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Inspection visit

Routine inspection (multi-day)

RILLERA'S GUEST HOME 2License 4452019313 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Case Management - Annual Continuation Visit and met with Administrator Zosima Rillera. During visit, LPA toured 3 out of 3 resident bathrooms and observed each bathroom had working lights and available soap and paper towels. LPA measured the water temperatures in each bathroom and observed that they measured between 110 F - 118 F. LPA Marrufo reviewed the Centrally Stored Medication and Destruction Records (CSMDR) for residents R1-R6. Residents R2-R4 and R6 had medications that were not recorded in their CSMDRs. LPA Marrufo reviewed the resident records for residents R1-R6. Resident R1's and R3's records were missing Consent Forms. R4's record was missing a Safeguard for Property and Valuables Form. R4's Physician's Report states R4 has dementia and the date of the exam on the most recent Physician's Report was 06/02/2021. R5's record was missing an LIC613 Personal Rights form. R5's Physician's Report states R5 has dementia and the date of R5's most recent exam was 06/19/2018. R6's record was missing a Safeguard for Property and Valuables Form, Consent Form, and LIC613 Personal Rights Form. R6's Physician's Report states R6 has dementia and the date of R6's last exam was on 08/08/2020. LPA reviewed staff records for staff S1-S4. Staff S1 and S4 were missing LIC9052 Employee Rights forms. Deficiencies were cited as per California Code of Regulations Title 22. See LIC809-D pages for more information. Advisory Notes were issued. See LIC9102 Advisory Notes for more information. This report was reviewed with Administrator Zosima Rillera and a copy of this report was provided.

Citations

3 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.

  • 87705(c)(5)Type B

    87705 Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs. This requirement was not met as evidenced by: Licensee did not ensure that residents with dementia R4-R6 had an annual medical assessment, which poses a potential health risk to residents in care.

  • Track resident cash safeguard records

    87506 Resident Records (b) Each resident’s record shall contain at least the following information: (16) Records of resident's cash resources as specified in Section 87217, Safeguards for Resident Cash, Personal Property, and Valuables. This requirement was not met as evidenced by: Licensee did not ensure that residents R4 and R6 had a Safeguard for Property and Valuables form on file in their resident records, which poses a potential safety risk to residents in care.

  • 87465(h)(6)(A)Type B

    87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes: (A) The name of the resident for whom prescribed. (B) The name of the prescribing physician. (C) The drug name, strength and quantity. (D) The date filled. (E) The prescription number and the name of the issuing pharmacy. (F) Instructions, if any, regarding control and custody of the medication. This requirement was not met as evidenced by: Licensee did not ensure that R2-R4 and R6 have medications missing from their centrally stored medication and destruction records, which poses a potential safety risk to residents in care.

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FAQ · About this visit

Common questions about this visit

What happened during the July 26, 2024 inspection of RILLERA'S GUEST HOME 2?

This was an other inspection of RILLERA'S GUEST HOME 2 on July 26, 2024. 3 citations were issued: 3 Type B.

Were any citations issued to RILLERA'S GUEST HOME 2 on July 26, 2024?

Yes, 3 citations were issued (0 Type A, 3 Type B). The first citation was for: "87705 Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall be responsible for..."

What type of inspection was this?

This was an other inspection. other 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.