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Inspection visit

Routine inspection

AGAPE PAJARILLO CARE HOMELicense 4868041031 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

LPA Hiratsuka conducted this unannounced annual visit. LPA toured with Caregiver Anabel Tuason. This facility has a fire clearance for four non-ambulatory and two bedridden residents. There are four private rooms and one shared room. The shared room has a full private bathroom. There is a caregiver room. There are a couple of common areas and the kitchen and dining room. There is an ample supply of perishable and nonperishable food. LPA reviewed staff and resident records. The following was observed during today's visit. -Staff don't have training records. Per Title 22 regulations Personnel Records 87412(c) (c) Licensees shall maintain in the personnel records verification of required staff training and orientation. A couple of topics were discussed. Licensing fees are due by April 19, 2024. The following shall be updated and submitted to Community Care Licensing Division by May 1, 2024: -LIC 308 designation of administrative responsibility -liability insurance -LIC 500 facility personnel or staff schedule Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties. 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.

  • 87412(c)Type B

    Based on record review, the licensee did not comply with the section cited above in two out of two staff records reviewed and there were no staff training logs, which poses 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 16, 2024 inspection of AGAPE PAJARILLO CARE HOME?

This was a inspection inspection of AGAPE PAJARILLO CARE HOME on April 16, 2024. 1 citation were issued: 1 Type B.

Were any citations issued to AGAPE PAJARILLO CARE HOME on April 16, 2024?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Based on record review, the licensee did not comply with the section cited above in two out of two staff records reviewe..."

What type of inspection was this?

This was a inspection inspection. inspection 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.