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Inspection visit

Incident investigation

COLONIAL ACRES RESIDENTIAL CARE HOMELicense 0192006641 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Facility submitted an Unusual Incident Report (UIR) for resident R1 late last year. UIR indicated R1 had an un-witnessed fall at the front door of the facility. Staff called ambulance and R1's responsible person was informed. Hospital staff called the facility and informed that R1 sustained injury. On this day, LPA conducted case management visit and met with staff, Maria Dolores Floriza, John Ronald Olivarez, licensee, and Celeste Olivarez, facility consultant. LPA conducted interviews. R1 did not return to the facility. LPA requested for R1's records, and licensee and facility consultant were not able to find R1's file. Deficiency is cited from Title 22 California Code of Regulations and listed on 809D. Failure to submit proof of correction by plan of correction due date may result in civil penalty. Deficiency and plan and proof of correction were discussed with facility consultant. Exit interview conducted. Appeal Rights. LIC9098 Proof of Correction form and copy of this report.

Citations

5 citations 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.

  • 87705(f)(2)Type A

    87705 Care of Persons with Dementia(f) The following shall be stored inaccessible to residents with dementia:(2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. -This requirement is not met as evidenced by:-Based on observation, the licensee did not comply with the section above for having unlocked medications, knives and cleaning supplies in unlocked kitchen which pose immediate safety risks to persons in care.

  • 87309(a)Type A

    87309 Storage Space(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. -This requirement is not met as evidenced by:-Based on observation, the licensee did not comply with the section above for the unlocked utility room which poses immediate safety risk to persons in care.

  • 87618(b)(3)(B)Type B

    87618 Oxygen Administration - Gas and Liquid (b) In addition to Section 87611(b), the licensee shall be responsible for the following:(3) Ensuring that the use of oxygen equipment meets the following requirements:(B) "No Smoking-Oxygen in Use" signs shall be posted in the appropriate areas. -This requirement is not met as evidenced by:-Based on observation, records review and interview, the licensee did not comply with the section above for not having the poster posted which poses potential safety risk to persons in care.

  • 87705(j)Type A

    87705 Care of Persons with Dementia(j) The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident.-This requirement is not met as evidenced by: -Based on observation, the licensee did not comply with the section above for having the auditory signal on the entrance door disabled which poses immediate safety risk to persons in care.

  • 87506(e)Type B

    87506 Resident Records(e) Original records or photographic reproductions shall be retained for a minimum of three (3) years following termination of service to the resident.-This requirement is not met as evidenced by: -Based on interviews, the licensee did not comply with the section above for not keeping/retaining R1's record which poses potential personal rights risk to person in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 29, 2022 inspection of COLONIAL ACRES RESIDENTIAL CARE HOME?

This was a other inspection of COLONIAL ACRES RESIDENTIAL CARE HOME on September 29, 2022. 1 citation were issued: 1 Type B.

Were any citations issued to COLONIAL ACRES RESIDENTIAL CARE HOME on September 29, 2022?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87705 Care of Persons with Dementia(f) The following shall be stored inaccessible to residents with dementia:(2) Over-th..."

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.