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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. During the course of the investigation, interviews and records reviewed revealed that on 09/07/23 and 10/21/23, S2 and S3 faxed notices to R1’s physician stating that R1 had been refusing to take his/her medication and requested that the physician advise R1. R1’s medication lists dated 09/20/23, 04/26/24 and 09/03/24 states that R1 has routine medication in the morning and evening (9:00 AM and 6:00 PM) and as needed based on R1’s systolic blood pressure. Records reviewied and interviews revealed that the facility did not have any record of R1’s refusal for medication, record of times of medication administration and there was not any notation or records of R1’s blood pressure. ED attempted to locate the information but stated that they were unable to recover the online data that was managed by a third-party vendor and a MAR was not utilized. 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.

Citations

3 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(b)(2)Type A

    87705 Care of Persons with Dementia(b) In addition...specified in Section 87208…(2) Safety measures to address behaviors such as wandering, aggressive behavior and ingestion of toxic materials.-This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section above when R1 in Assisted Living was able to leave unassisted and unnoticed which posed an immediate safety risk to persons in care.

  • 87506(b)(10)Type A

    87506 Resident Records(b) Each resident’s record shall contain at least the following information:(10) Reports of the medical assessment specified in Section 87458, Medical Assessment, and of any special problems or precautions.-This requirement is not met as evidenced by Based on interviews and records reviewed, the licensee did not comply with the section above when R1's refusals, blood pressure, and medication administered with all three dates and times were not documented posed an immediate safety risk to persons in care.

  • 87211(a)(2)Type B

    87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports as the Department may require...(2) Occurrences, such as epidemic outbreaks, shall be reported within 24 hours either by telephone or facsimile to the licensing...-This requirement is not met as evidenced by Based on observation and record review, the Licensee did not comply with the section cited above in

FAQ · About this visit

Common questions about this visit

What happened during the September 11, 2024 inspection of ARBOR AT BERKELEY?

This was a complaint inspection of ARBOR AT BERKELEY on September 11, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to ARBOR AT BERKELEY on September 11, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87705 Care of Persons with Dementia(b) In addition...specified in Section 87208…(2) Safety measures to address behaviors..."

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