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Inspection visit

complaint

BETHANY HOME CONCORDLicense 0792003755 citations on this visit
5 citations recorded

Inspector’s narrative

What the inspector wrote

...Continued from LIC9099 On the allegation No Administrator at facility on a regular basis. Based on record review and interviews the facility administrator does not come to the facility. Residents, staff, and residents’ families believe that S1 is the administrator, and most residents and resident families are unaware of who S3 is. On the allegation administrator qualifications. Based on record review the facility administrator is currently listed as administrator to a total of four licensed facilities and has an application in for a fifth. When LPA asked for the LIC 500 S3 was not listed having any hours at the facility or on the LIC 500 at all. On the allegation facility does not have grab bars for resident in bathroom. The facility was licensed with three bathrooms. One bathroom is in a private room, one is at the back of the house and one in by the front of the house. The bathroom at the back of the house has a non-permeant/movable grab bar, the front bathroom has a permeant grab bar across from the toilet that is out of reach. On the allegation facility staff not ensuring resident receiving proper medical care. Based on record review and interviews the facility has not taken R1 to get an updated annual physician’s report since June 2022. Based on LPAs interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8), is being cited on the attached LIC 9099D. Exit interview conducted. Appeal Rights and a copy of this report provided. ...Continued from LIC9099-A On the allegation facility Administrator yells at the staff and at the residents. Based on record review and interviews the administrator does not come to the facility. On the allegation facility administrator punishes resident. Based on record review and interviews the facility administrator does not come to the facility. On the allegation facility Staff not administering all doses of resident’s medications. Based on record review and interviews the facility does not have a medication log of each dosage given to the residents. On the allegation facility staff not bathing resident in an appropriate manner. Based on interviews R1 has requested that only female staff assist with bathing. In interview with S1 they state that they were never informed of this preference. Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED . Exit interview conducted and a copy of this report provided.

Citations

5 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.

  • 87303(e)(4)Type B

    Grab bars shall be maintained for each toilet; bathtub and shower used by residents. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by having a grab bar that it out of reach for resident to use which poses an immediate health and safety risk to persons in care.

  • 87405(a)Type A

    All facilities shall have a qualified and currently certified administrator... The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility as specified in this section... This requirement is not met as evidenced by: Based on records review and observation, the licensee did not comply with the section cited above by not having the administrator at the facility for a sufficient number of hours which poses an immediate health and safety risk to persons in care.

  • 87405(b)Type A

    The administrator of a facility or facilities shall have the responsibility and authority to carry out the policies of the licensee. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by having the house manager preform the duties of administrator without an administrator license which poses an immediate health and safety risk to persons in care.

  • 87468.1(a)(8)Type A

    Residents in all residential care facilities ... following personal rights: To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by not informing R1’s responsible party of changes which poses an immediate health and safety risk to persons in care.

  • 87705(c)(5)Type A

    Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by not having an annual medical assessment for R1 since 2022 which poses an immediate health and safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 29, 2024 inspection of BETHANY HOME CONCORD?

This was a complaint inspection of BETHANY HOME CONCORD on May 29, 2024. 5 citations were issued: 4 Type A (serious) and 1 Type B.

Were any citations issued to BETHANY HOME CONCORD on May 29, 2024?

Yes, 5 citations were issued (4 Type A, 1 Type B). The first citation was for: "Grab bars shall be maintained for each toilet; bathtub and shower used by residents. This requirement is not met as evid..."

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.