Inspection Reports for Loving Care Facility for the Elderly at 2622 W Olive Ave
2622 W Olive Ave, Fullerton, CA 92833, United States, CA, 92833
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Inspection Report
Census: 4
Capacity: 6
Deficiencies: 0
May 20, 2025
Visit Reason
The visit was an unannounced Case Management Deficiencies inspection conducted to assess compliance with licensing requirements.
Findings
No deficiencies were cited during this visit. The previous citation related to hot water temperature was cleared at the time of the visit.
Report Facts
Hot water temperature: 109.5
Hot water temperature: 123.6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Vijay Kanase | Administrator | Named as the facility administrator who was notified but did not attend the inspection |
| Brandon Lopez | Licensing Program Analyst | Conducted the inspection visit |
| Asalia Nieto | Caregiver | Met with the Licensing Program Analyst during the inspection |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 1
May 9, 2025
Visit Reason
The visit was an unannounced required annual inspection conducted to evaluate compliance with licensing requirements for the Residential Care Facility for the Elderly.
Findings
The facility was generally found to be in compliance with licensing requirements, with clean and hazard-free resident bedrooms and bathrooms, operational safety equipment, and proper storage of medications and chemicals. One deficiency was cited related to hot water temperature exceeding regulatory limits.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Hot water temperature in the three resident bathrooms measured between 123.6 to 123.8 degrees Fahrenheit, exceeding the maximum allowed temperature of 120 degrees Fahrenheit. | Type B |
Report Facts
Hot water temperature: 123.8
Facility capacity: 6
Resident census: 4
Plan of Correction due date: May 16, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Vijay Kanase | Administrator | Assisted with the inspection and was involved in the plan of correction for the hot water temperature deficiency |
| Brandon Lopez | Licensing Program Analyst | Conducted the inspection and authored the report |
Inspection Report
Complaint Investigation
Census: 5
Capacity: 6
Deficiencies: 0
Apr 25, 2025
Visit Reason
The inspection was conducted as a Case Management Incident inspection to follow up on an incident report received regarding a family providing unauthorized medication to Resident #1.
Findings
During the visit, the Licensing Program Analyst conducted a health and safety check of the five residents and reviewed Resident #1's records. No deficiencies were cited per Title 22 of the California Code of Regulations.
Complaint Details
The visit was triggered by a complaint involving unauthorized medication administration to Resident #1. The complaint was investigated and no deficiencies were found.
Report Facts
Capacity: 6
Census: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Vijay Kanase | Administrator | Met with Licensing Program Analyst during inspection and involved in interview regarding incident |
| Brandon Lopez | Licensing Program Analyst | Conducted the inspection and investigation |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 1
May 30, 2024
Visit Reason
The inspection visit was conducted to complete the required 1-Year annual visit for the facility.
Findings
A deficiency was cited related to the care of persons with dementia, specifically the failure to ensure an annual medical assessment and reappraisal for a resident with dementia. The first aid kit and staff and resident files were reviewed, and interviews were conducted.
Deficiencies (1)
| Description |
|---|
| Failure to ensure each resident with dementia has an annual medical assessment and reappraisal as required by CCR 87705(c)(5). |
Report Facts
Capacity: 6
Census: 6
Plan of Correction Due Date: Jun 7, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Edward Kim | Licensing Program Analyst | Conducted the inspection and cited deficiency |
| Vijay Kanase | Administrator | Facility administrator present during inspection |
| Lourdes Montoya | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
May 23, 2024
Visit Reason
An unannounced required 1-Year annual visit was conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations.
Findings
The facility was found to be sanitary, appropriately furnished, and compliant with Title 22 regulations. Infection control practices, fire safety equipment, and resident and staff files were observed to be in order. Some inspection components will be completed at a later date due to time constraints.
Report Facts
Fire extinguisher service date: Jan 8, 2024
Fire/Safety Drill date: Mar 5, 2024
Water temperature: 107
Facility temperature: 75
PPE supply duration: 30
Perishable food supply duration: 2
Non-perishable food supply duration: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Vijay Kanase | Administrator | Met with Licensing Program Analyst during inspection and named in report |
| Edward Kim | Licensing Program Analyst | Conducted the inspection |
| Lourdes Montoya | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 5
May 16, 2022
Visit Reason
Licensing Program Analyst Andrea Mendivil conducted an unannounced visit for the purpose of conducting a required annual inspection of the facility.
Findings
The facility was found to have several deficiencies including unsecured medication and cleaning supplies, presence of surveillance cameras in resident bedrooms, lack of physician's orders for postural supports, locked exit gates, and partial bed rails without physician orders. These deficiencies pose immediate health, safety, and personal rights risks to residents.
Deficiencies (5)
| Description |
|---|
| Unsecured medication in the kitchen which poses an immediate health and safety risk to persons in care. |
| Unsecured cleaning supplies which poses an immediate health and safety risk to persons in care. |
| Surveillance cameras observed in 2 out of 4 resident bedrooms which poses an immediate personal rights risk to persons in care. |
| Partial bed rails without physician's orders observed in 2 out of 4 beds which poses a potential health and safety risk to persons in care. |
| Two exit gates in backyard were locked which poses an immediate health and safety risk to persons in care. |
Report Facts
POC Due Date: May 17, 2022
Residents present: 3
Bedrooms: 4
Bathrooms: 3
Exit gates locked: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Mendivil | Licensing Program Analyst | Conducted the inspection and cited deficiencies |
| Vijay Kanase | Administrator | Facility administrator present during the inspection |
| Flor De Guzman | Caregiver | Staff member who greeted the Licensing Program Analyst and assisted during the tour |
| Alisa Ortiz | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Annual Inspection
Census: 3
Capacity: 6
Deficiencies: 1
May 25, 2021
Visit Reason
This unannounced inspection was conducted by Licensing Program Analysts for the purpose of conducting an Annual Inspection of the facility.
Findings
The facility was generally clean and organized with residents doing well; however, deficiencies were cited due to toxins, knives, medications, and other dangerous items being accessible to residents in 2 out of 11 rooms, posing an immediate health and safety risk.
Deficiencies (1)
| Description |
|---|
| Licensee did not ensure toxins, knives, medications, and other dangerous items were inaccessible to residents in 2 out of 11 rooms, posing an immediate health and safety risk. |
Report Facts
Deficiency count: 1
POC Due Date: May 26, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Vijay Kanase | Administrator | Met with Licensing Program Analysts during inspection and involved in securing dangerous items. |
| Sean Haddad | Licensing Program Analyst | Conducted inspection and authored report. |
| Marina Stanic | Licensing Program Manager | Supervisor overseeing inspection. |
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