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Inspection visit

Correction check

FAMILY AFFAIR CARE HOMELicense 415601105
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

On March 26, 2025, Licensing Program Analyst (LPA) Murial Han conducted a plan of correction visit for the annual inspection that was conducted on March 18, 2025. LPA met with administrator, Hui C. Leslie and explained the purpose of today's visit. During today's visit, LPA toured the common areas, bath/shower room, dining room, living room, resident room, etc., reviewed the deficiencies and documents the with administrator. The following deficiencies , which were cited on 3/18/2025 are corrected: - 87412(a)(4) Personnel Records - 87412(a)(11) Personnel Records - 87412(a) Personnel Records - 87355(e)(4) Criminal Records Clearance - 87303(a) Maintenance and Operation - 87202 Fire Clearance A copy of the Cleared Plan of Correction Letters were provided the administrator. No deficiency cited today. This report is reviewed and a copy 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.

  • 1569.695(c)Type A

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the administrator was not able to provide proof that emergency drills were conducted accordingly which poses an immediate health, safety or personal rights risk to persons in care.

  • 87219(a)Type B

    Encourage resident participation in varied planned activities

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as during the annual visit on 3/18/2025 and the continuation visit on 3/26/2025, LPA did not observe any activities were provided to the residents. LPA observed majority of the residents were watching TV and others were in bed which poses/posed a potential health, safety or personal rights risk to persons in care.

  • Maintain physician order documentation in resident record

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed 10 out of 10 residents with bed rails with a written order from a physician which poses an immediate health, safety or personal rights risk to persons in care.

  • 87618(b)(3)(A)Type A

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed R1 and R7 have oxygen and the administrator did not make a report to the local fire jurisdiction which poses an immediate health, safety or personal rights risk to persons in care.

  • 87618(b)(3)(B)Type A

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA did not observe any "No Smoking- Oxygen in Use" signs at the facility which poses an immediate health, safety or personal rights risk to persons in care.

  • 87618(b)(5)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above the administrator was not able to provide training records for S1 and S2 to ensure they are knowledgeable and has the ability to operate oxygen equipment which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 26, 2025 inspection of FAMILY AFFAIR CARE HOME?

This was an other inspection of FAMILY AFFAIR CARE HOME on March 26, 2025. The inspection found no deficiencies and no citations were issued.

Were any citations issued to FAMILY AFFAIR CARE HOME on March 26, 2025?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

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.