Senior Care Records.

Facility Evaluation Report

A and M III Home Care, Claremont09/30/2024Licence 198601448

Capacity6
Census4
Date signed09/30/2024 04:09:58 PM
The inspector’s account

LPA made announced visit to issue citations for deficiencies that were uncovered during the investigation of complaint dated 07/06/2022. LPA met with Administrator Ana Alarcio and Licensee Mona De La Rosa and discussed the purpose of the visit.

LPA had interview with licensee Mona De La Rosa and during visit today.

Licensee admitted to not having the 1:1 for C1 documented in C1 IPP or behaviorist report.

Licensee did not provide proper training to 1:1 prior to his first shift on 04/22/2024 - 04/23/2024.

Licensee did not keep adequate record keeping during for C1. C1 was missing care plan in file.

Deficiencies cited, please see 809D for details.

Exit interview, copy of report, 809D and appeals rights provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction