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Inspection visit

Incident investigation

BONNIE'S CARE HOMELicense 5027010873 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

On 8/1/24 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a case management in relation to an incident report received on 7/31/24. LPA Jensen met with Angelica Chicas and explained the purpose of today's visit. Angelica Chicas called Licensee Bonaire Yepez and LPA Jensen spoke to the Licensee by telephone and explained the purpose of today's visit. The facility has a hospice waiver for 6. An incident report was received regarding a resident in care that is on hospice. The facility notified the Department that the responsible party for resident 1 (R1) requested R1 be taken off of hospice in order to be sent to the hospital and would not be returning. LPA Jensen interviewed R1's daughter, R1's son in law and R1's close friend who all stated that R1 is being moved due to concerns at the facility surrounding sanitation and neglect. LPA Jensen inspected the facility and observed cockroaches, spiders and other unidentified insects. LPA Jensen reviewed R1's file and observed R1 was lacking a pre-placement appraisal and resident appraisal or needs and service plan. LPA Jensen reviewed the hospice care plan and observed that the care plan lacked a description of the area of licensee’s responsibility for implementing the plan including, but not limited to, facility staff duties. LPA Jensen also observed various care notes from the month of July 2024 that were signed by 2 staff members not associated to the facility. It should be noted that the licensee was provided technical assistance by email on personnel requirements, criminal background clearance and transfers on July 19, 2024. LPA Jensen interviewed Staff 1 (S1) who advised that Staff 2 (S2) is in charge and now running the facility. LPA Jensen verified that S2 is not yet associated to the facility. LPA Jensen interviewed S2 who confirmed that she and the licensee have entered in to an agreement for a change in ownership at the beginning of July 2024. On July 19th, 2024, LPA Jensen provided technical assistance to the Licensee informing her that the Department and all residents must receive notification of any intent to sell or transfer ownership of the business. No notification was sent to date. LPA Jensen provided technical assistance on hospice care and reporting requirements. This case management will require additional time to investigate. LPA Jensen left the facility for a meal period at 12:30pm to 1:30pm. Deficiencies are being cited from the California Code of Regulations (CCR) Title 22, Division 6. Failure to correct deficiencies may result in the assessment of civil penalties. An exit interview was conducted and a copy of this report and appeal rights were 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.

  • 80087(a)(1)Type B

    Buildings and GroundsThe licensee shall take measures to keep the facility free of flies and other insects. This requirement was not met as evidenced by: Based on LPA Jensen's observation of insects on the floor and in the cupboards.

  • 87205Type A

    The licensee... shall exercise general supervision over the affairs of the licensed facility and establish policies concerning its operation in conformance with these regulations and the welfare of the individuals it serves. This requirement was not met as evidenced by: Based on Licensee's confirmation that staff were not associated and notice of intent to sell or transfer had not been given despite technical assistance being provided by LPA Jensen on 7/19/2024. This poses an immediate risk to the health, safety and personal rights of residents in care.

  • 87506(a)Type A

    Resident RecordsThe licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility ... readily available ... to licensing agency staff. This requirement was not met as evidenced by: Based on LPA Jensen's record review, R1 lacked a pre-placement appraisal, needs and service plan and complete hospice care plan. This poses an immediate risk to the health, safety and personal rights of residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 1, 2024 inspection of BONNIE'S CARE HOME?

This was a other inspection of BONNIE'S CARE HOME on August 1, 2024. 3 citations were issued: 2 Type A (serious) and 1 Type B.

Were any citations issued to BONNIE'S CARE HOME on August 1, 2024?

Yes, 3 citations were issued (2 Type A, 1 Type B). The first citation was for: "Buildings and GroundsThe licensee shall take measures to keep the facility free of flies and other insects. This require..."

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.