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Inspection visit

Follow-up on corrections

APPLETON HOMESLicense 5676100221 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Quoc Huynh conducted an unannounced visit at the facility in conjunction to an investigation of complaint control # 29-AS-20250224124702. LPA arrived at 8:57AM and met with the Licensee Myline Olivas and explained the reason for the visit. Entrance interview conducted. During today’s visit, LPA Huynh and the Licensee conducted a tour of the physical plant areas at 9:12AM to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was then determined: During the investigation of complaint control # 29-AS-20250224124702, LPA Brian Balisi and Quoc Huynh discovered the Licensee accepted and retained Resident #1 (R1) with a prohibited health condition. R1 had gastrostomy tubes that aided R1 with their feeding. R1 was admitted to the facility on 02/14/2025, and during the admission, was not on hospice due to being discharged from the hospital the same day. R1’s representative stated they signed hospice documents after R1 was admitted to the facility. Solid Hospice confirmed that R1 was admitted to their services on 02/14/2025 in the late afternoon, after the admission, and discharged on 02/15/2025 due to onboarding with another hospice agency. Full Care Hospice confirmed R1 was admitted on 02/15/2025 and discharged on 03/09/2025. The Licensee admitted to LPA Balisi during an interview that staff at the facility did not know how to operate R1’s gastrostomy tubes which resulted in the tubes jamming. Report Continued on LIC 809-C LPA Huynh also had a discussion with the Licensee on ensuring that residents and families have the right to choose their own hospice and home health agencies. Pursuant to Title 22 of the CA Code of Regulations and/or Health and Safety Code, the following deficiency was cited. (Refer to LIC 809-D). Exit interview conducted. A copy of the appeal rights and report was reviewed and provided.

Citations

12 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.

  • 87615(a)(2)Type A

    (a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: (2) Gastrostomy tubes.This requirement was not met as evidenced by: Based on interview and record review, the licensee did not comply with the above cited section as the licensee retained a resident with a prohibted health condition who was not on hospice during the time of admission which poses/posed an immediate health, safety, and personal rights risk to residents in care.

  • 1569.618(c)(4)Type B

    Based on observation and interview, the licensee did not comply with the section cited above in the staff room was not secured which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87202(a)Type A

    Based on observation, the licensee did not comply with the section cited above in 1 resident's bed placement did not allow access to the exit and did not provide ample space for a passageway which poses an immediate health, safety or personal rights risk to persons in care.

  • 87307(a)(2)(C)Type A

    Based on interview, the licensee did not comply with the section cited above in residents who do not reside in Bedroom #5 utilized the private restroom in Bedroom #5 which poses an immediate health, safety or personal rights risk to persons in care.

  • 87307(d)(6)Type A

    Based on observation and interview, the licensee did not comply with the section cited above in the emergency side exit passageway was obstructed which poses an immediate health, safety or personal rights risk to persons in care.

  • 87465(a)(6)Type B

    Based on observation, interview, record review, the licensee did not comply with the section cited above in 5 residents medications were not properly documented which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(e)Type B

    Based on observation, interview, record review, the licensee did not comply with the section cited above in residents did not have a PRN Authorization letter which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(h)(2)Type A

    Based on observation and interview, the licensee did not comply with the section cited above in medications were accessible in a file cabinet which poses an immediate health, safety or personal rights risk to persons in care.

  • 87506(a)Type B

    Based on observation, interview, record review, the licensee did not comply with the section cited above in 3 residents did not have completed documents which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87555(b)(28)Type B

    Based on observation and interview, the licensee did not comply with the section cited above in non-perishable food cans were expired which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87208(a)Type A

    (a) The licensee shall have and maintain a current, written definitive plan of operation for the facility. The licensee shall operate the facility in accordance with the terms specified in the plan of operation and may be cited for not doing so …This requirement was not met as evidence by: Based on interview and record review, the licensee did not comply with the section cited above as the licensee did not issue the resident’s representative a refund which poses/posed an immediate health, safety, and personal rights risk to residents in care.

  • 87507(f)Type A

    (f) The licensee shall comply with all applicable terms and conditions set forth in the admission agreement, including all modifications and attachments.This requirement was not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above as the licensee did not obtain required documents and did not conduct a pre-placement appraisal which poses/posed an immediate health, safety, and personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 8, 2025 inspection of APPLETON HOMES?

This was a other inspection of APPLETON HOMES on August 8, 2025. 1 citation were issued: 1 Type A (serious).

Were any citations issued to APPLETON HOMES on August 8, 2025?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "(a) Persons who require health services for or have a health condition including, but not limited to, those specified be..."

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.