Inspection visit

complaintAugust 22, 2023

LAFAYETTE GARDENSLicense 0792007843 citations on this visit

3 citations recorded

Inspector’s narrative

What the inspector wrote

The nurse reported R1’s condition to R1’s son. R1’s son then instructed Administrator to send R1 to the hospital to get checked on 6/5/2023. R1 went to a skilled nursing facility upon discharge from the hospital and did not come back to the facility. R1 moved to the facility on May 1, 2023 and moved out on June 7, 2023. A review of email conversations between Administrator and R1's son indicate the Administrator informing R1’s son that R1 does not have any fracture. And that the hand is not swollen. The administrator also states the reason could be that R1 was taking some part of the bed and has broken pots in the room. The Administrator states, “In the future, I will make sure the care staff calls you and update you regarding any decline.” A review of R1’s medical records and photo provided to CCL indicate R1 sustained bruises on both arms and a cut on the left bicep. During the interview with Administrator and Staff 1 (S1), both state R1 did not incur any fall. Administrator and S1 state R1 probably got the bruises and cut when R1 was exhibiting aggressive behavior such as crawling under the bed, throwing pots and trying to pull down picture frames. Based on record reviews conducted, Resident 1 R1) has a diagnosis of Dementia, is confused/disoriented, has aggressive, wandering and sundowning behaviors. Based on LPA interviews and record reviews conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be substantiated. California Code of Regulations, Title 22. Deficiencies are being cited on the attached LIC 9099D. Exit interview was conducted with Meeran. Appeal Rights was 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.

87465(a)(1)Type B
87465 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 conducted, staff observed R1 with bruise, agressive, crawling under the bed, breaking pot plants but no medical appointment was arranged which poses a potential risk tohelath and safety of clients under care.
87705(b)(1)Type B
87705 (b)(1) Care of Persons with Dementia(b) In addition to the requirements as specified in Section 87208, Plan of Operation, the plan of operation shall address the needs of residents with dementia, including:(1) Procedures for notifying the resident’s physician, family members and responsible persons who have requested notification, and conservator, if any, when a resident’s behavior or condition changes. 87705 (b)(1) Care of Persons with Dementia(b) In addition to the requirements as specified in Section 87208, Plan of Operation, the plan of operation shall address the needs of residents with dementia, including:(1) Procedures for notifying the resident’s physician, family members and responsible persons who have requested notification, and conservator, if any, when a resident’s behavior or condition changes.
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87705(b)(2)Type B
87705(b)(2) Care of Persons with Dementia(b) In addition to the requirements as specified in Section 87208, Plan of Operation, the plan of operation shall address the needs of residents with dementia, including:(2) Safety measures to address behaviors such as wandering, aggressive behavior and ingestion of toxic materials. This requirement is not met as evidenced by:Based on interviews and record reviews conducted, Resident 1 R1) has a diagnosis of Dementia, is confused/disoriented, has aggressive, wandering and sundowning behaviors. Administrator and facility staff interviewed state R1 was observed crawling under the bed, throwing flowerpots inside the room and pulling down picture frames on the wall.Despite observing R1’s aggressive behaviors, the facility did not provide safety measures to prevent R1 from sustaining bruises on both arms and a cut on R1’s left biceps which poses an immediate threat to the health and safety of clients under care.
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FAQ · About this visit

Common questions about this visit

What happened during the August 22, 2023 inspection of LAFAYETTE GARDENS?

This was a complaint inspection of LAFAYETTE GARDENS on August 22, 2023. 3 citations were issued: 3 Type B.

Were any citations issued to LAFAYETTE GARDENS on August 22, 2023?

Yes, 3 citations were issued (0 Type A, 3 Type B). The first citation was for: "87465 Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each fac..."

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 22, 2023