Inspection Reports for Bountiful Care

CA, 90808

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Inspection Report Annual Inspection Census: 3 Capacity: 6 Deficiencies: 2 Apr 7, 2025
Visit Reason
Licensing Program Analyst Debbie Palacios made an unannounced visit to the facility to conduct a required annual inspection.
Findings
The facility was generally compliant with required standards including resident and staff records, food storage, and medication administration. However, deficiencies were cited for missing documentation of quarterly fire and earthquake drills and for three fire extinguishers lacking service tags or proof of service.
Severity Breakdown
Type A: 1 Type B: 1
Deficiencies (2)
DescriptionSeverity
No proof of quarterly Fire and Earthquake drills documentation on file.Type B
Three fire extinguishers mounted throughout the facility without serviced tags or receipts as proof of service.Type A
Report Facts
Fire extinguishers without service tags: 3 Facility capacity: 6 Current census: 3
Employees Mentioned
NameTitleContext
Debbie PalaciosLicensing Program AnalystConducted the inspection and authored the report.
Malcolm E WhiteAdministrator/DirectorFacility administrator named in the report.
Sunny RoseteCaregiverMet with Licensing Program Analyst during inspection.
Tricia DanielsonLicensing Program ManagerNamed as Licensing Program Manager on the report.
Inspection Report Original Licensing Capacity: 6 Deficiencies: 0 Apr 18, 2024
Visit Reason
The visit was conducted for a Pre-Licensing inspection of the facility to evaluate compliance with regulatory requirements prior to licensing.
Findings
The facility was found to be in compliance with all applicable regulations with no Title 22, Division 6 violations observed or cited. The physical plant, medication storage, safety equipment, bedrooms, kitchen, bathrooms, records, administration, activities, and dementia care provisions met regulatory standards.
Report Facts
Capacity: 6 Census: 0
Employees Mentioned
NameTitleContext
Malcolm E WhiteAdministratorMet with Licensing Program Analyst during the Pre-Licensing inspection
Venus MixsonLicensing Program AnalystConducted the Pre-Licensing inspection
Jazmond D HarrisLicensing Program ManagerNamed as Licensing Program Manager on the report
Inspection Report Original Licensing Capacity: 6 Deficiencies: 0 Mar 4, 2024
Visit Reason
The visit was an initial licensing evaluation conducted virtually to assess the applicant/administrator's understanding of community care facility licensing laws and readiness for operation.
Findings
The applicant/administrator demonstrated understanding of licensing laws, facility operation, admission policies, staffing requirements, emergency preparedness, complaints reporting, and pre-licensing readiness during the virtual interview.
Employees Mentioned
NameTitleContext
Malcolm E WhiteLicensee/AdministratorParticipated in the initial licensing evaluation and interview.
Darla NeeleyLicensing Program ManagerNamed as Licensing Program Manager on the report.
Diamond LawLicensing Program AnalystNamed as Licensing Program Analyst on the report.

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