Inspection Reports for LightShine Homecare
1400 Purdue St., Upland, CA 91786, CA, 91786
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
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
| Name | Title | Context |
|---|---|---|
| Maria Agnes Cordero | Caregiver | Facility caregiver met during inspection and named in exit interview |
| Paola Guerrero | Licensing Program Analyst | Conducted the inspection |
| Beena Singh | Licensing Program Analyst | Conducted the inspection |
| Efren Malagon | Licensing Program Manager | Named 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)
| Description | Severity |
|---|---|
| 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
| Name | Title | Context |
|---|---|---|
| Abigail Navarro | Administrator | Met with Licensing Program Analyst during inspection |
| Natalie Ibarra | Licensing Program Analyst | Conducted the inspection and authored the report |
| Efren Malagon | Licensing Program Manager | Supervisor overseeing the inspection |
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