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Inspection visit

Routine inspection

FAMILY AFFAIR CARE HOMELicense 4156011056 citations on this visit
6 citations recorded

Inspector’s narrative

What the inspector wrote

On 3/18/2025, Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with caregivers Marcelo Sumalnap ad Thelma Olson and explained the purpose of the visit. The administrator Hui C. Leslie and the assistant administrator, Xue F Huang arrived shortly thereafter to assist with the annual inspection. Upon entry, LPA observed S3 and S4 were working and based on record review, both of them did not have a criminal background clearance. LPA informed the administrator to remove S3 and S4 immediately. LPA toured the facility and grounds. No accessible bodies of water or fire safety hazards observed. This is a double story home. LPA toured the first floor and observed 7 resident rooms of which 3 share rooms and 4 private rooms. LPA observed 3 full bathrooms and 2 half bathrooms. Bathrooms were equipped with liquid soap, paper towels and a trash can with a fitted lid. LPA observed extra linen. During today's visit, LPA observed garage was cluttered, uncleaned cat food all over the ground, files, dirty plastic bags on the floor, table, unknown brown liquid bottle on the table, lighter, cigarettes on top of the laundry, and soiled linens on the floor. LPA reviewed 4 staff files. Civil penalty of the following in being assessed today in the amount of $2000: - $500 x2 for Criminal Background Clearance - $250 x2 for repeat violations that were identified from the annual visit on March 20, 2024: 87412(a) and 87355(e)(4) LPA will return on another day to complete the inspection. Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in additional civil penalties. This report is reviewed and discussed with administrator. A copy of this report and the appeal rights were 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.

  • 87202(a)Type A

    Maintain fire clearance before retaining specified persons

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the facility converted a private room (bedroom 3) into a 2 bedroom without a fire clearance was which poses an immediate health, safety or personal rights risk to persons in care.

  • 87303(a)Type A

    Maintain facility in clean, safe, sanitary condition

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed garage was cluttered, uncleaned cat food all over the ground, files, dirty plastic bags on the floor, table, unknown brown liquid bottle on the table, lighter, cigarettes on top of the laundry, and soiled linens on the floor which poses an immediate health, safety or personal rights risk to persons in care.

  • 87355(e)(4)Type A

    Request transfer of criminal record exemption

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as S3 and S4 did not have proof that background/fingerprint clearance process were completed which poses an immediate health, safety or personal rights risk to persons in care.

  • 87412(a)Type A

    Maintain required personnel records for staff

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as S1 and S2 have missing documents from the personnel records and S3 and S4 did not have a personnel file which poses an immediate health, safety or personal rights risk to persons in care.

  • 87412(a)(11)Type A

    Include required health screening documents

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as 4 out of 4 staff did not have proof that their health screen was completed which poses an immediate health, safety or personal rights risk to persons in care.

  • 87412(a)(4)Type A

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as S3 and S4 did not have any documents in their files to verify this information which poses an immediate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 18, 2025 inspection of FAMILY AFFAIR CARE HOME?

This was an inspection of FAMILY AFFAIR CARE HOME on March 18, 2025. 6 citations were issued: 6 Type A (serious).

Were any citations issued to FAMILY AFFAIR CARE HOME on March 18, 2025?

Yes, 6 citations were issued (6 Type A, 0 Type B). The first citation was for: "Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the fa..."

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.