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Inspection visit

Routine inspection (multi-day)

DIVINE MERCY FAMILY HOMELicense 4868041753 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

At approximately 9:15AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to continue a Required-1 Year inspection. LPA met with Administrator Maria Bui and reviewed Staff and Resident records. At approximately 9:30AM, LPA reviewed 5 of 5 resident files. 3 of 5 resident appraisals were not completed within the last 12 months. 1 of 5 physician reports was not completed within the last 12 months and there was no documentation of a refusal. At approximately 10:00AM, LPA conducted a review of medications. Medication is locked and not accessible. LPA observed medication was prepared several days in advance. LPA discussed regulation regarding transferring medication between containers. At approximately 10:30AM, LPA reviewed 6 staff files. Staff files reviewed did not contain current evidence of completed annual training in 5 of the 6 files. First Aid/CPR certification was current. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: Evidence of control of Property, (Current Rental/Lease Agreement/Deed) LIC500- Personnel Report LIC308- Designation of Facility Responsibility LIC610E- Disaster Plan Evidence of Liability Insurance Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Administrator and Appeal rights were given.

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.

  • 1569.625(b)(2)Type B

    Based on record review, the licensee did not comply with the section cited above in 5 of 6 staff files reviewed. Licensee did not have documentation of completed annual training, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87463(a)Type B

    Based on record review, the licensee did not comply with the section cited above in 3 of 5 resident records. Updated appraisals were not completed within the last 12 months, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(h)(5)Type B

    Based on observation, the licensee did not comply with the section cited above. Medication was prepared in 7 day containers, which 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 August 26, 2025 inspection of DIVINE MERCY FAMILY HOME?

This was a other inspection of DIVINE MERCY FAMILY HOME on August 26, 2025. 3 citations were issued: 3 Type B.

Were any citations issued to DIVINE MERCY FAMILY HOME on August 26, 2025?

Yes, 3 citations were issued (0 Type A, 3 Type B). The first citation was for: "Based on record review, the licensee did not comply with the section cited above in 5 of 6 staff files reviewed. License..."

What type of inspection was this?

This was a 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.