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Inspection visit

Follow-up on corrections

A PEACE OF HOMELicense 5676099294 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

This Case management visit was conducted to address the deficiencies noted during complaint control # 29-AS-20210415142327 investigation visit conducted on 4/23/21. During facility tour on 4/23/21 starting at 12:50 PM LPA's observed fabric softener, hammer, screwdriver, power drill. bleach, Fabuloso, dish soap, windex, in an unlocked garage accessible to residents. At 12:57 PM LPA's observed a full bed rail on resident #1( R1) bed, no physicians order on file. Starting at 12:59 PM LPA's observed fabric softener, windex, air freshener and bleach wipes in an unlocked laundry room accessible to residents. At 1:01 PM, LPA's observed Iodine, scissors, alcohol preps wipes in an unlocked hallway cabinet accessible to residents. At 1:15PM LPA's observed Fabuloso multi-purpose cleaner and bleach in a backyard washing station accessible to residents. At 1:17PM LPA's observed shovel and rakes in the backyard accessible to residents. During the review of resident records on 4/23/21, starting at 1:58PM, LPA's observed R1, R2 and R3 Physicians Report and Appraisal Reports not currently dated. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiency was cited (refer to LIC 809-D): Exit interview conducted, todays reports reviewed and email to administrator.

Citations

4 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.

  • 87608(a)(5)(B)Type B

    87608 Postural Supports (a)(5)(B) Under no circumstances shall postural supports include tying, depriving...Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails.This requirement is not met as evidence by: Based on our observations and record review, the licensee did not comply with the section cited above as R1's hospice care plan does not specify the need for full bed rails which poses a potential safety risk to persons in care.

  • 87705(c)(5)Type B

    87705 Care of Persons with Dementia (c)(5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually...This requirement is not met as evidence by: Based on record review, the licensee did not comply with the section cited above in 3 out of 4 resident records which poses a potential health and safety risk to persons in care.

  • 87705(f)(1)Type A

    87705 Care of Persons with Dementia(f)(1) The following shall be stored inaccessible to residents with dementia: Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s).This requirement is not met as evidenced by: Based on LPA's observations, the licensee did not comply with the section cited above as scissors, hammer, screwdriver and power drill was observed accessible to residents which posed an immediate health and safety risk to persons in care.

  • 87705(f)(2)Type A

    87705 Care of Persons with Dementia (f)(2) The following shall be stored inaccessible to residents with dementia: Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants.This requirement is not met as evidenced by Based on LPA's observations, the licensee did not comply with the section cited above as toxic substances were observed throughout the facility accessible to residents which posed an immediate health risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 23, 2021 inspection of A PEACE OF HOME?

This was a other inspection of A PEACE OF HOME on April 23, 2021. 4 citations were issued: 2 Type A (serious) and 2 Type B.

Were any citations issued to A PEACE OF HOME on April 23, 2021?

Yes, 4 citations were issued (2 Type A, 2 Type B). The first citation was for: "87608 Postural Supports (a)(5)(B) Under no circumstances shall postural supports include tying, depriving...Bed rails th..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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