Inspection visit

complaintAugust 13, 2021

LA CASA VERDELicense 0756014061 citation on this visit

1 citation recorded

Inspector’s narrative

What the inspector wrote

Emergency Department Records indicate R1’s diagnoses are Transient Cerebral Ischemia (TIA) and Right Foot Contusion. During interview, Staff 1 (S1) denied hearing R1 slur her words and was only concerned about R1 falling more often. S1 stated that R1's family is responsible in taking R1 to the doctor. S1 also stated that R1 has not seen a doctor since moving to the facility on January 31, 2019. Based on the Department's observations, interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22 is being cited on the attached LIC 9099D. A $500.00 immediate civil penalty is assessed on this day. Civil penalty determination related to serious bodily injury is pending. Exit interview conducted. Appeal Rights and a copy of this report provided. 2. Resident's toileting needs were not met On May 19, 2021, LPA Luisa Fontanilla interviewed Staff 1. S1 is the primary caregiver for R1. S1 states that R1 had a schedule to address incontinence needs. S1 states R1 gets reminded and escorted to go to the bathroom every two hours or as needed during the day until 1am. After 1am, the next bathroom reminder/escort is at 7am. In one of the photos obtained during investigation, a sign indicating bathroom schedule was observed on R1’s door. Based on interviews and observations, the above allegations are unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur. Exit interview conducted and a copy of this report provided.

Citations

3 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.

87211(a)(1)(D)Type B
a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1)A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence… (D)Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident This requirement is not met as evidenced by: On 5/19/2021, Administrator confirmed with LPA that no incident reports were submitted to CCL for the fall incidents which poses a potential risk to health and safety of clients under care.
87465(a)(1)Type A
Incidental Medical and Dental Care: (a) A plan for incidental medical and dental care shall be developed by each facility. ........... (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement is not met as evidenced by: Based on interviews and record reviews, facility failed to assist R1 in arranging for medical care appropriate to R1's needs and condition. S1 states R1 has not seen R1's doctor since 1/31/2019 because the family was not taking R1. And that taking R1 to the doctor is not S1's responsibility. This poses an immediate health risk to the clients under care.
87466Type A
Observation of the Resident: The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs....... the licensee shall ensure that 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 evidenced by: Based on interviews and records review, staff failed to properly observe R1 resulting in R1's hospitalization( ICU) for possible stroke, low blood pressure, hypothermia, urinary retention which poses an immediate health and safety risks to resident in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 13, 2021 inspection of LA CASA VERDE?

This was a complaint inspection of LA CASA VERDE on August 13, 2021. 1 citation were issued: 1 Type A (serious).

Were any citations issued to LA CASA VERDE on August 13, 2021?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not li..."

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 CCLD View original report

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Data from CCLD public records. Last updated May 25, 2026. If you believe any information is inaccurate, report it here.

complaint·August 13, 2021