Inspection Reports for Cassandra’s Care Home Inc.
10175 Golden Yarrow Ln, Rancho Cucamonga, CA 91701, CA, 91701
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Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 2
Nov 19, 2024
Visit Reason
The inspection was an unannounced required annual visit to the facility conducted by the Licensing Program Analyst to evaluate compliance with licensing regulations.
Findings
The facility was found to be operating within its approved capacity, clean, in good repair, and safe for residents. However, two deficiencies were cited related to medication management, including incomplete medication administration records and medication not stored in original containers. One technical advisory was also issued.
Severity Breakdown
Type A: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Medication was removed from its original container, violating storage requirements. | Type A |
| Medication Administration Records (MARs) were incomplete and not properly signed for 2 residents. | Type A |
Report Facts
Deficiencies cited: 2
Technical advisories cited: 1
Capacity: 6
Census: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cassandra Ellison | Administrator | Met during inspection and named in medication deficiency findings |
| Lavette Farlow | Licensing Program Analyst | Conducted the inspection and authored the report |
| Nedra Brown | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Original Licensing
Capacity: 6
Deficiencies: 0
Nov 6, 2023
Visit Reason
The visit was conducted as a pre-licensing inspection for Cassandra's Care Home to evaluate readiness for licensing as a Residential Care Facility for the Elderly (RCFE).
Findings
The facility was found to be clean, in good repair, and operating in safe conditions with no deficiencies observed. All areas including resident rooms, bathrooms, kitchen, living and dining areas, and outdoor spaces met regulatory requirements.
Report Facts
Fire clearance: 6
Fire extinguishers: 2
Water temperature: 110
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amber Coleman | Licensing Program Analyst | Conducted the pre-licensing inspection and authored the report. |
| Cassandra Ellison | Administrator/Licensee | Facility administrator and licensee present during inspection. |
Inspection Report
Original Licensing
Capacity: 6
Deficiencies: 0
Oct 18, 2023
Visit Reason
Initial licensing evaluation visit to assess the applicant's readiness and understanding of community care facility licensing laws and regulations.
Findings
The applicant/administrator successfully completed the Component II evaluation, demonstrating understanding of facility operation, admission policies, staffing, health conditions, emergency preparedness, complaints reporting, and pre-licensing readiness.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cassandra Ellison | Administrator | Applicant/licensee and administrator participating in the Component II evaluation. |
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