374601632-3-28-2025-08-AS-DNGN-DF82XU-20250328174744

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 374601632
Report Date: 03/28/2025
Date Signed: 03/28/2025 05:48:05 PM

Document Has Been Signed on 03/28/2025 05:48 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME:	OPALEC HOME CARE		FACILITY NUMBER:	374601632
ADMINISTRATOR/ DIRECTOR:	COX, LEANNE		FACILITY TYPE:	740
ADDRESS:	116 LAUSANNE DRIVE		TELEPHONE:	(619) 262-7172
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92114
CAPACITY: 6	TOTAL ENROLLED CHILDREN: 0	CENSUS: 3	DATE:	03/28/2025
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:20 AM
MET WITH:	Licensee Lilia Opalec		TIME VISIT/ INSPECTION COMPLETED:	06:15 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced visit to conduct a Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Licensee Lilia Opalec. According to the facility’s license, the facility has a maximum capacity of six (6) residents, of whom all may be ambulatory or non-ambulatory, but none may be bedridden. The facility also has a CCLD-approved waiver for up to two (2) residents on hospice care. According to LIC602 Physician’s Reports, care/hospice records, staff interviews, and LPA observation: During this annual inspection, there were a total of three (3) residents in care, of whom all were non-ambulatory, per their respective doctors. Two (2) of these residents were also under hospice care. The facility’s license did not include endorsements for delayed-egress doors or secured perimeter, and neither of these were present. During this inspection, LPA interviewed all residents in care and multiple staff. LPA reviewed the care records for all residents and the personnel and training files for all active staff. LPA also toured the interior and exterior of the facility and inspected all common areas and bedrooms. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were working. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. [CONTINUED ON LIC 809-C, 1 of 2]

Lizzette Tellez	TELEPHONE: (619) 767-2351
Dang Nguyen	TELEPHONE: (619) 210-9024
	DATE: 03/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: OPALEC HOME CARE	FACILITY NUMBER: 374601632
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/28/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

CCR

87470(b)(2)(C)

Infection Control Requirements

(b) In addition to subsection (a), when one or more residents in the facility are diagnosed with a contagious disease, the following shall apply: (2) All staff and volunteers providing direct care to a resident who has a contagious disease shall wear appropriate Personal Protective Equipment (PPE) to prevent exposure to infectious agents or chemicals through the respiratory system, skin, or mucous membranes of the eyes, nose, or mouth. PPE may include gloves, gowns, masks, respirators, shoe coverings and eye protection. (C) The licensee shall ensure all staff and volunteers are trained in the proper use of all required PPE prior to being around residents and annually thereafter. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review and manager interview, Licensee did not have proof that 4 of 4 current staff (S1 through S4) received training on PPE withing the last year, as required. This posed a potential health risk to 3 of 3 residents (R1 through R3) in care.
	POC Due Date: 04/28/2025
	Plan of Correction
1 2 3 4	Licensee agreed to train all current staff on PPE. The training will include hands-on practice and will cover: a) handwashing, b) how and how often to disinfect commonly touched surfaces, c) how to correctly don and doff surgical masks, N-95 respirators, face shields, gowns, and gloves, d) how perform an N-95 seal check, and e) how to correctly set up a COVID-19 isolation bedroom. Licensee agreed to E-mail the training sign-in sheet to LPA, by the POC due date.

Type B

Section Cited

HSC

1569.319(a)

Regulations

(a) A licensee of a facility that has internet service shall provide at least one internet access device, such as a computer, smart phone, tablet, or other device, that can support real-time interactive applications, is equipped with videoconferencing technology, including microphone and camera functions, and is dedicated for resident use. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA observation and manager interview, the facility had internet service but Licensee did not ensure there was at least one internect access device, equipped with videoconferencing technology and microphone and camera functions, present at the facility and dedicated for resident use.
	POC Due Date: 04/28/2025
	Plan of Correction
1 2 3 4	Licensee agreed to purchase and configure a device meeting the requirements of HSC 1569.319(a), and to continously keep it at the facility where residents can borrow it, as needed. Licensee agreed to E-mail a copy of the purchase receipt to LPA, by the POC due date.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Lizzette Tellez	TELEPHONE: (619) 767-2351
Dang Nguyen	TELEPHONE: (619) 210-9024
	DATE: 03/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2025

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: OPALEC HOME CARE	FACILITY NUMBER: 374601632
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/28/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

CCR

87458(a)

Medical Assessment

(a) Prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment, signed by a licensed medical professional acting within the scope of their practice and made within the last year, to be kept in the resident's record. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on records review and manager interview, Licensee did not obtain and maintain documentation of a medical assessment signed by a licensed professional for 2 of 3 residents (R1 and R2). This posed a potential health and safety risk to persons in care.
	POC Due Date: 04/28/2025
	Plan of Correction
1 2 3 4	Licensee agreed to coordinate with the primary care physician for R1 and R2 to ensure that they complete and signed an LIC602 Physician's Report form for R1, and that they sign the existing LIC602 for R2. Licensee agreed to E-mail completed and signed copies of both to LPA, by the POC due date.

Type B

Section Cited

HSC

1569.695(c)

Other Provisions

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on records review and manager interview, Licensee did not conduct disaster drills at least quarterly for each shift, document the time and date of each drill, and vary the type of emergency covered in the drills. This posed a potential safety risk to 4 of 4 active staff (S1 through S4) and 3 of 3 residents (R1 through R3) in care.
	POC Due Date: 04/28/2025
	Plan of Correction
1 2 3 4	Licensee agreed to create a form with speace to record the date and time of each drill, the type of emergency rehearsed, and the names of the participants. Licensee agreed to then conduct three (3) drills (one for AM shift, one for PM shift, and one for NOC shift), and to E-mail documentation of such to LPA, by the POC due date. Going forward, Licensee agreed to drill each shift at least once per quarter, and to vary the type of emergency covered from quarter to quarter.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Lizzette Tellez	TELEPHONE: (619) 767-2351
Dang Nguyen	TELEPHONE: (619) 210-9024
	DATE: 03/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2025

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: OPALEC HOME CARE	FACILITY NUMBER: 374601632
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/28/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

CCR

87633(b)

Hospice Care for Terminally Ill Residents

(b) A current and complete hospice care plan shall be maintained in the facility for each hospice resident and include the following: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on records review and manager interview, for 1 of 2 residents (R2) currently under hospice care, Licensee did not maintain a current and complete hospice care plan for them at the facility. This posed a potential health risk to persons in care.
	POC Due Date: 04/28/2025
	Plan of Correction
1 2 3 4	Licensee agreed to contact the assigned hospice agency and request a copy of R2's hospice care plan from them. Licensee agreed to add this plan to R2's hospice binder at the facility, and to E-mail a copy of it to LPA, by the POC due date.

Type B

Section Cited

CCR

87633(b)(6)(B)

Hospice Care for Terminally Ill Residents

(b) A current and complete hospice care plan shall be maintained in the facility for each hospice resident and include the following: (6) Identification of the training needed, which staff members need this training, and who will provide the training relating to the licensee's responsibilities for implementation of the hospice care plan. (B) The hospice agency will provide training specific to the current and ongoing needs of the individual resident receiving hospice care and that training must be completed before hospice care to the resident begins. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on records review and manager interview, Licensee did not ensure that the hospice agency trained 4 of 4 facility staff (S1 through S4) on 1 of 2 hospice residents' (R1's) current and ongoing individual care needs, and that the hospice agency trained 3 of 4 facility staff (S2 through S4) on 1 of 2 hospice residents' (R2's) current and ongoing care needs. This posed a potential health risk to persons in care. 3 of 4 staff (S2 through S4) were trained on
	POC Due Date: 04/28/2025
	Plan of Correction
1 2 3 4	Licensee agreed to coordinate with the hospice agency for one of their nurses to lead an in-service training for S1 through S4, covering both the hospice care plans and the current and ongoing care needs of both R1 and R2, respectively. Licensee agreed to E-mail the training sign-in sheets to LPA, by the POC due date.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Lizzette Tellez	TELEPHONE: (619) 767-2351
Dang Nguyen	TELEPHONE: (619) 210-9024
	DATE: 03/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2025

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: OPALEC HOME CARE	FACILITY NUMBER: 374601632
	VISIT DATE: 03/28/2025

NARRATIVE

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[CONTINUED FROM LIC 809]

The facility’s ambient internal temperature was complaint at 70 F. Hot water at taps accessible to residents were compliant in temperature: Kitchen Sink was 111.7 F, Bathroom #1 Sink was 105.1 F, Bathroom #2 Sink was 114.8 F, and Bathroom #3 Sink was 108.3 F. Refrigerators and Freezers used to preserve perishable food were also complaint in temperature. There were at least (2) days of perishable food and at least seven (7) days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present.

No fireplaces or pools/bodies of water observed on the premises. There were no open-faced heaters accessible to residents. Smoke detectors, carbon monoxide detector, night lights, and facility telephone were all working. Confidential records were stored in locked areas. Required licensing postings were observed in visible areas of the facility. Per the Licensee, no firearms or ammunition were kept at the facility. Licensee presented proof of current business liability insurance.

During the facility tour, LPA observed, and manager interview confirmed: The facility’s fire extinguisher had not been serviced within the last twelve (12) months, as required. Also, the facility’s manual fire alarm pull station had not been serviced within the last twelve (12) months, as required. (During today's visit, a professional inspector was brought in to service the extinguisher and pull station). Four (4) of the facility’s five (5) flashlights were non-working, and it took staff over ten minutes in broad daylight to finally locate and present the one working flashlight to LPA. Staff did not have spare batteries needed to remedy the other flashlights during the visit. While the facility was equipped with internet service, Licensee did not ensure that a device “equipped with microphone and camera functions” (such as a computer, smart phone, or tablet) “that can support real-time interactive applications” and “videoconferencing technology,” remained at the facility and was “dedicated for resident use.”

During review of client records, LPA observed, and manager interview confirmed: Licensee did not possess an LIC602 Physician’s Report (or equivalent Medical Assessment) for Resident #1 (R1), which was required before R1 moved in. [See LIC 811 Confidential Names List for a description of select person identifiers used in this report.] Also, the LIC602 Physician’s Report for Resident #2 (R2) was not signed by their respective doctor. [CONTINUED ON LIC 809-C, 2 of 2]

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Dang Nguyen	TELEPHONE: (619) 210-9024
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2025

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: OPALEC HOME CARE	FACILITY NUMBER: 374601632
	VISIT DATE: 03/28/2025

NARRATIVE

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[CONTINUED FROM LIC 809-C] R1 and R2 were both patients under the same hospice agency/company. However, Licensee did not maintain a copy of R2’s Hospice Plan of Care at the facility, as required. Hospice agency personnel did not provide training to the four (4) active direct care staff of the facility on R1’s specific care needs. While hospice agency personnel trained caregiver Staff #1 (S1) on R2’s care needs, they did not train the other three (3) active direct care staff of the facility on such. (Regulation required Licensee to ensure that the hospice agency provided “training specific to the current and ongoing needs of the individual resident receiving hospice care…before hospice care to the resident begins.”)

During review of training records, LPA observed, and manager interview confirmed: Licensee did not have proof that direct care staff had been trained on Personal Protective Equipment (PPE) within the last year, as required. While Licensee performed multiple disaster drills over the past year, they fell short of the required frequency of one drill per shift, per quarter, as required by regulation. The completed drills also did not “[take] into account different emergency scenarios,” as required by regulation.

Six (6) deficiencies were cited per California Code of Regulations, Title 22, and two (2) deficiencies were cited per California Health and Safety Code (refer to the LIC809-D pages). Plans of Correction were jointly developed with the Licensee. LPA issued one (1) Technical Violation (TV) regarding submitting documents to CCLD to update the facility Administrator on record (refer to the LIC9102-TV page). LPA also issued Technical Assistance (TA) regarding refresher training on Mandated Reporting requirements for staff (refer to the LIC9102-TA page).

An exit interview was conducted with Licensee Lilia Opalec, to whom a copy of this report, the LIC 809-D pages, the LIC9102-TV page, the LIC9102-TA page, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during today's visit.

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Dang Nguyen	TELEPHONE: (619) 210-9024
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2025

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: OPALEC HOME CARE	FACILITY NUMBER: 374601632
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/28/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

CCR

87203

87203 Fire Safety: “All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic.” This requirement was not met, as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA observation and manager interview, Licensee did not maintain the facility in continuous conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire. This posed an immediate safety risk to 4 of 4 active staff [S1 through Staff #4 (S4)] and 3 of 3 clients [C1 through Client #3 (C3)] in care.
	POC Due Date: 03/28/2025
	Plan of Correction
1 2 3 4	During today’s visit, Licensee phoned a professional fire safety inspector/vendor, who came to service both the fire extinguisher and the manual fire alarm pull station. This action resolved the deficiency. The Plan of Correction is Satisfied.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Lizzette Tellez	TELEPHONE: (619) 767-2351
Dang Nguyen	TELEPHONE: (619) 210-9024
	DATE: 03/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2025

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: OPALEC HOME CARE	FACILITY NUMBER: 374601632
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/28/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

CCR

87303(h)

87303 Maintenance and Operation: “(h) Emergency lighting shall be maintained. At a minimum this shall include flashlights, or other battery powered lighting, readily available in appropriate areas accessible to residents and staff.” This requirement was not met, as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA observation and manager interview, Licensee did not maintain flashlights in a state of ready availability to residents and staff. This posed a potential safety risk to 4 of 4 active staff [S1 through Staff #4 (S4)] and 3 of 3 clients [C1 through Client #3 (C3)] in care.
	POC Due Date: 04/28/2025
	Plan of Correction
1 2 3 4	License agreed to purchase and install new batteries in the four (4) non-working flashlights, replacing the flashlights still not working. Licensee agreed to take a video of these flashlights working, and to send the video to LPA, by the POC due date.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Lizzette Tellez	TELEPHONE: (619) 767-2351
Dang Nguyen	TELEPHONE: (619) 210-9024
	DATE: 03/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2025

LIC809 (FAS) - (06/04)

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