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Inspection visit

Routine inspection

FILLMORE COUNTRY CLUBLicense 5658018922 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Teresa Camara arrived at the facility unannounced to conduct a required annual visit at 10:08 a.m. The LPA met with Administrator Luis Gonzalez and explained the reason for the visit. The LPA 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 fire extinguishers were last inspected on 1/06/2023. The carbon monoxide detectors were tested and functioned properly. The smoke alarms and fire suppression system were last tested 9/21/2023 by AA Technology & Electric; all functioned properly. There are three (3) stairwells and all of them lacked evacuation chairs. KITCHEN: The commercial kitchen was clean and appliances all appeared operable. The facility has a sufficient supply of perishable and non-perishable food as well as an emergency supply of food and water. BEDROOMS: The LPA observed ten randomly chosen rooms. Rooms were appropriately furnished, clean and had sufficient lighting. The hot water temperature was tested in three residents' rooms and was over the regulatory limit of 120*F. The temperatures were measured as follows: room 108 was 121.8*F, room 121 was 128.5*F, and room 204 was 127.4*F. RESTROOMS: Restrooms inside the randomly chosen rooms were clean and sanitary and in operating condition. COMMON SPACES: The lobby, activity rooms, dining room, lounge areas, theater, gym, and hair salon were all appropriately furnished and in good condition. The LPA observed the required postings throughout the facility. The patio area was equipped with furniture for residents' use. (continued on 809-C) (continued from 809) INFECTION CONTROL: The facility has an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility has appropriate plans in place in the event of clients and/or staff showing symptoms of COVID or testing positive for COVID. RESIDENTS AND STAFF: LPA reviewed five residents' files and five staff files; all were complete. Medications were reviewed and appear to be given as prescribed. LPA interviewed three residents and three staff; no concerns were noted. The following deficiencies were observed (See LIC 809-D) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview was conducted with Administrator Luis Gonzalez. Report was provided.

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.

  • 1569.695(f)(1)Type A

    Based on observation during facility inspection, the licensee did not comply with the section cited above in three (3) out of three (3) stairwells, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87303(e)(2)Type A

    Based on observation through temperature testing, the licensee did not comply with the section cited above in three (3) out of three (3) resident room faucets tested (readings were 121.8*F, 128.5*F, 127.4*F), which 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 December 6, 2023 inspection of FILLMORE COUNTRY CLUB?

This was a inspection inspection of FILLMORE COUNTRY CLUB on December 6, 2023. 2 citations were issued: 2 Type A (serious).

Were any citations issued to FILLMORE COUNTRY CLUB on December 6, 2023?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "Based on observation during facility inspection, the licensee did not comply with the section cited above in three (3) o..."

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.