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Inspection visit

Follow-up on corrections

EBADAT RESIDENTIAL CARE HOME #6License 4352028662 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 3/5/2025, Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted a unannounced complaint investigation. During this time deficiencies were observed and a case management for deficiencies was conducted and discussed the deficiencies with designated administrator (DADM) Shujen Collado. During file and record review LPA observed Staff 2 (S2) was not associated to the facility and no application to transfer the criminal background was submitted to CCLD for approval. LPA observed an incident report was not submitted to CCLD for 1 out of 6 resident (R1) for elopement that happened on 1/14/2025. S2 stated that he/she started working in the facility February 28, 2025, but is associated to a different facility under the same ownership/licensee. DADM stated that S2s application to be associated to the facility has not been submitted to CCLD prior to S2 working at the facility. S2 has a clear criminal background record on file. Citations are bein g issued based on the following California Code of Regulations (CCR) Title 22 87355 (e)(2) and 87211(a)(D). Violation of Section 87355(e) shall result in an immediate assessment of civil penalties of one hundred dollars ($100) per violation per day for a maximum of five (5) days for a total of $500.00. An exit interview was conducted with DADM Shujen Collado, a copy of the report and appeals rights were provided.

Citations

2 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)(D)Type B

    87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency... reports... (1) A written report shall be submitted to the licensing agency and to the person responsible…within seven days of the occurrence...(D)Any incident which threatens the welfare, Based on the interview and record review, DADM stated that incident report of R1s elopement incident on 1/15/25 was not submitted to CCLD and to person responsible for resident within 7 days, which pose/poses a health, safety & personal rights risk to persons in care.

  • 87355(e)(2)Type A

    87355 Criminal Record Clearance (e) All individuals...pursuant to Health and Safety Code Section 1569.17(b) shall prior to working... in a licensed facility: (2)Request a transfer of a criminal record clearance...This section is not met as evidenced by: Based on interview & record review, DADM stated S2 started working at the facility on 2/28/2025 and application to transfer or associate S2 has was not submitted to CCLD prior to S2 working at the facility which pose/poses an immediate health and personal right risks to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 5, 2025 inspection of EBADAT RESIDENTIAL CARE HOME #6?

This was a other inspection of EBADAT RESIDENTIAL CARE HOME #6 on March 5, 2025. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to EBADAT RESIDENTIAL CARE HOME #6 on March 5, 2025?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency... reports... (1) A written report ..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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