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Inspection visit

Follow-up on corrections

COMFORTS OF HOME SENIOR CARE, INC.License 4258017772 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analysts (LPAs) Rachael DeLeon and Kristin Kontilis conducted a Case Management visit to address deficiencies noted during a required Annual Inspection visit conducted on 3/7/2023. LPAs met with Gary Gleissner, Licensee and explained the purpose of the visit. At the time of the visit, LPAs reviewed residents’ records and conducted interviews with staff and residents. Interviews conducted revealed that Resident 1 (R1) sustained a fall in October 2022; facility administrator called 9-1-1 and R1 was transferred to the hospital. Interviews further conducted revealed R1 remained in the hospital and was eventually transferred to a skilled nursing facility then returned to the facility after several weeks. R1 was placed on hospice on or about 12/9/2022. R1 passed away at the facility on or about 1/29/2023. Upon record review and interviews conducted, LPAs determined no hospice notifications have been received by CCL although facility has a hospice waiver for two (2) residents. Records reviewed and interviews conducted revealed no Serious Illness/Serious Injury (LIC624) reports have been received by CCL since 3/5/2021. Records reviewed revealed no death reports (LIC624A) has been received by CCL reporting R1’s death and/or other residents’ deaths since 3/5/2021. LPAs counseled Staff 1 (S1)/Facility Designee on the importance of following the requirements in California Code of Regulations (CCR) 87632 Hospice Care Waiver and 87211 Reporting Requirements in their entirety to ensure adherence to the regulations. Pursuant to Title 22, Division 6, Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC809-D). Exit interview conducted. Deficiencies cited. Copy of report and Appeal Rights issued at the time of the visit.

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.

  • 87211(a)Type B

    Licensee reports required by licensing agency

    87211(A)(1) Reporting Requirements. A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below…This requirement is not met as evidenced by: Based on records review, the licensee did not comply with the section cited above as CCL has not received Serious Illness/Serious Injury Reports and/or Death Reports since 3/5/2021 which poses a potential health and safety risk to residents in care.

  • 87632(d)(2)Type B

    Notification to department after hospice care starts

    87632(d)(2) Hospice Care Waiver: The licensee shall notify the Department in writing within five working days of the initiation of hospice care services for any terminally ill resident in the facility or within five working days of admitting a resident already receiving hospice care services. The notice shall include the resident's name and date of admission to the facility and the name and address of the hospice. This requirement is not met as evidenced by:Based on records review, the licensee did not comply with the section cited above as CCL has not received hospice notifications for residents placed on hospice which poses an immediate health and safety risk to residents in care.

  • 87705(f)(1)Type A

    Notify agency before locking doors or gates

    Based on LPA observation the licensee did not comply with the section cited above tools and cleaners were all over on the back patio which poses an immediate health, safety or personal rights risk to persons in care.

  • 87705(f)(2)Type A

    Fire approval and staff access to unlock systems

    Based on LPA observation, the licensee did not comply with the section cited above the facility has broken locks on medication cupboards and cleaning products around the inside of the facility accesible to residents in care 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 7, 2023 inspection of COMFORTS OF HOME SENIOR CARE, INC.?

This was an other inspection of COMFORTS OF HOME SENIOR CARE, INC. on March 7, 2023. 2 citations were issued: 2 Type B.

Were any citations issued to COMFORTS OF HOME SENIOR CARE, INC. on March 7, 2023?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "87211(A)(1) Reporting Requirements. A written report shall be submitted to the licensing agency and to the person respon..."

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.