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Inspection visit

complaint

LAKE PARK SENIOR LIVINGLicense 0192011824 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

Allegation: Facility not providing security personnel per admission agreements – Substantiated On 3/20/2023 LPA KN obtained reviewed the CCRC contracts of residents admitted under the previous licensee, which indicated that the facility would provide 24 hour security guard service. LPA found that per the terms of the facility sale, the current licensee was to honor the existing CCRC contracts and Admission Agreements. LPA observed that the agreement generated under the previous Licensee provided that the Licensee “maintains a 24-hour emergency call system, a security entrance system, and security personnel. LPA interviewed R1 through R10 who stated that after the sale, the current Licensee terminated the guard service and assigned monitoring of the front door to staff employed directly by the facility who had other primary responsibilities (front desk staff). On 4/6/23 and 4/7/23, AGPA JW interviewed S1 through S4 and obtained an email communication between the facility and residents – which stated that the services of an outside Security Service were only in place until the Saturday/Sunday positions were filled and that front desk staff and additional personnel would provide security during working hours. R1 through R4 stated that there are times when no staff are near the entrance. LPA interviewed S1 who confirmed that the security service had been terminated. Report Continued on LIC 9099C... Allegation: Facility staff not accorded residents with dignity – Substantiated On 3/20/2023 LPA KN interviewed RP and R1 through R10 who stated that S1 does not treat them with dignity, with RP stating that S1 had yelled at them during council meetings. R1 further stated that the facility informed residents that it was not a Continuing Care Retirement Community, had threatened residents with higher charges and/or eviction if new agreements were not signed, and that the facility would not address their concerns regarding the facility’s CCRC status. R5 reported that S1 has lied to the residents when discussing the terms of the existing CCRC agreements that were to be adhered to, with S1 stating that there were no residents at the facility under CCRC agreements. On 3/20/23, LPA KN interviewed the Administrator, who stated that the facility is not a CCRC. Based upon resident and Administrator interviews the facility did not adhere to the H&SC code indicating that the residents shall have a right “to live in an environment that enhances personal dignity.” Report Continued on LIC 9099C... Allegation: Facility interfering with residents exercising rights – Substantiated On 3/20/23 LPA KN interviewed the RP who stated that R13 was informed by the facility that R13 would need to be moved from an Independent to an Assisted Living Unit, and was being required to sign a new Residence & Care Agreement. LPA observed that the original agreement generated under the previous licensee (and per the terms of the sale the current Licensee is required to adhere to original agreements) states that a new agreement was not required when transferring to Assisted Living. On the same date, LPA interviewed the Administrator who confirmed that R13 needed to be transferred and that a new agreement was required. LPA further found that R13 was moved from the Independent unit to a temporary Assisted Living unit due to refusal to sign a new agreement. This resulted in material misrepresentation made to a resident with an existing CCRC agreement. Deficiency is cited under the California Health and Safety Code listed on LIC9099D. Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted with, Business Office Manager Aryanna Henry. Appeal Rights and a copy of this report provided via email.

Citations

6 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.

  • 1793.2(s)Type B

    Complainant alleges that the Provider stopped providing security personnel as provided in the Residence and Services Agreement which was a violation of Health & Safety Code (H&SC) §1793.21(s) which states that Provider “Failed to fulfill his or her obligations under continuing care contracts.”.This requirement was not met as evidence by: Based on observation and record review, the licensee did not comply with the section cited above...The interviews were held as listed above. The following documents were reviewed:• February 28, 2023 email from ED to residents• Front Desk calendar for March 2023• Approved Residence and Services Agreements from Methodist Homes and Lake Park Senior Living

  • 1793.21(c)(2)Type B

    Health & Safety Code (H&SC) §1793.21(c)(2) which states residents shall have a right “To live in anenvironment that enhances personal dignity, maintains independence, and encourages self-determination.This requirement was not met as evidence by: The interviews were held as listed above. The following documents were reviewed:• Approved Residence and Services Agreements from Methodist Homes and Lake Park Senior LivingBased on interviews with the residents during the December 29, 2022 Town Hall meeting and on separate occasions the ED at the time informed residents that the community was not a continuing Care Retirement community.

  • 1793.21(t)Type B

    Health & Safety Code (H&SC) 1793.21(t)The department, in its discretion, may condition, suspend, or revoke any permit to accept deposits, provisional certificate of authority, or certificate of authority issued under this chapter if it finds that the applicant or provider has done any of the following:(t) Made material misrepresentations to depositors, prospective residents, or residents of a continuing care retirement community.This requirement was not met as evidence by: Based on interviewed:A resident who lived in a residential living units (RLUs) needed to move to an Assisted Living Units (ALU) and was being to asked to sign new Residence & Care Agreements even though the original agreement with Methodist was in effect and that agreement did not require residents to sign a new admission agreements when moving to an ALU. This resident was housed in a temporary ALU and he and his family were told by the ED that he would not be moved to a permanent unit until a new agreement was signed.

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  • 1569.80Type B

    ARTICLE 7.5. Resident Participation in Decisionmaking [1569.80- 1569.80.]This requirement was not met as evidence by: Based on observation and record review, the licensee did not comply with the section cited above...On 3/20/2023 LPA KN interviewed the Administrator, who stated that the facility had informed the RP of a need for a 24 hour 1:1 aide. LPA found that the facility did not issue an advance 30-day written notice of a new need and the associated costs – as required.

  • 1793.21(s)Type B

    1793.219(s).The department, in its discretion, may condition, suspend, or revoke any permit to accept deposits, provisional certificate of authority, or certificate of authority issued under this chapter if it finds that the applicant or provider has done any of the following:(s) Failed to fulfill his or her obligations under continuing care contracts.This requirement was not met as evidence by: Based on observation and record review, the licensee did not comply with the section cited above...LPA reviewed the originating CCRC contract and observed that it stated that residents who develop memory care conditions would be retained by the facility. LPA obtained a copy of letter to R1, dated 3/12/23, whereby R1 was being evicted as the facility does not accept or retain memory care residents. On 3/20/23, LPA interviewed the Administrator who confirmed that the eviction letter was issued to R1 and that the family needed to hire/pay for an outside 1:1 aide. It was further found that per the terms of the sale of the business, the current Licensee/facility is to adhere to existing contracts agreed upon with the previous Licensee.

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  • 1771.8(s)(2)(a)Type B

    Complainant alleges that the Provider’s food service is insufficient and in violation of Health & Safety Code (H&SC) §1771.8(s)(a) which states that Provider “Failed to fulfill his or her obligations under continuing care contracts.”This requirement was not met as evidence by: Based on observation and record review, the licensee did not comply with the section cited above...AGPA JW found that the facility had changed and eliminated components of the food service without providing at least 30 days written notice, and that the Licensee Provider had not held a meeting 60 days prior to adjustments in “policies, programs, or services that would materially change the operation or environment of the community as required by the Health & Safety Code and CCRC requirements.”

FAQ · About this visit

Common questions about this visit

What happened during the February 1, 2024 inspection of LAKE PARK SENIOR LIVING?

This was a complaint inspection of LAKE PARK SENIOR LIVING on February 1, 2024. 4 citations were issued: 4 Type B.

Were any citations issued to LAKE PARK SENIOR LIVING on February 1, 2024?

Yes, 4 citations were issued (0 Type A, 4 Type B). The first citation was for: "Complainant alleges that the Provider stopped providing security personnel as provided in the Residence and Services Agr..."

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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