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Inspection visit

complaint

ANASTASIALicense 0192011462 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

...continued from LIC 9099. -At 5:25 PM, LPA spoke to S4 who stated that she was helping the Licensee and the Licensee was not available at this time. There is not an LIC 308 available. S4 does not have any criminal record clearance on file and is not associated to the facility in Guardian; S4 stated that she/he gave the information to the Licensee but Licensee is unavailable. -At 6:55 PM, S4 stated that he/she had been working at the facility for about two (2) weeks. -At 6:55 PM, LPA reviewed personnel records for (S1, S2, and S3); There was not a file present for S4. -At 7:07 PM, Sample review of C1's Medication Administration Record was not dated or signed by the staff who administered the medication. S2 stated that S4 gives out the medication; S4 is not associated to the facility. -At 7:00 PM, Staff (S1 and S2) New Employee Training records and Certificate of Completion did not include adequate training hours for administration of medication. There was not a file present for S4. Based on information obtained, the allegations are SUBSTANTIATED. A finding that the complaint is substantiated means that the allegations are valid because the preponderance of the evidence standard has been met. Deficiencies are 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 violation within a 12 month period may result in civil penalties. Exit interview conducted, Appeal Rights, and a copy of this report provided to Anicka Brown, Staff.

Citations

2 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.

  • 1569.629(a)(2)Type A

    1569.69 Employees assisting residents with self-administration of medication; training requirements (a)...facility who assists residents...(2)...15 or fewer persons... six hours of initial training...two hours of hands-on shadowing training...-This requirement is not met as evidenced by: -Based on interviews, observation, and record review, the licensee did not comply with the section above by providing medication training to staff that assist residents with self-administration of medication.

  • 87411(g)(1)Type A

    87411 Personnel Requirements - General (g)...Prior to employment or initial presence...(1) Obtain a California clearance or a criminal record exemption as required by law or Department regulations...-This requirement is not met as evidenced by: -Based on interviews and observation, the licensee did not comply with the section above by not associating S4 to the facility.

FAQ · About this visit

Common questions about this visit

What happened during the July 16, 2024 inspection of ANASTASIA?

This was a complaint inspection of ANASTASIA on July 16, 2024. 2 citations were issued: 2 Type A (serious).

Were any citations issued to ANASTASIA on July 16, 2024?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "1569.69 Employees assisting residents with self-administration of medication; training requirements (a)...facility who a..."

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.