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Inspection visit

Follow-up on corrections

ETERNITY CARE HOMELicense 5027004381 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to do a case management visit. LPA Lund met with Care staff Antonio Bugas and who called Administrator Maria Payla and explained the reason for the visit. Administrator Maria Payla gave permission to Care staff Antonio Bugas sign required paperwork. Census: 3 LPA Lund was investigating a complaint investigation regarding resident (R1). It was reported to licensing that R1 had multiple falls. On 10/15/2024 the staff informed the family that R1 had a fall and was transported to the Emergency Room (ER). The facility didn’t report the falls (Injuries) to licensing as well R1 going to the hospital. The facility failed to fill out an Unusual Incident/Injury Report (LIC624) for R1’s fall on 10/15/2024. Per California Code of Regulations, Title 22, the following deficiencies, and immediate civil penalty have been issued for repeat violation. Exit interview conducted and report provided. Appeals rights printed.

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)(B)Type B

    written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below….. This requirement was not met as evidenced by: Community Care Licensing didn’t receive UIR for the incident on 10/15/2024. This poses a potential health, safety or personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 7, 2025 inspection of ETERNITY CARE HOME?

This was a other inspection of ETERNITY CARE HOME on April 7, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to ETERNITY CARE HOME on April 7, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "written report shall be submitted to the licensing agency and to the person responsible for the resident within seven da..."

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.