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Inspection visit

Routine inspection

A HEAVENLY CARE HOMELicense 4352014931 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 5/21/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Mario Caliboso, Caregiver and Cleofe Lucas, Caregiver and explained the purpose of the visit. Diana Fontanilla, Administrator/Licensee arrived later during the visit. LPA Calandra toured the physical plant. This is a 1-story building with 4 bedrooms(3 for residents and 1 for staff), 2 bathrooms, a living room, dining room, kitchen, garage, and front and back yards. All bedrooms had the required furniture and sufficient lighting. No accessible bodies of water or hazards were observed in hallways or the backyard. The facility's fire alarms and Carbon Monoxide detector were observed to be in working order. The facility's first aid kit was observed to have all required items. The facility had the required 7 days of non perishables and 2 days of perishables on site. No food was expired. The facility was maintained at a comfortable temperature of 70 degrees Fahrenheit. The facility's fire extinguishers were observed to be fully charged. All sharp objects, medications, soap, detergents, and poisons were observed to be locked and in-accessible to persons in care. LPA reviewed 3 resident files and 3 staff files. All were observed to be complete except S1's file was missing Tuberculosis(TB) results. A review of Centrally stored medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records kept at the facility. Deficiencies are cited under the California Code of Regulations, Title 22. Failure to correct the deficiencies by the due date may result in civil penalties. An exit interview was conducted. This report was reviewed with Diana Fontanilla, Administrator/Licensee and a copy of the report along with Appeal Rights was left at the facility.

Citations

1 citation 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.

  • 87411(f)Type B

    Based on record review, the licensee failed to provide a copy of their TB results during the inspection, 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 May 21, 2025 inspection of A HEAVENLY CARE HOME?

This was a inspection inspection of A HEAVENLY CARE HOME on May 21, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to A HEAVENLY CARE HOME on May 21, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Based on record review, the licensee failed to provide a copy of their TB results during the inspection, which poses/pos..."

What type of inspection was this?

This was a inspection inspection. 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.