Inspection Reports for Ellee Residential Care
11323 Calvert St, North Hollywood, CA 91606, United States, CA, 91606
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Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 9
Oct 7, 2024
Visit Reason
The visit was an unannounced required Annual Inspection using the complete CARE Inspection Tool to evaluate compliance with licensing regulations.
Findings
The inspection found multiple deficiencies including lack of evidence of current first aid training for the licensee, missing health screenings and criminal record statements for staff, absence of current administrator certificates, incomplete physician orders for medications, missing PRN authorization letters, lack of resident valuables inventory, incomplete physician's report for Resident #2, and missing information and postings related to Resident and Family Councils. Additionally, the facility lacked an internet access device with videoconferencing capabilities dedicated for resident use and did not have plans to allow residents shared access with privacy.
Severity Breakdown
Type B: 9
Deficiencies (9)
| Description | Severity |
|---|---|
| Licensee did not have completed LIC308s designating facility responsibility when Administrator is absent. | Type B |
| Facility did not provide initial and ongoing personal rights training for all staff. | Type B |
| Admission Agreement does not address resident's right to Resident Council. | Type B |
| "Rights of Resident Council" not posted in the facility. | Type B |
| No bulletin board or posting area for Family Council meeting notices and information. | Type B |
| Admission Agreement lacks information about the right to create a Family Council. | Type B |
| Facility lacks an internet access device with videoconferencing, camera, and microphone dedicated for resident use. | Type B |
| Facility does not have an internet access plan allowing residents to access device with personal privacy. | Type B |
| Facility does not have a plan to allow residents shared access to internet device during reasonable hours. | Type B |
Report Facts
Capacity: 6
Census: 5
Deficiencies cited: 9
Plan of Correction Due Date: Oct 14, 2024
Plan of Correction Due Date: Oct 15, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eleanor I Posner | Administrator | Named in relation to missing current Administrator Certificate and other findings |
| Marte Galang | Administrator | Named in relation to missing current Administrator Certificate and other findings |
| Lee Posner | Licensee / Co-Licensee | Named in relation to missing evidence of current first aid training |
| Michael Terok | Named in relation to missing Health Screening (LIC503) | |
| Grace Rumiwang | Named in relation to missing Health Screening (LIC503) | |
| Maria Halili Gregorio | Staff | Named in relation to missing signed Criminal Record Statement |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 9
Oct 11, 2023
Visit Reason
The visit was an unannounced required Annual Inspection using the complete CARE Inspection Tool to evaluate compliance with licensing regulations.
Findings
The inspection found multiple deficiencies including unlocked storage of hazardous items, incomplete criminal record clearance transfers for staff, maintenance and safety issues such as unsecured pool fencing, missing bedroom furniture, lack of auditory device on the front door, and failure to maintain a surety bond for resident funds. Plans of correction were required for all deficiencies.
Severity Breakdown
Type A: 3
Type B: 6
Deficiencies (9)
| Description | Severity |
|---|---|
| Cabinet under the kitchen sink containing knives and cleaning supplies and garden shed containing weed killer were left unlocked. | Type A |
| Staff Sandra Yemima and Susanty Jakarta did not have requested transfer of criminal record clearance. | Type A |
| Backyard and sides of facility contained many items needing storage or discard; overgrown grass and weeds present. | Type B |
| Bedrooms #1 and #2 did not have dressers as required. | Type B |
| Facility pool had no water and netted fence did not meet building codes or secure pool from residents. | Type A |
| Facility did not maintain required surety bond for Resident #3's social security and PACE benefits. | Type B |
| Resident #2's file contained a blank Admission Agreement. | Type B |
| No auditory device installed on the front door to monitor exits. | Type B |
| Bedroom #3 did not have a closet as required. | Type B |
Report Facts
Capacity: 6
Census: 4
Water temperature: 119.3
Fire extinguisher last tested: Mar 30, 2023
Plan of Correction Due Date: Oct 12, 2023
Plan of Correction Due Date: Oct 18, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eleanor I Posner | Administrator | Administrator present during inspection and named in findings |
| Christine Yee | Licensing Program Analyst | Conducted the inspection |
| Kristin Heffernan | Licensing Program Manager | Supervisor overseeing inspection |
| Marte Galang | Administrator | Present at facility during inspection |
| Sandra Yemima | Staff member with incomplete criminal record clearance transfer | |
| Susanty Jakarta | Staff member with incomplete criminal record clearance transfer | |
| Maria Halili Gregorio | Staff | Let Licensing Program Analyst into the home |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 0
Sep 28, 2022
Visit Reason
The inspection was an unannounced required annual visit with a specific emphasis on infection control practices.
Findings
The facility was found to be in compliance with regulations, with no health or safety hazards observed. Infection control policies and procedures were adequate, and no deficiencies were cited.
Report Facts
Water temperature: 114.1
Fire extinguisher service date: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ashley Smith | Licensing Program Analyst | Conducted the inspection |
| Marte Galang | Administrator Designee | Met with Licensing Program Analyst during inspection |
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