A & P Care Home for Seniors
What is an RCFE with Memory Care?
A Residential Care Facility for the Elderly (RCFE) is a non-medical residential care home licensed by California CDSS under Health & Safety Code §1560. Residents receive help with daily living activities such as bathing, dressing, and medication management. An RCFE with a Memory Care designation is additionally required by California Title 22 (§87705 and §87706) to provide specialized staff training in dementia care, individualized care plans for residents with cognitive impairment, and appropriate supervision protocols — requirements that go beyond a standard RCFE license.
32852 Clear Lake Street · Fremont, 94555
Record last updated April 20, 2026.
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Quick facts
Memory care context
A & P Care Home for Seniors is a California-licensed Residential Care Facility for the Elderly (RCFE) designated for memory care, licensed for 6 residents and operated by A & P Joint Ventures, Inc. California Title 22 requires facilities serving dementia residents to meet specific standards under §87705 and §87706, covering individualized care plans, staff training in dementia care, and appropriate supervision. CDSS has cited this facility twice under these dementia-care regulations. State records show 5 inspections with 27 total deficiencies — 10 Type A citations (indicating actual harm to residents) and 17 Type B citations (potential for harm). The most recent inspection occurred on January 8, 2026. No complaints appear in the data on file.
Questions to ask on your tour
Based on A & P Care Home for Seniors's state inspection record.
State records show 10 Type A deficiencies, which indicate actual harm to residents — can you describe the specific circumstances of these citations and the corrective actions taken?
CDSS cited this facility twice under §87705 or §87706 for dementia-care requirements — what were the specific violations, and what changes have been implemented to prevent recurrence?
With 27 total deficiencies across 5 inspections, what systemic changes has the facility made to improve regulatory compliance since the most recent inspection in January 2026?
This is a 6-bed home — how many direct-care staff are on duty during daytime, evening, and overnight shifts, and what happens when a caregiver is unexpectedly absent?
California Title 22 §87705 requires dementia-specific training — how do you verify that all staff, including any relief or substitute caregivers, have completed the required training before working with residents?
State records
California CDSS · Community Care Licensing Division- License number
- 015601363
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- A & P Joint Ventures, Inc.
Inspections & citations
5
reports on file
27
total deficiencies
10
Type A (actual harm)
2
dementia-care citations
InspectionJanuary 8, 2026No deficiencies
Inspector: Luisa Fontanilla
Inspector notes
While at the facility reviewing records for the annual inspection, LPA observed Resident 4 (R4) discharge papers dated 7/3/23 indicates R4 developed pressure injury of sacral region stage 3, on 7/16/23 R4 developed decubitus ulcer of sacral region, stage 3 and pressure injury of left perineal ischial region, stage 3 and 1/22/24 indicate R4 with Pressure injury of sacral region, stage 3. R4 is currently in the hospital. The Administrator states there is no home health nurse following up on R4 as of this time. Based on interview conducted by LPA with the Home Health nurse who provided care to R4 in July, R4 was admitted to home health for treatment of stage 3 wound on 7/4/2023 and got discharged on 8/25/23 because the wound healed. A $500.00 immediate civil penalty is assessed on this day. Civil penalty determination related to serious bodily injury is pending. Exit interview was conducted with the Administrator. Appeal Rights was provided.
InspectionJanuary 16, 2025Type A9 deficiencies
Inspector notes
On 01/08/2026 at 8:55 AM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Direct Care Staff, Elizabeth Alba, and explained the purpose of the visit. Administrator arrived shortly after but had to leave during the visit. Administrator gave authorization for staff to sign the report. LPA toured facility inside and out including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 6 total bedrooms which 5 bedrooms are occupied by the residents and 1 bedroom is occupied by staff. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPA observed lighting in all rooms is adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 106 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 01/06/2026. First kit was observed to be complete. Emergency disaster drill was last conducted on 12/16/2025. At 9:45 AM, LPA reviewed 5 residents records. At 10:22 AM, LPA reviewed 4 staff records and 3 of 4 have current first aid training and 4 of 4 associated to the facility. At 11:45 AM, LPA reviewed a sample of resident’s medications. Continue to LIC809-C... 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Continue from LIC809... Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 01/16/2026: LIC 500 Personnel Report THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 9:01 AM, LPA observed Clorox Disinfecting Wet Mopping Cloths, scissors in in master bathroom, Clorox wipes under the kitchen sink, and the sharps cabinet in the kitchen unlocked. 9:05 AM, LPA observed Freestyle Lancets, A&D Ointment, Hydrophilic Wound Dressing, Thick It, and Milk of Magnesia unlocked. At 9:10 AM, LPA observed the door alarm in room #3 not working. At 9:12 AM, LPA observed a plant, wheelchair, and a bedside table in front of the sliding door in Room #6. At 9:28 AM, LPA observed rotten cauliflower, wilted cabbage, wilted bean sprouts, and eggs left in the garage. At 9:45 AM, record review revealed that S2 does not have a first aid certification. At 10:30 AM, LPA observed that R1 has a full bed rail and is not on hospice. At 11:45 AM, LPA observed that the Medication Administration Record (MAR) is incomplete. At 12:00 PM, LPA observed that R5 is unable to perform their own glucose test. The Facility was cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights, LIC421FC, and a copy of this report provided.
(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff.
Based on record review, the licensee did not comply with the section cited above by not having the Medication Administration Record (MAR) completed for R5 which poses a potential safety rights risk to persons in care. POC Due Date: 01/16/2026 Plan of Correction 1 2 3 4 The Administrator agrees to have an in-service on recordkeeping for MAR and send proof to CCLD by POC date.
(B) 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.
Based on record review and interview, the licensee did not comply with the section cited above by having a full bed rail for R1 and is not on hospice which poses a potential safety risk to persons in care. POC Due Date: 01/22/2026 Plan of Correction 1 2 3 4 The Administrator agrees to request for an exception for the full bed rail. Proof of correction will be sent to CCLD by POC date.
(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage.
Based on observation, the licensee did not comply with the section cited above by having Clorox Disinfecting Wet Mopping Cloths, scissors in in master bathroom, Clorox wipes under the kitchen sink, and the sharps cabinet in the kitchen unlocked which poses an immediate health and safety risk to persons in care. POC Due Date: 01/09/2026 Plan of Correction 1 2 3 4 The Administrator agrees to lock the items and send proof to CCLD by POC date.
(i) Facilities shall have signal systems which shall meet the following criteria: (1) All facilities licensed for 16 or more and all residential facilities having separate floors or buildings shall have a signal system which shall: (B) Transmit a visual and/or auditory signal to a central staffed location or produce an auditory signal at the livi…
Based on observation and interview, the licensee did not comply with the section cited above by having the door alarm in room #3 not working which posed a potential health and safety risk to persons in care. POC Due Date: 01/16/2026 Plan of Correction 1 2 3 4 Staff changed the alarm battery. Deficiency cleared during the visit.
(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction.
Based on observation, the licensee did not comply with the section cited above by having a plant, wheelcair, and a bedside table in front of the sliding door in Room #6 which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/16/2026 Plan of Correction 1 2 3 4 The Administrator agrees to remove the items from the passageway and send proof to CCLD by POC date.
(b) The following food service requirements shall apply: (23) All readily perishable foods or beverages capable of supporting rapid and progressive growth of micro-organisms which can cause food infections or food intoxications shall be stored in covered containers at appropriate temperatures.
Based on observation, the licensee did not comply with the section cited above by having rotten cauliflower, wilted cabbage, wilted bean sprouts, and eggs left in the garage which poses a potential health and safety risk to persons in care. POC Due Date: 01/16/2026 Plan of Correction 1 2 3 4 Staff threw the items away. Deficiency cleared during the visit.
(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross.
Based on record review, the licensee did not comply with the section cited above by not having a First aid certification for S2 which poses a potential health and safety risk to persons in care. POC Due Date: 01/16/2026 Plan of Correction 1 2 3 4 The Administrator agrees to obtain first aid certification for S2 and send proof to CCLD by POC date.
Medications shall be centrally stored under the following circumstances:
Based on observation, the licensee did not comply with the section cited above by having Freestyle Lancets, A&D Ointment, Hydrophilic Wound Dressing, Thick It, and Milk of Magnesia unlocked which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 01/09/2026 Plan of Correction 1 2 3 4 The Administrator agrees to lock the items and send proof to CCLD by POC date.
(a) The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing with blood or urine specimens, and is able to administer his/her own medication including medication administered orally or through injection, or has it administered by an appropriately skilled professio…
Based on observation and interview, the licensee did not comply with the section cited above. R5 is unable to perform their own glucose test by themselves which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/22/2026 Plan of Correction 1 2 3 4 The Administrator agrees to send an exception request for the family to perform R5's glucose test and send proof to CCLD by POC date.
InspectionJanuary 31, 2024Type A10 deficiencies
Inspector: Patricia Manalo
Inspector notes
On 01/16/2025, at 10:25 AM, Licensing Program Analysts (LPAs) P. Manalo and L. Fontanilla arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Care Staff, Elizabeth Alba, who phoned the Administrator and explained the purpose of the visit. Administrator gave authorization for staff to sign the report. LPAs toured facility inside and out including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 6 total bedrooms which 5 bedrooms are occupied by the residents and 1 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors were in operating condition during visit. First aid kit was observed to be complete. At 10:40 AM, LPAs reviewed 3 staff records and are associated to the facility. At 10:55 AM, LPAs reviewed 5 residents records. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 01/23/2025: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610 Emergency Disaster Plan Liability Insurance Current Administrator’s Certificate Continue to LIC809-C... 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Continue from LIC809... THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 10:27 AM, LPAs observed the temperature in the thermostat measured at 64 degrees Fahrenheit. At 10:30 AM, LPAs observed the hot water temperature measured at 129.2. At 10:35 AM, LPAs observed unlocked insulin in the fridge and unlocked medication in R5's room. At 10:37 AM, LPAs observed that the window screen in R5's room needs repair. At 10:40 AM, LPAs observed unlocked screwdriver in the backyard. At 10:47 AM, LPAs observed pieces of wood in the backyard that needs to be removed. At 11:00 AM, LPAs observed that all the residents did not have an Appraisal Needs and Services Plan. At 11:05 AM, LPAs observed that R4 does not have a doctor's order for the full bed rails. At 11:10 AM, LPAs observed that S2 and S3 does not have First Aid Certification. At 12:26 AM, LPAs observed that the fire extinguisher was last serviced on 11/22/2022. At 12:27 AM, during record review, LPAs observed that there was no Emergency Drills conducted. The Facility was cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted with Staff. Appeal Rights and a copy of this report provided.
(c)(2) Once ordered by the physician the medication is given according to the physician's directions.
Based on record review the licensee did not comply with the section cited above in having over the counter medications being given to residents and does not have the right dosage as prescribed by the doctor which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/23/2025 Plan of Correction 1 2 3 4 By POC date, Administrator needs to contact the family members and obtain the medication with the right dose and send proof to CCLD.
(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degre…
Based on observation, the licensee did not comply with the section cited above in having the hot water temperature measured at 129.2 degrees Fahrenheit which poses/posed a potential health and safety risk to persons in care. POC Due Date: 01/17/2025 Plan of Correction 1 2 3 4 Administrator agrees to send proof to CCLD by POC date of the hot water temperature measured between 105 and 120 degrees Fahrenhet.
(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage.
Based on observation, the licensee did not comply with the section cited above in having a screwdriver accessible to residents in the backyard which poses a potential health and safety risk to persons in care. POC Due Date: 01/17/2025 Plan of Correction 1 2 3 4 Administrator agrees to lock the screwdriver so that it's inaccessible to residents and send proof to CCLD by POC date.
(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.
Based on observation, the licensee did not comply with the section cited above in having unlocked insulin in the fridge and medication found in R5’s room poses a potential health and safety risk to persons in care. POC Due Date: 01/17/2025 Plan of Correction 1 2 3 4 Administrator agrees lock the insulin and the medication in R5’s room and send proof to CCLD by POC date.
(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.
Based on observation, the licensee did not comply with the section cited above in having pieces of wood in the backyard that needs to be removed, a hole in the window screen in R5’s room and the fire extinguisher that was last serviced on 11/22/2022 which poses/posed a potential health and safety risk to persons in care. POC Due Date: 01/30/2025 Plan of Correction 1 2 3 4 By POC date, Administrator agrees to remove the pieces of wood in the backyard, fix the hole in the window screen, service…
(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staf…
Based on record review, the licensee did not comply with the section cited above by not having First Aid Certification for S2 and S3 which poses a potential health and safety risk to persons in care. POC Due Date: 01/17/2025 Plan of Correction 1 2 3 4 By POC date, staff agrees to obtain their First Aid Certfication and send proof to CCLD.
(i) When there is significant change in condition, as defined in Section 87101, Definitions, or once every 12 months, whichever occurs first, the licensee shall arrange an in-person or virtual meeting or conference call to share the reappraisal with the resident, the resident's representative, if applicable, and appropriate facility staff, as speci…
Based on record review, the licensee did not comply with the section cited above in by not having an updated Appraisal Needs and Service Plan for R1 to R5 which poses a potential health and safety risk to persons in care. POC Due Date: 01/30/2025 Plan of Correction 1 2 3 4 By POC date, Administrator agrees to update all the residents Appraisal Needs and Service Plan and send proof to CCLD.
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill,…
Based on record review, the licensee did not comply with the section cited above by not conducting Emergency Disaster Drills quarterly which poses a potential health and safety risk to persons in care. POC Due Date: 01/30/2025 Plan of Correction 1 2 3 4 By the POC date, Administrator agrees to conduct an Emergency Disaster Drill and send proof to CCLD.
(B) 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.
Based on record review, the licensee did not comply with the section cited above by not having a doctor’s order for R4 which poses a potential health and safety risk to persons in care. POC Due Date: 01/30/2025 Plan of Correction 1 2 3 4 By POC date, Administrator agrees to obtain a doctor's order for R4 and send proof to CCLD.
(b) A comfortable temperature for residents shall be maintained at all times. (1) The facility shall heat rooms that residents occupy to a minimum of 68 degree F, (20 degrees C).
Based on observation, the licensee did not comply with the section cited above in having temperature where residents occupy measured at 64 degrees Fahrenheit. which poses a potential health and safety risk to persons in care. POC Due Date: 01/30/2025 Plan of Correction 1 2 3 4 By POC date, Administrator will self certify the regulation and send proof to CCLD.
InspectionJanuary 20, 2023Type A7 deficiencies
Inspector: Luisa Fontanilla
Inspector notes
Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct annual required inspection and met with Administrator Dumitela Dimapilis. LPA explained to the Administrator the purpose of the visit. During the visit, LPA inspected the facility inside and out including but not limited to resident rooms, bathrooms, kitchen, dining, garage and backyard. Hot water measured at 115.8 Fahrenheit. There was sufficient supply of perishable and non perishable foods. LPA observed sufficient supply of warm blankets, sheets and towels available for use of the residents. Administrator states two of six residents are in the hospital. Smoke detectors and carbon monoxide were tested and observed functional. First aid kit was observed to be complete. At around 11:43 am, LPA reviewed 5 resident and 3 staff files. At around 4:00pm, LPA interviewed staff and residents. The following deficiencies were observed: 1. Physical Plant/Environmental Safety - - Unused bed, recliner, mattress, hoyer lift, cart, ripped screen door in the backyard and refrigerator light out were observed during the inspection. 2. Physical Plant/Environmental Safety - - Bathroom disorganized and smelled urine. 3. Physical Plant/Environmental Safety - Comet unlocked under the sink. Lysol unlocked in the unlocked drawer inside the resident's room. 4. Residents with Special Health Needs - R1 developed stage 3 pressure injury in July 2023 but no reappraisal was conducted. continuation on Lic 809D 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 5. R4 has dementia; last medical assessment was 3/3/2022. 6. Residents with Special Health Needs - Insulin unlocked in the refrigerator was observed during the visit. Deficiencies are cited per Title 22 California Code of Regulations (refer to Lic 809D). Exit interview was conducted with Administrator and Appeal Rights was provided.
(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients.
Based on observation, the licensee did not comply with the section cited above in having Lysol and comet unlocked which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 01/31/2024 Plan of Correction 1 2 3 4 Administrator locked all chemicals during the visit. Deficiency is cleared.
(d) In addition to Section 87463, Reappraisals and Section 8, Observation of the Resident, the licensee shall monitor the ability of the resident to provide self care for the allowable health condition and document any change in that ability.
Based on observation and record review, the licensee did not comply with the section cited above in not conducting Reappraisal for R1 who developed pressure injury which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 02/02/2024 Plan of Correction 1 2 3 4 Administrator will review Sec 87611 and submit certificate of understanding to CCL by POC date.
(b) Written requests shall include, but are not limited to, the following: (1) Documentation of the resident's current health condition including updated medical reports, other documentation of the current health, prognosis, and expected duration of condition.
Based on record review, the licensee did not comply with the section cited above in not having an approved exception for R1 who developed stage 3 in July 2023 which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 02/02/2024 Plan of Correction 1 2 3 4 Administrator will review Sec 87616 and submit certificate of understanding to CCL by POC date.
(f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants.
Based on observation, the licensee did not comply with the section cited above in having unlocked insulin in the refrigerator which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 01/31/2024 Plan of Correction 1 2 3 4 Administrator locked insulin during the visit. Deficiency is cleared.
The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.
Based on observation, the licensee did not comply with the section cited above in having ripped screen door, unused DMEs in the backyard which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/14/2024 Plan of Correction 1 2 3 4 By POC date, Administrator will clear the backyard of unused DMEs and fix screen door and submit photo proof to CCL by POC date.
The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. (1) Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition.
Based on observation, the licensee did not comply with the section cited above in having a bathroom that smells urine and unorganized which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/14/2024 Plan of Correction 1 2 3 4 Administrator will get the bathroom cleaned, disinfected and organized and submit photo proof to CCL by POC date.
(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (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, both of which shall include a reassessment of the resident's dementia care …
Based on record review, R4 has Alzheimer's Dementia but last Physician's Report is in 2022, the licensee did not comply with section cited which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/21/2024 Plan of Correction 1 2 3 4 Administrator will schedule R4 for the year's medical assessment and submit a copy to CCL by POC date.
InspectionApril 27, 2022Type A1 deficiency
Inspector: Liridon Fici
Inspector notes
On 1/20/2023 at 1:00 PM, Licensing Program Analyst (LPA) L. Fici arrived unannounced to conduct an Annual Infection Control Visit. LPA was greeted by, DUMITELA DIMAPILIS Administrator (ADM) and explained the purpose of todays visit. During the inspection, LPA toured facility including but not limited to front entrance, kitchen, common areas, hand washing stations, bedrooms, bathrooms, and backyard. LPA observed COVID-19 signage throughout the facility. Hand washing signs were posted at hand washing stations. LPA observed paper supplies and PPEs are sufficient. Facility has a sufficient 2-day perishable and 7-days non-perishable food supply. All sharps and toxins were locked up and inaccessible to residents in care. Common areas are disinfected frequently throughout the day. Water temperature is measured at 112.5 Degrees F in common area bathroom. Fire extinguisher was last serviced on 11/28/2022. Facilities room temperature is maintained at 68 Degrees F. First aid kit is complete. Carbon monoxide and smoke detectors are functional. Facility passages inside and out are free of obstruction and does not pose a health and safety risk for persons in care. During record review, LPA observed facility has a copy of their Infection Control Plan and Disaster Plan on file. Continue on Lic809. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Continued from Lic809-C The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies and/or repeat deficiencies within a 12-month period may result in civil penalties. 1. At 1:15PM, LPA observed S1 is not associated to the facility and needs a transfer request in order to work on the premises. S1 was asked to leave the facility by ADM until further notice. A $500.00 civil penalty is being assessed for todays visit. Exit interview conducted with ADM, appeal rights given along with a copy of this report.
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c) or
Based on observation and interview, the licensee did not comply with the section cited above by allowing S1 to work in the facility without a tranfer request which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 01/21/2023 Plan of Correction 1 2 3 4 Licensee agrees to make sure all staff members are associated to the facility prior to working. S1 was asked to leave the premises until further and to return when S1 is associated to the facility. Defici…
Federal summary
CMS Care CompareNot a CMS-certified facility
California RCFEs (residential care facilities for the elderly) are licensed by the state, not by CMS. CMS data only applies to skilled nursing facilities or to CCRCs that operate a licensed SNF wing.
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