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Inspection visit

Routine inspection

AJAVINIAR HOME CARE SERVICES LLCLicense 4156010106 citations on this visit
6 citations recorded

Inspector’s narrative

What the inspector wrote

LPA Audrey Jeung toured facility and grounds of this 1-level home, consisting of 3 client bedrooms, staff room, two bathrooms, kitchen and living/dining room. There are 2 detached storage units in fenced backyard beyond covered patio. Washer and dryer are located outside on side of building, in covered walkway. There is one car garage. No accessible bodies of water or fire safety hazards observed. PPE supply is inspected. Food supplies are maintained. A comfortable temperature is maintained, lighting is sufficient for comfort and safety and hot water temperature tested at 107 degrees. Toilet and bathing facility is equipped with grab bars and nonskid flooring material. Liquid soap is available at bathroom sink. First-aid kit is inspected and complete. A Disaster and Mass Casualty Plan is posted. There are 2 residents present and 1 staff. No one is currently receiving hospice services. Three client records are reviewed. One resident's file is not on site, as it is with administrator and client for annual review meeting. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed, including current first aid training and health screenings. Rowena Cruz Diaz has an expired RCFE administrator certificate (x 2018). The following information/forms are provided: - Proof of current liability insurance - Designation of Administrative REsponsibility (LIC308) - Personnel REport (LIC500) - Emergency Disaster Plan (LIC610D) - Infection Control Plan - Proof of current surety bonding Licensee is requested to submit the following information/forms to CCLD BY 2/10/25: - Administrative Organization (LIC309) - Bedridden plan of operation Deficiencies of the RCFE California Code of Regulations, Title 22, Division 6, Chapter 8 are observed and cited on following pages. Technical Advisory Note is also issued--1 page.

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.

  • 1569.625(b)(2)Type B

    Based on review of staff records, the licensee did not comply with the section cited above in 3 out of 3 staff records reviewed, which poses/posed a potential health, safety or personal rights risk to persons in care.- There is no evidence that staff have received any training in 2024, including dementia, postural supports, hospice care, restricted health conditions.

  • 1569.69(b)Type B

    Based on review of staff records, the licensee did not comply with the section cited above in 3 out of 3 staff records reviewed, which poses a potential health, safety or personal rights risk to persons in care.- There is no evidence that staff have received 8 hours annual medication training.

  • 1569.695(c)Type B

    Based on review of facility records, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care.- There is no confirmed documentation that disaster drills have been conducted since 2023.

  • 87406(a)Type A

    Based on review of staff records, the licensee did not comply with the section cited above, as there is no certified administrator who maintains a RCFE administrator certificate, which poses an immediate health, safety or personal rights risk to persons in care.Administrator certificate posted for staff #4 expired in 2018.

  • 87412(d)Type A

    Keep administrator certification or recertification records

    Duplicate citation.

  • 87411(c)(1)Type B

    First aid training requirements

    DELETED

FAQ · About this visit

Common questions about this visit

What happened during the January 27, 2025 inspection of AJAVINIAR HOME CARE SERVICES LLC?

This was an inspection of AJAVINIAR HOME CARE SERVICES LLC on January 27, 2025. 6 citations were issued: 2 Type A (serious) and 4 Type B.

Were any citations issued to AJAVINIAR HOME CARE SERVICES LLC on January 27, 2025?

Yes, 6 citations were issued (2 Type A, 4 Type B). The first citation was for: "Based on review of staff records, the licensee did not comply with the section cited above in 3 out of 3 staff records r..."

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.