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Inspection visit

Routine inspection

NIGHTINGALE CARE HOMES LLCLicense 4968041072 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Cuadra arrived to conduct an unannounced Annual Required inspection and met with Administrator, Kasandra Guerrero. Annual fees are current. Contact information reviewed. Residents were engaged in activities when LPA arrived at the facility. LPA/Administrator initiated a tour of the facility at approximately 9:00am and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Extra linens and hygiene products were available. Bathrooms have required grab bars and bath mats. Water temperature in resident bathroom read at 122.4, 129.7 and 127.8 which is not within acceptable range of 105F and 120F. Toxins are located in a locked closet in one of the dining room areas. Swimming pool located in the backyard was locked with a padlock and inaccessible to residents in care. Medication is centrally stored in a locked closet near the kitchen. Fire extinguishers were last inspected December, 2024. Smoke alarms and carbon monoxide detector were tested and operational at time of inspection. Auditory alarms were functional at time of inspection. Last disaster drill conducted on 3/25/25. The facility have two days of perishable and one week of non-perishable food available. Required postings were observed. LPA initiated file review at approximately 9:30am. Five resident files and three staff files were reviewed. Staff have active CPR and First Aid certificates and training hours required. Five residents have current care plans and medical assessments. Continue on LIC809C... Continued from LIC809... Administrator Certificate for Kasandra Guerrero, 6067815740 expires 9/25/25. Medication and medication records were reviewed. During file review, LPA/Administrator observed cameras located in three locations in the common areas. LPA/Administrator previously discussed during post-licensing to notify resident's responsible parties through their admission agreement the use of video surveillance without audio. LPA/Licensee discussed Dementia regulation changes and confirmed that they have reviewed updated regulations including physician's report (LIC602A). Administrator will provide copies of the following by 7/1/25: (LIC500) Personnel Report, (LIC308) Designation of administrative responsibility, copy of liability certificate and control of property. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview was conducted with Administrator and a copy of this report was given.

Citations

2 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.

  • 87303(e)(2)Type A

    Based on LPA's/Administrator observation, the licensee did not comply with the section cited above by hot water measured higher than 120 degrees F which poses an immediate health, safety or personal rights risk to persons in care.

  • 87507(a)(1)Type B

    Based on LPA's/Administrator observation, interview and record review, the licensee did not comply with the section cited above in 5 out of 5 resident's admission agreements were not updated to indicate the use of video surveillance without audio 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 June 17, 2025 inspection of NIGHTINGALE CARE HOMES LLC?

This was a inspection inspection of NIGHTINGALE CARE HOMES LLC on June 17, 2025. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to NIGHTINGALE CARE HOMES LLC on June 17, 2025?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "Based on LPA's/Administrator observation, the licensee did not comply with the section cited above by hot water measured..."

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.