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Inspection visit

Follow-up

KIMBERLY'S ELDER KARE KOTTAGELicense 4352942061 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 7/26/24, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced complaint visit to deliver findings . LPA met with Administrator Annabelle Esperanza and explained the purpose of today's visit. During the investigation of complaint control # 26-AS-20220831120143 , LPA Donato found that the facility did not report an incident to Licensing in which a resident was sent to the emergency room due to UTI. Deficiency of the California Code of Regulations, Title, 22 cited on the LIC809-D. Failure to correct the deficiencies may result in civil penalties. Report is reviewed with Co-Administrator and a copy is provided with appeal rights.

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 A

    87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports...(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident...(D)Any incident which threatens the welfare, safety or health of any resident... This was not met as evidenced by:Based on interviews, Licensee did not report an incident to Licensing 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 July 26, 2024 inspection of KIMBERLY'S ELDER KARE KOTTAGE?

This was an other inspection of KIMBERLY'S ELDER KARE KOTTAGE on July 26, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to KIMBERLY'S ELDER KARE KOTTAGE on July 26, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports...(1) A written report..."

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.