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Inspection visit

Follow-up

FAMILY AFFAIR CARE HOMELicense 4156011052 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 5/10/22, Licensing Program Analyst (LPA) Murial Han conducted an unannounced visit to deliver the findings of complaint # 14-AS-20211207111332. LPA Han met with Lead Caregiver, Ganalyn and explained the purpose of the visit. LPA Han also spoke to administrator, Leslie Hui over the phone explaining the purpose of today's visit. During the investigation of the above complaint, the administrator stated that the facility did not conduct a pre-admission appraisal prior to resident #1 (R1)'s admission. Therefore, the facility was not aware of R1's blood sugar management that was required and prescribed by R1's physician. Based on the complaint investigation, the facility failed to preform a pre-admission on R1 to ensure R1 is suitable for the facility. During the investigation of the above complaint, the reporting party stated that R1 was not able to administer insulin, therefore, staff #1 (S1) would be administering it for R1 but the reporting party was not sure if S1 is qualified to do that. As part of the investigation, LPA interviewed administrator who stated that facility has a phlebotomist who is certified to administer injections would go to the facility 2x/day administering insulin injections for resident(s). LPA interviewed resident #2 (R2) regarding to the facility's protocol on administering injections and R2 stated that S1 administered it on a daily basis as R2 was not physically capable of doing it. During the 2nd interview with administrator, the administrator confirmed that S1 was not a skilled professional nor a phlebotomist, and he/she just learned that S1 was administering injections as the phlebotomist was too busy to do it. Based on the complaint investigation, the facility failed to ensure injections are administered by the resident or by an appropriately skilled professional. Deficient is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. Report was discussed with the administrator. A copy of this report and the Appeal Rights is provided.

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.

  • 87457(c)Type A

    Complete admission suitability appraisal

    87457 Pre-Admission Appraisal - General..(c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal ... This requirement is not met as evidenced by: the facility did not conduct a pre-admission appraisal of R1 which resulted the facility not able to meet R1's blood sugar management needs which posed an immediate health and safety risks to residents in care.

  • 87629(a)Type A

    87629 Injections..(a) The licensee shall be permitted to accept or retain a resident who requires intramuscular,..intradermal injections if the injections are administered by the resident or by an appropriately skilled professional. This requirement is not met as evidenced by: R2 was not able to administer injections and injections were administered by S1 who was not an appropriately skilled professional which posed an immediate health and safety risks to residents in care.

  • 87307(a)(2)(B)Type A

    Prohibition on using other rooms as bedrooms

    87307 Personal Accommodations and Services..(a)Living accommodations...The facility shall be large enough to provide comfortable living accommodations and privacy for the residents...(2)Resident bedrooms shall be provided which meet..(B) No room commonly used for other purposes shall be used as a sleeping room for any resident. This requirement was not met as evidenced by: the facility moved 2 male residents who were sharing a room into the living room to accommodate a female resident who did not get along with her roommate which posed an immediate health and safety risks to resident in care.

  • 87465(a)(4)Type A

    Assist residents with self-administered medication

    87465 Incidental Medical and Dental Care...(a)A plan for incidental medical... shall be developed by each facility..(4) The licensee shall assist residents with self administered medications as needed. This requirement was not met as evidenced by: the facility failed to assist R1's pain medication during the night upon R1's request as prescribed by R1's physician posed an immediate health and safety risks to resident in care.

  • 87466Type A

    Regular observation and documentation of resident changes

    87466 Observation of the Resident The licensee shall ensure that residents are regularly observed for changes in physical,...When changes such as...physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement is not met as evidenced by: the facility failed to observe R1's blood sugar level which posed an immediate health and safety risks to resident in care.

  • 87468.1(a)(2)Type A

    Safe, healthful, comfortable accommodations

    87468.1 Personal Rights of Residents in All Facilities(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(2) To be accorded safe, healthful... This requirement is not met as evidenced by: during the 10-day initial complaint visit, LPA observed staff #1 was not wearing any face covering which posed an immediate health and safety risks to resident in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 10, 2022 inspection of FAMILY AFFAIR CARE HOME?

This was an other inspection of FAMILY AFFAIR CARE HOME on May 10, 2022. 2 citations were issued: 2 Type A (serious).

Were any citations issued to FAMILY AFFAIR CARE HOME on May 10, 2022?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "87457 Pre-Admission Appraisal - General..(c) Prior to admission a determination of the prospective resident's suitabilit..."

What type of inspection was this?

This was an other inspection. other 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.