and to ensure facility will be in compliance with Title 22 regulation, facility will comply with quarterly Financial Monitoring for a period of one year or until it is evident that the licensee has an adequate financial plan in place. The first due date being October 31, 2023 (July, August, and September 2023) documents are to include LIC 401, for the month of September 2023; bank statements for July- September 2023; utility bills, cable/phone bills and food receipts for the month of September 2023. Deficiency is cited for the above violations on LIC 809D. This report is reviewed and discussed with the licensee. A copy this report and appeal rights are provided.

Citations

4 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.

  • 87213Type A

    Financial plan and required reporting obligations

    87213 Finances..The licensee shall have a financial plan that conforms to the requirements of Section 87155, Application for License, and that assures sufficient resources to meet operating costs for care of residents; This requirement is not met as evidenced by based on the audit result, licensee is not making sufficient income to meet operating expenses which poses an immediately health risk to residents in care.

  • 87555(a)Type A

    Diet quality and preparation in safe healthful manner

    87555 General Food Service Requirements..a)The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council.. This requirement is not met as evidenced by based on the audit result, the facility failed to supplied food to resident to meet the nutritional guidelines which poses an immediately health risk to residents in care.

  • 87205(a)(b)Type A

    87205 Accountability of Licensee Governing Body..a) The licensee, whether an individual or other entity, shall exercise general supervision over the affairs of the licensed facility..(b) If the licensee is a corporation or an association, the governing body shall be active, and functioning in order to assure accountability.. This requirement is not met as evidenced by based on the audit result, the licensee failed to pay rent, utility bills on time and licensee's corporation status with Secretary of State is Franchise Tas Board (FTB) suspended which poses an immediately risk for residents in care.

  • 87405(d)(1)(2)Type A

    87405 Administrator - Qualifications and Duties..(d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply..(1) Knowledge of the requirements for providing care and supervision.. (2) Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement is not met as evidenced by the administrator failed to ensure residents are adequately fed and bills are paid in a timely manner which poses an immediately health risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 12, 2023 inspection of WESTBOROUGH MANOR 6?

This was an other inspection of WESTBOROUGH MANOR 6 on September 12, 2023. 4 citations were issued: 4 Type A (serious).

Were any citations issued to WESTBOROUGH MANOR 6 on September 12, 2023?

Yes, 4 citations were issued (4 Type A, 0 Type B). The first citation was for: "87213 Finances..The licensee shall have a financial plan that conforms to the requirements of Section 87155, Application..."

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.