Community Care Licensing

Document Has Been Signed on 04/18/2023 03:22 PM - It Cannot Be Edited

FACILITY NAME:	HOMEWATCH CAREGIVERS OF PASADENA		FACILITY NUMBER:	194700829
ADMINISTRATOR:	NEVINO ROCCO		FACILITY TYPE:	300
ADDRESS:	12 S RAYMOND STE C		TELEPHONE:	(310) 729-1225
CITY:	PASADENA	STATE: CA	ZIP CODE:	91105
CAPACITY:		CENSUS:	DATE:	04/18/2023
	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:55 PM
MET WITH:	Nevino Rocco		TIME COMPLETED:	04:00 PM

LICENSING EVALUATOR NAME: Ruben Perez LICENSING EVALUATOR SIGNATURE: DATE: 04/18/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/18/2023

Link to Parent Document Below:

FACILITY NAME: HOMEWATCH CAREGIVERS OF PASADENA	FACILITY NUMBER: 194700829
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/18/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/18/2023 Section Cited 1796.42 (e)	1 2 3 4 5 6 7	A home care organization licensee shall do all of the following: Report any suspected or known dependent adult or elder abuse as required by Section 15630 of the Welfare and Institutions Code and suspected or known child abuse as required by Sections 11164 to 11174.3, inclusive, of the Penal Code. A copy of each suspected abuse report shall be maintained and available for review by the department during normal business hours.
Type B 05/18/2023 Section Cited 1796.23 (a)	1 2 3 4 5 6 7	Each person initiating a background examination to be a registered home care aide shall submit his or her fingerprints to the Department of Justice by electronic transmission in a manner approved by the department, unless exempt under subdivision
Type B 05/18/2023 Section Cited 1796.44	1 2 3 4 5 6 7	(a) A home care organization licensee shall ensure that prior to providing home care services, an affiliated home care aide shall complete the training requirements specified in this section. (b) An affiliated home care aide shall complete a minimum of five hours of entry-level training prior to presence with a client, as follows: (1) Two hours of orientation training regarding his or her role as caregiver and the applicable terms of employment. (2) Three hours of safety training, including basic safety precautions, emergency procedures, and infection control. (c) In addition to the requirements in subdivision (b), an affiliated home care aide shall complete a minimum of five hours of annual training. The annual training shall relate to core competencies and be population specific, which shall include, but not be limited to, the following areas: (1) Clients’ rights and safety. (2) How to provide for and respond to a client’s daily living needs. (3) How to report, prevent, and detect abuse and neglect. (4) How to assist a client with personal hygiene and other home care services. (5) If transportation services are provided, how to safely transport a client. (d) The entry-level training and annual training described in subdivisions (b) and (c) may be completed through an online training program.
Type B 05/18/2023 Section Cited 1796.45	1 2 3 4 5 6 7	(a) Affiliated home care aides hired on or after January 1, 2016, shall submit to an examination 90 days prior to employment, or within seven days after employment, to determine that the individual is free of active tuberculosis disease. (b) For purposes of this section, “examination” means a test for tuberculosis infection that is recommended by the federal Centers for Disease Control and Prevention (CDC) and is licensed by the federal Food and Drug Administration (FDA) and, if that test is positive, an X-ray of the lungs. The aide shall not work as an affiliated home care aide unless the licensee obtains documentation from a licensed medical professional that there is no risk of spreading the disease. (c) After submitting to an examination, an affiliated home care aide whose test for tuberculosis infection shall be required to undergo an examination at least once every two years. Once an affiliated home care aide has a documented positive test for tuberculosis infection that has been followed by an X-ray, the examination is no longer required. (d) After each examination, an affiliated home care aide shall submit, and the home care organization shall keep on file, a certificate from the examining practitioner showing that the affiliated home care aide was examined and found free from active tuberculosis disease. (e) The examination is a condition of initial and continuing employment with the home care organization. (f) An affiliated home care aide who transfers employment from one home care organization to another shall be deemed to meet the requirements of subdivision (a) or (c) if the affiliated home care aide can produce a certificate showing that he or she submitted to the examination within the past two years and was found to be free of active tuberculosis disease, or if it is verified by the home care organization previously employing him or her that it has a certificate on file that contains that showing and a copy of the certificate provided to the new home care organization prior to the affiliated home care aide beginning employment.

LICENSING EVALUATOR NAME: Ruben Perez LICENSING EVALUATOR SIGNATURE: DATE: 04/18/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/18/2023