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Inspection visit

complaint

ARBOR AT BERKELEYLicense 0192011431 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Continued from LIC9099 R1’s ID/Emergency contact information, most recent Physician’s Reports and the report that the covers 09/2023 along with After Visit Summaries, Case Notes, and Centrally Stored Medication lists for 09/2023 - 10/2023; facility’s emails, faxes, call logs and/or any other correspondences with R1's Responsible Party (RP) and Primary Care Physician for 09/2023 and 10/2023. Allegation: Facility did not provide family with requested resident records. SUBSTANTIATED R1’s Responsible Party (RP) stated that on October 13, 16, 20, 21, and 24, 2023, that she/he had requested records pertaining to R1 and never received a response. ED does not have record of who the request was sent to at the facility. ED did not have who the POA was on record. On 06/14/24, interviews with Staff (ED and S1) revealed that R1’s resident files had not been provided to RP and there was not a POA on record. LPA spoke to ED and S1 on 07/16/24 and both stated that R1’s records would be sent to CCLD by the end of July. The facility did not provide family with requested resident records; therefore, the allegation is substantiated. Based on information obtained, the allegation is SUBSTANTIATED. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiency is cited from Title 22 California Code of Regulations and listed on LIC 9099D. Failure to submit proof of correction by plan of correction due date, and any repeat violations within a 12-month period may result in civil penalties. Exit interview conducted, Appeal Rights, and a copy of this report provided to Robert Coe, Executive Director. ...continued fron LIC9099. R1’s ID/Emergency contact information, most recent Physician’s Reports and the report that the covers 09/2023 along with After Visit Summaries, Case Notes, and Centrally Stored Medication lists for 09/2023 - 10/2023; facility’s emails, faxes, call logs and/or any other correspondences with R1's Responsible Party (RP) and Primary Care Physician for 09/2023 and 10/2023. Allegation: Facility did not follow COVID procedures. UNSUBSTANTIATED On 04/06/23 California Department of Social Services (CDSS) presented PIN 23-07-ASC related to the COVID-19 pandemic following the end of the COVID-19 State of Emergency (SOE) on February 28, 2023, as guidance and to update licensees of Adult and Senior Care (ASC) facilities. On March 3, 2023, the California Department of Public Health (CDPH) terminated several State Public Health Officer Orders. Screening for COVID-19 signs, symptoms, and exposure were recommended for residents and visitors through passive screening measures but was not required. According to PIN 23-13-ASC, the licensee followed regulations related to infection control, prevention and mitigation for communicable diseases by maintaining an Infection Control Plan (ICP) and reporting the incident to Community Care Licensing (CCLD) on September 13, 2023; therefore, the facility did follow the COVID-19 procedures, and the allegation is unsubstantiated. No deficiency cited. Exit interview conducted and a copy of this report provided to Robert Coe, Executive Director.

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.

  • 87506(c)(1)Type B

    87506 Resident Records (c) All information and records obtained from or regarding residents shall be confidential...(1) The licensee shall...reveal or make available...upon the resident's written consent or that of his designated representative. -This requirement is not met as evidenced by-Based on interviews and observation, the Licensee did not comply with the section above by not providing R1’s RP with the resident’s records.

FAQ · About this visit

Common questions about this visit

What happened during the July 30, 2024 inspection of ARBOR AT BERKELEY?

This was a complaint inspection of ARBOR AT BERKELEY on July 30, 2024. 1 citation were issued: 1 Type B.

Were any citations issued to ARBOR AT BERKELEY on July 30, 2024?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87506 Resident Records (c) All information and records obtained from or regarding residents shall be confidential...(1) ..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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