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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. For the allegation, Staff not administering medications to resident on multiple dates refers to dates 4/29/24, 7/4/24, 7/21/24, 7/26/24-7/29/24, 8/9/24, 8/20/24 for R1. Based on interviews with RP, ED and review of R1’s MD notification Form, Medication Administration Records and Centrally Stored Medication lists; the medications are inconsistent and there is not a clear legend to identify what the entries mean for each day entered. Licensee did not assure R1 received his/her prescribed medication on the noted dates. Deficiency cited from Title 22 California Code of Regulations and listed on LIC9099D. 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. A copy of this report and appeal rights were provided to ED.

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.

  • 87211(a)Type A

    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, interviews and record review, the Licensee did not comply with the section cited above by not reporting R1’s UIR's to CCLD.

  • 87705(c)(5)Type A

    87705 Care of Persons with Dementia(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following:(5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs. Based on observation, interviews and record review, the licensee did not comply with the section cited above by person, Resident (R1) not an update annual medical assessment and reappraisal which poses an immediate health, safety or personal rights risk to persons in care.

  • 87465(d)Type A

    87465 Incidental Medical and Dental Care (d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication...unable to communicate his/her symptoms clearly, facility staff designated by the licensee... assist the resident with self-administration...-This requirement is not met as evidenced by:Based on interviews and records reviewed, Licensee did not assure residents received administration of medication(s).

FAQ · About this visit

Common questions about this visit

What happened during the September 16, 2024 inspection of ARBOR AT BERKELEY?

This was a complaint inspection of ARBOR AT BERKELEY on September 16, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to ARBOR AT BERKELEY on September 16, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports as the Department may r..."

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.