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Inspection visit

Follow-up

ARBOR AT BERKELEYLicense 0192011432 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 09/16/2024 around 01:50 PM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct an initial 10-day complaint visit and conducted a case management as a result. LPA met with Douglas Blake, Interim-Executive Director (ED) and explained the purpose of the visit. During the course of the visit, LPA conducted interviews with RP, ED and requested Resident (R1)’s file including, but not limited to the following documents from R1’s file: Physician’s Reports, Case Notes, Medication Administration Records, Centrally Stored Medication lists, UIR’s and faxes. -At 03:00 PM, LPA confirmed that Licensee did not report blood in R1’s urine on different occasions in April, July and August of 2024. -At 03:10 PM, LPA confirmed that R1 who has Dementia did not have an updated Physician’s Report (LIC602) or Reappraisal since 09/29/2022. -At 03:15 PM, LPA confirmed that there were medication errors on R1’s Medication Notification List faxed to the physician on 08/22/24. Staff did not report medication error to CCLD. -At 03:40 PM, LPA confirmed that there were medication errors on R1’s Medication sheet dated August 2024. Staff did not hold (discontinue) R1's medication starting 08/12/24 per physician's order. An immediate civil penalty of $250 is hereby assessed for the day of 09/16/24. Deficiencies cited from Title 22 California Code of Regulations and listed on LIC809D. 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.

  • 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 other inspection of ARBOR AT BERKELEY on September 16, 2024. 2 citations were issued: 2 Type A (serious).

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

Yes, 2 citations were issued (2 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 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.