Inspection visit

Routine inspectionMarch 21, 2024

ANGELS IILicense 56580121510 citations on this visit

10 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) arrived at the facility unannounced to conduct a required annual visit. The LPA met with staff Honorata Perla Avestro and Magdalena Guansing. LPA explained the reason for the visit. Staff contacted Licensee JoAnn Trupiano. LPA spoke with Mrs. Trupiano who stated that she is not feeling well therefore, unable to meet LPA at the facility today. Mrs. Trupiano stated that staff can review and sign the report on her behalf. At approximately 10:40am, LPA and staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. The carbon monoxide and smoke alarms were tested and all functioned properly. The fire extinguisher was last serviced 04/12/2023. KITCHEN: Knives were found in an unlocked drawer. Other knives and cleaning supplies are stored in a locked cabinet under the sink. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At approximately (approx) 10:45 a bottle of Tylenol on the kitchen table. BEDROOMS: The LPA observed four (4) bedrooms two single-occupancy resident bedrooms and two shared bedrooms which were furnished with appropriate furnishings and sufficient lighting. RESTROOMS: Restrooms observed clean and sanitary and in operating condition. Cleaning items are stored in locked cabinets. At approx. 10:30am, LPA observed medications belonging to staff accessible to others in an unlocked cabinet in the hallway. COMMON SPACES: The living room, family room and dining room furniture were observed to be in good condition. The patio is equipped with furniture for resident use. No bodies of water. Resident records reviewed at approx. 11:15am - Resident files were reviewed for updated Needs and Services plans, medical assessments, admission agreements, and all other pertinent documents in their files. Administrator did not have a current Needs and services plan for resident #3. (Continue to LIC809C). Staff records reviewed at approx. 12:45pm - Staff records were reviewed and noted to be complete for first aid certification, health screening documentation, employee rights and criminal record clearance. However no current training records found for the staff. Last training records observed for the required annual 20hrs was conducted in 2020. Medications reviewed at approx. 2:30pm - Four (4) out of 5 residents centrally stored medication records were not updated with all prescribed/non-prescribed medications on hand. Staff admit that the centrally stored record is not up to date with medication on hand for the four residents. Throughout the visit, LPA also conducted interviews with two staff and four (4) residents. Pursuant to Title 22 CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D). Exit interview conducted. Today's report was discussed and issued.

Citations

11 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 three (3) out of three (3) staff files reviewed lacked required annual training. This poses/posed a potential health, safety or personal rights risk to persons in care.
1569.69(a)Type B
Based on record review, the licensee did not comply with the section cited above in three (3) out of three (3) staff files reviewed all three staff lacked proof of required annual medication training. This poses/posed a potential health, safety and personal rights risk to persons in care.
1569.695(d)Type B
Based on record review, the licensee did not comply with the section cited above. Licensee/Administrator did not review the Emergency Disaster Plan annual since developed. This poses/posed a potential health, safety or personal rights risk to persons in care.
87463(c)Type B
Based on record review, the licensee did not comply with the section cited above. Resident #3's needs and services plan was observed over a year old. This poses/posed a potential health, safety or personal rights risk to persons in care.
87465(h)Type B
Based on record review, the licensee did not comply with the section cited above in four (4) out of five (5) resident medications reviewed it was observed that staff are not logging in all prescribed/nonprescribed medications on the Centrally Stored Record log for the four residents. This poses/posed a potential health, safety or personal rights risk to persons in care.
87606(f)(3)Type B
Based on record review, the licensee did not comply with the section cited above in three (3) out of three (3) staff records reviewed no staff had record of this training. This poses/posed a potential health, safety or personal rights risk to persons in care.
87609(b)(4)Type B
Based on record review, the licensee did not comply with the section cited above. One out of five resident files reviewed identified that Resident #3 is receiving home health service; no written agreement between facility and home health agency was observed on file. This poses/posed a potential health, safety or personal rights risk to persons in care.
87625(b)(3)Type B
Based on observation, the licensee did not comply with the section cited above. Two out of five clients observed in their room with full urine bottles; one full sitting on the night stand/on the other several urine bottles on and near resident's bed. This poses/posed a potential health, safety or personal rights risk to persons in care.
87468.1Type B
Personal Rights of Residents in All facilities(9) To have communications to the licensee from their representatives answered promptly and appropriately.This requirement is not met as evidence by: Based on interview with Licensee/ administrator, licensee did not comply with the above regulation. Licensee did not communicate or provide records to former resident's family representative despite the several attempts made by requestor/family representative.
87470(a)(2)(B)Type B
Based on observation, the licensee did not comply with the section cited above. LPA observed living area and resident room walls window coverings with dust and stains. This poses a potential health, safety or personal rights risk to persons in care. Resident #1's room was observed with dirty napkins on the floor; urine stains on the bedding.
87705(f)(2)Type A
Based on observation, the licensee did not comply with the section cited above. Bottle of tylenol observed on kitchen table accessible to others. This poses an immediate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 21, 2024 inspection of ANGELS II?

This was a inspection inspection of ANGELS II on March 21, 2024. 10 citations were issued: 1 Type A (serious) and 9 Type B.

Were any citations issued to ANGELS II on March 21, 2024?

Yes, 10 citations were issued (1 Type A, 9 Type B). The first citation was for: "Based on record review, the licensee did not comply with the section cited above in three (3) out of three (3) staff fil..."

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 CCLD View original report

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Data from CCLD public records. Last updated May 25, 2026. If you believe any information is inaccurate, report it here.

Routine inspection·March 21, 2024