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Inspection visit

Routine inspection

BROOKDALE DANVILLELicense 0756012572 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 4/10/2024 at 9:45 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Executive Director, Teresa Truong and explained the purpose of the visit. The facility’s fire clearance was approved for all may be non-ambulatory and 15 bedridden. LPA toured the facility with Executive Director including but not limited to residents apartments, bathrooms, activity room, kitchen, common area and courtyard. There are no bodies of water observed. LPA observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 69 degrees F. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in a sample of residents’ shared bathroom were measured at 114.4, 119.5, 121.6 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care. Fire extinguisher was last serviced on 2/06/2024. First aid kit was observed to be complete. Emergency disaster drill not on file. At 2:30pm, LPA reviewed 5 residents records. At 3:00pm, LPA reviewed 5 staff records and 5 of 5 have current first aid training and associated to the facility. At 10:25AM , LPA reviewed a sample of resident’s medications. Report Continues on LIC809-C THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 10:40 AM While touring LPA observed Hot water in room 12 measured at 121.6 degrees F At 3:21 PM during File review there are no records of Disaster Drills. Updated copies of the following documents were requested for facility file and are to be submitted to CCLD by 4/19/2024: LIC 610E Emergency Disaster Plan (9 Pages) The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.

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 inspection inspection of BROOKDALE DANVILLE on April 10, 2024. 2 citations were issued: 1 Type A (serious) and 1 Type B.

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

Yes, 2 citations were issued (1 Type A, 1 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 inspection inspection. inspection 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.