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Inspection visit

Routine inspection

ROSELEAF GARDENSLicense 0450027758 citations on this visit
8 citations recorded

Inspector’s narrative

What the inspector wrote

On 03/05/2024, Licensing Program Analyst (LPA) Jaynae Boyles, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Facility Administrator, Stacy Baxter and explained the purpose of the visit. LPA Boyles and Administrator toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, and common restrooms. LPA observed the bedrooms a majority of the rooms of the 8 wings of the facility to have all the required furnishings. However, LPA observed one room in the 800 wing to a bucket with urine. LPA observed the facility to not be odor free throughout the facility but was clean. LPA observed the bathrooms to have odor and one to not be in good repair. Of the bathrooms toured, one of eight (8) did not have a working bathtub. LPA observed the water temperature to be above the required temperature in two (2) of the eight (8) resident. LPA observed a resident room to have oxygen but no posting outside the resident room to indicate oxygen is in use. Facility has a 2-day perishable and a 7-day non-perishable amount of food. However, the kitchen was disorganized, cluttered and not clean. LPA observed several fire extinguishers, fire detectors, and carbon monoxide detectors throughout the facility last which was serviced in January of 2024. LPA observed the first aid kit to be complete and ready for use. LPA observed the fire system to have been last serviced in February 2024. LPA observed medications and toxic chemicals to be locked and inaccessible to residents. LPA reviewed a total of six (6) residents' files and six (6) staff files. Of the six resident files reviewed, two of three residents had bed rails but did not have medical orders for the postural supports found in the resident file. Of the six resident files reviewed, LPA observed all of the required documentation. LPA reviewed six (6) staff files, all were missing a TB test and documentation of first aid training. Several topics were discussed. California Code of Regulations, (Title 22), is being cited on the attached LIC809D. Appeal rights were provided. An exit interview was conducted. A copy of the report was provided to administrator.

Citations

8 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.

  • 1569.695(c)Type B

    Based on interview and record review, the licensee did not comply with the section cited above in no fire drills were conducted in the last 12 months, which poses a potential health, safety or personal rights risk to persons in care.

  • 87303(e)Type B

    Based onobservation, the licensee did not comply with the section cited above in one of the eight bathtubs observed was not in working order which poses/posed a potential health, safety or personal righ ts risk to persons in care.

  • 87303(e)(3)Type A

    Based on observation, the licensee did not comply with the section cited above in two out of eight bathrooms in which the water was tested it was above the required 120 degree maximum which poses an immediate health, safety or personal rights risk to persons in care.

  • 87303(f)(1)Type A

    Based on observation, the licensee did not comply with the section cited above in that urine was found in a bucket in the room of a resident with dementia which poses an immediate health, safety or personal rights risk to persons in care.

  • 87411(c)(1)Type B

    Based on record review, the licensee did not comply with the section cited above in six of the six staff files reviewed did not have the above mentioned requirement within the file which poses a potential health, safety or personal rights risk to persons in care.

  • 87411(f)Type B

    Based on record review, the licensee did not comply with the section cited above in six of six staff files reviewed did not have the above requirement documented in the file which poses a potential health, safety or personal rights risk to persons in care.

  • 87608(a)(3)Type B

    Based on observation record review, the licensee did not comply with the section cited above in two of the three files reviewed of residents to have observed to have bed rails did not have an medical order in the file which poses a potential health, safety or personal rights risk to persons in care.

  • 87618(b)(3)(B)Type B

    Based on observation, the licensee did not comply with the section cited above in that a resident who had oxygen in their room but did not have the "No Smoking- Oxygen in Use" sign posted which poses a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 5, 2024 inspection of ROSELEAF GARDENS?

This was a inspection inspection of ROSELEAF GARDENS on March 5, 2024. 8 citations were issued: 2 Type A (serious) and 6 Type B.

Were any citations issued to ROSELEAF GARDENS on March 5, 2024?

Yes, 8 citations were issued (2 Type A, 6 Type B). The first citation was for: "Based on interview and record review, the licensee did not comply with the section cited above in no fire drills were co..."

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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