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Inspection visit

complaint

BROOKDALE DANVILLELicense 0756012574 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

LPA interviewed S1 in regards to residents personal items not being safeguarded. S1 stated that in the laundry room they personally know which clothes belongs to who but that newer caregivers do not. LPA also observed in the laundry room clothing not delegated to specific residents. LPA observed that there is now a system in place to manage clothing for residents but that it is not currently being utilized. LPA interviewed Activities Coordinator. Activities Coordinator confirmed that at the time of the complaint there was a shortage in staffing but that now it is starting to get better, and that residents care needs were not able to be met. Activities Coordinator also confirmed that they knew that responsible parties were not being notified in a timely manner that is required by reporting requirements. Activities Director also confirmed that sometimes residents clothing gets mixed up. While touring the facility LPA observed residents doors locked and that a majority of residents did not have their own key to get in. Executive director stated that when she arrived that was already the system in place and that they were looking to change it. Activities coordinator stated that doors are locked because some residents have wandered into other residents room and taken their belongings. Based on LPAs observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D

Citations

7 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 record review, the licensee did not comply with the section cited above by not having an updated disaster drill log which poses a potential health, safety or personal rights risk to persons in care.

  • 87303(e)(2)Type A

    Based on observation, the licensee did not comply with the section cited above by hot water temperature measuring at 121.6 degrees F which poses an immediate health, safety or personal rights risk to persons in care.

  • 87465(a)(4)Type B

    (a) A plan for incidental medical and dental care shall be developed by each facility. The ... assistance in obtaining such care...with the following: The licensee shall assist residents ...as needed.This requirement was not met as evidence by: Based on interviews LPA was informed that previous Health and Wellness Director was not insuring the availability of medications.

  • 87217(b)Type B

    Safeguards for Resident Cash, Personal Property, and Valuables. Every facility shall take appropriate measures to safeguard residents' cash resources, personal property and valuables which have been entrusted to the licensee or facility staff... This requirement is not met as evidence by: Based on investigation, licensee did not comply with the section cited above by not safeguarding resident's belongings which poses a potential health and safety risk to the persons in care.

  • 87466Type B

    The licensee shall ensure that residents are regularly observed for changes in physical ... such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any.This requirement is not met as evidence by: Staff was not notifing residents responsible party ofchanges in residents conditions

  • 87468.1Type B

    Personal Rights of Residents in All FacilitiesThis requirement is not met as evidenced by: Based on observation and interviews residents rooms are locked and most residents do not have a key and must ask to get let in which poses a potential health and safety risk to the persons in care. .

  • 87705(c)(4)Type B

    Licensees who accept and retain residents with dementia shall be responsible for... the following: There is an adequate number of direct care staff to support each resident’s ... needs as identified in his/her current appraisal.This requirement is not met as evidence by: Based on observation and interviews there was not adequate staffing to meet residents needs.

FAQ · About this visit

Common questions about this visit

What happened during the April 10, 2024 inspection of BROOKDALE DANVILLE?

This was a complaint inspection of BROOKDALE DANVILLE on April 10, 2024. 4 citations were issued: 4 Type B.

Were any citations issued to BROOKDALE DANVILLE on April 10, 2024?

Yes, 4 citations were issued (0 Type A, 4 Type B). The first citation was for: "Based on record review, the licensee did not comply with the section cited above by not having an updated disaster drill..."

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.