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Inspection visit

Follow-up on corrections

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

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Manuel Monter arrived unannounced to open a complaint investigation. During the complaint investigation, a case management deficiencies visit was conducted due to violations discovered during the investigation process. LPA met with Administrator Anabelle Ablan. While investigating the complaint, 26-AS-20240416133846, ADM stated resident R1 had a fall on March 26, 2024, R1 had sustained a fall, which required stitches. Based on a review of R1's after visit Summary, dated March 26, 2024, R1 was seen for wound care-closed with stitches. Based on facility file review, the facility did not send an incident report for this fall. A deficiency is 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.

  • 87211(a)(1)(D)Type B

    87211 Reporting Requirements (a)(1)(D) Any incident which threatens the welfare, safety or health of any resident..., or unexplained absence of any resident.This requirement was not met as evidenced by; Based on interview and records reviewed, R1 had sustained a fall in March 26, 2024. ADM stated she did not send an incident report for this fall. 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 April 25, 2024 inspection of KINGDOM HEARTS CARE HOME?

This was an other inspection of KINGDOM HEARTS CARE HOME on April 25, 2024. 1 citation were issued: 1 Type B.

Were any citations issued to KINGDOM HEARTS CARE HOME on April 25, 2024?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87211 Reporting Requirements (a)(1)(D) Any incident which threatens the welfare, safety or health of any resident..., or..."

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.