Inspection Reports for LightShine Homecare

1400 Purdue St., Upland, CA 91786, CA, 91786

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Inspection Report Summary

Most inspections found no deficiencies, including the most recent annual inspection on September 18, 2024, which found the facility clean, safe, and in good repair with proper medication management. An earlier inspection on September 16, 2022, identified two immediate safety risks related to a broken and unlocked gate to the pool area, but no other issues were noted. There were no fines, enforcement actions, or license suspensions reported in any inspection. The facility appears to have addressed prior safety concerns, as the latest report showed no deficiencies. Several complaint investigations were not applicable or unsubstantiated in the available records.

Deficiencies (last 2 years)

Deficiencies (over 2 years) 1 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

75% better than California average
California average: 4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2022
2024

Census

Latest occupancy rate 100% occupied

Based on a September 2024 inspection.

Census over time

0 3 6 9 12 Sep 2022 Sep 2024
Inspection Report Annual Inspection Census: 6 Capacity: 6 Deficiencies: 0 Sep 18, 2024
Visit Reason
The visit was an unannounced required comprehensive annual inspection of the facility to evaluate compliance with licensing regulations.
Findings
The facility was found to be operating within approved capacity and in safe, clean, and good repair conditions. No deficiencies were cited during the inspection. Resident and staff files were reviewed and medications were appropriately dispensed.
Report Facts
Residents present: 6 Licensed capacity: 6 Staff present: 2 Water temperature: 113.4
Employees Mentioned
NameTitleContext
Maria Agnes CorderoCaregiverFacility caregiver met during inspection and named in exit interview
Paola GuerreroLicensing Program AnalystConducted the inspection
Beena SinghLicensing Program AnalystConducted the inspection
Efren MalagonLicensing Program ManagerNamed in report as Licensing Program Manager
Inspection Report Annual Inspection Census: 6 Capacity: 6 Deficiencies: 2 Sep 16, 2022
Visit Reason
The visit was an unannounced required annual inspection with an emphasis on infection control due to the COVID-19 pandemic.
Findings
The facility was found to have appropriate COVID-19 infection control measures and sufficient PPE supplies. However, deficiencies were noted regarding a broken and unlocked second gate to the pool area, posing an immediate health and safety risk.
Severity Breakdown
Type A: 2
Deficiencies (2)
DescriptionSeverity
Second gate to pool area was broken which poses an immediate health, safety or personal rights risk to persons in care.Type A
Second gate to pool area did not have a lock which poses an immediate health, safety or personal rights risk to persons in care.Type A
Report Facts
Capacity: 6 Census: 6 PPE supply duration: 30 Plan of Correction Due Date: Sep 17, 2022
Employees Mentioned
NameTitleContext
Abigail NavarroAdministratorMet with Licensing Program Analyst during inspection
Natalie IbarraLicensing Program AnalystConducted the inspection and authored the report
Efren MalagonLicensing Program ManagerSupervisor overseeing the inspection

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