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Inspection visit

Follow-up on corrections

COLONIAL ACRES RESIDENTIAL CARE HOMELicense 0192006643 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

On this day, 12/20/24, at 4:10 pm, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct a case management resulting from the investigation of a complaint (15-AS-20220927100258) by the Department. LPA met with Mary Eileen Legados, administrator (ADM), and informed the purpose of visit. John Ronald Olivarez, licensee, arrived after about an hour. During investigation, the Department observed the following: 1. Resident's (R1) LIC602A Physician's Report dated 1/25/2 2 i ndicated the following: non-ambulatory and bedridden; contractures on lower & upper extremities; advanced frontotemporal dementia; fractured pelvis (unable to rehabilitate). The staff interviewed indicated R1 needs to be repositioned. LIC9020 Register of Facility Clients/Resident was bedridden. 2. LIC602A showed R1 was dependent on others with all activities of daily living (ADLs). 3. R1's LIC9172 Functional Capability Assessment was incompletely filled-up. Deficiencies are cited from Title 22 California Code of Regulations and listed on 809Ds. A $500.00 civil is assessed for deficiency section # 87202(a)(2) and will continue for $100.00/day until corrected. Deficiencies, plan and proof of corrections and civil penalty were discussed with licensee and ADM. Exit interview conducted. Appeal Rights, LIC421IM Civil Penalty Assessment, LIC9098 Proof of Correction form, and copy of this report provided.

Citations

7 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.

  • 1569.269(a)(5)Type B

    §1569.269 Enumerated rights; severability: (a) Residents of residential care facilities for the elderly shall have all of the following rights: (5) To be accorded safe, healthful, and comfortable accommodations, furnishings, and equipment. -This requirement is not met as evidenced by:-Based on interviews, the licensee did not comply with the section above for having R1 left soiled in urine which posed potential health and/or personal rights risks to person in care.

  • 1569.269(a)(6)Type A

    §1569.269 Enumerated rights; severability: (a) Residents of residential care facilities for the elderly shall have all of the following rights:(6) To care, supervision, and services that meet their individual needs and are delivered.-This requirement is not met as evidenced by: -Based on records review and interviews, the licensee did not comply with the section above for R1 who developed stage 4 and unstageable pressure injuries which posed immediate health risk to person in care. Civil penalty is assessed.

  • 87464(f)(1)Type A

    87464 Basic Services(f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c).-This requirement is not met as evidenced by: -Based on records review and interviews, the licensee did not comply with the section above in not meeting R1's needs for allowing R1 get dehydrated which posed immediate health risk to person in care.

  • 87202(a)(2)Type A

    87202 Fire Clearance: (a) All facilities shall maintain a fire clearance approved by...... Prior to accepting or retaining any of the following types of persons.... licensee shall .... obtain an appropriate fire clearance approved by city, county, tor district.........(2) Bedridden persons. -This requirement is not met as evidenced by:-Based on record review and interviews, the licensee did not comply with the section above when R1 who is bedridden was admitted and facility does not have bedridden fire clearance.

  • 87506(a)Type B

    87506 Resident Records(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff.-This requirement is not met as evidenced by: -Based on records review, the licensee did not comply with the section in R1's incomplete LIC9172 which posed a potential health, safety and/or personal rights risks to person in care.

  • 87615(a)(5)Type B

    87615 Prohibited Health Conditions(a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly:(5) Residents who depend on others to perform all.... ... activities of daily living for them....-This requirement is not met as evidenced by:-Based on record review and interviews, the licensee did not comply with the section above when R1 who is dependent on others will all ADLs was admitted which posed a potential health risks to person in care.

  • 87465(a)(1)Type A

    87465 Incidental Medical and Dental Care: (a) A plan for incidental medical and dental care shall be developed by each facility. ...... by compliance with the following(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. -This requirement is not met as evidenced by-Based on records review and interviews, the licensee did not comply with section above for not seeking medical attention for R1 when R1’s pressure injuries progressed which posed an immediate health risk to person in care.

FAQ · About this visit

Common questions about this visit

What happened during the December 20, 2024 inspection of COLONIAL ACRES RESIDENTIAL CARE HOME?

This was a other inspection of COLONIAL ACRES RESIDENTIAL CARE HOME on December 20, 2024. 3 citations were issued: 1 Type A (serious) and 2 Type B.

Were any citations issued to COLONIAL ACRES RESIDENTIAL CARE HOME on December 20, 2024?

Yes, 3 citations were issued (1 Type A, 2 Type B). The first citation was for: "§1569.269 Enumerated rights; severability: (a) Residents of residential care facilities for the elderly shall have all o..."

What type of inspection was this?

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

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