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Inspection visit

Routine inspection

KINGDOM HEARTS CARE HOMELicense 4352941911 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 09/16/2023, Licensing Program Analyst (LPA) Manuel Monter arrived at the facility unannounced to conduct an Annual Random Inspection. LPA was greeted by staff Lina Serrano (S1). LPA informed staff the reason of the visit. Administrator (ADM) Anabelle Ablan arrived shortly during the inspection. The facility was toured inside/out which included; the living room, dining room, kitchen, resident bedrooms, resident bathrooms, staff bedroom, garage and backyard. Walkways and emergency exit passages were free from obstruction. LPA observed locked cabinets for Medications, Sharps and toxic materials. Two day perishable food supplies and seven day nonperishable food supplies were observed. The linen supplies in the hallway closet was observed. The hot water temperature in both clients bathrooms and hallway bathroom were measured to range from 107 degrees F to 109 degrees F. The room temperature registered at 72 degrees F. Signal alarms were on and operational. Smoke alarms is combined with carbon monoxide was observed, tested and are operational. First aid kit was present and complete. Fire and Earthquake drills are conducted as required. The facility's last drill was conducted on March 30th 2023. ADM stated the facility was due for an a drill. LPA observed fire extinguisher was serviced on May 2023. LPA reviewed facility records for 3 staff and 3 residents. LPA reviewed 3 resident medications and centrally stored medication records. LPA conducted interviews with 3 staff (S1 to S3) and 2 residents (R1-R2). A deficiencies are being cited per California Code of Regulations, Title 22. See LIC809-D. Exit interview was conducted with Administrator Anabelle Ablan. Appeal rights were provided.

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.

  • 1569.695(c)Type B

    Based on record review and interview, the ADM did not comply with the section cited above. Facility records state the last drill conducted was on 03/30/2023. ADM stated the facility was due for a drill. This 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 September 16, 2023 inspection of KINGDOM HEARTS CARE HOME?

This was an inspection of KINGDOM HEARTS CARE HOME on September 16, 2023. 1 citation were issued: 1 Type B.

Were any citations issued to KINGDOM HEARTS CARE HOME on September 16, 2023?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Based on record review and interview, the ADM did not comply with the section cited above. Facility records state the la..."

What type of inspection was this?

This was an inspection. 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.