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Inspection visit

Incident investigation

SUNOL CREEK MEMORY CARELicense 0192004841 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 11/4/2024 at 3:10PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct Case Management Inspection in regards to the incident report that was received on 10/25/2024. LPA met with Executive Director (ED), Harmony Venturelli and explained the reason for the visit. Based on the incident report received on 10/25/2024, ED was notified that 8 residents missed their bedtime medications on 10/19/2024. Residents did not have adverse reactions due to med tech mis-communication on assisting with medications and crushing medication. During visit, LPA reviewed incident report, MAR (Medication Administration Record), fax communication to doctors, and staff training. LPA observed S1 has medication training. Interview with staff revealed that S1 did not assist residents with the medications due to a misconception of crushed medications. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 . Failure to correct the deficiency may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided.

Citations

1 citation recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87465(c)(2)Type A

    Incidental Medical and Dental Care. Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidence by: Based on interview and record review, licensee did not comply with the section cited above by not administering medication according to physician's order which poses an immediate health and safety risk to the persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the November 4, 2024 inspection of SUNOL CREEK MEMORY CARE?

This was a other inspection of SUNOL CREEK MEMORY CARE on November 4, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to SUNOL CREEK MEMORY CARE on November 4, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "Incidental Medical and Dental Care. Once ordered by the physician the medication is given according to the physician's d..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.