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Inspection visit

Health check

SPYGLASS SENIOR VILLA 4License 0792010364 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

On 09/19/2023 at 10:30 AM, Licensing Program Analyst (LPA) P. Watson conducted a Health & Safety inspection as a result of a priority 1 complaint. LPA met with Administrator, Shahid Siddiqui and explained the purpose of the visit. LPA toured facility including but not limited to bedrooms, bathrooms, common areas, kitchen, and outdoor area. Hot water temperature was measured at 118.2, 116.2, and 120 degrees Fahrenheit in the resident bathrooms. Facility grocery shop every Wednesday . Resident's medications were kept locked in a cabinet near the dinning room. Smoke and carbon monoxide detectors were observed. First-aid kit was complete. Fire extinguisher was observed and last serviced on 10/20/2022. Indoor and outdoor passageways are free of obstruction. The following deficiencies were observed during inspection: -At 10:34 AM LPA observed bathroom cleaner in the cabinet in RM 8, deficiency cleared during visit, Administrator locked cleaning supplies in garage -At 10:54 AM LPA observed eggs in the kitchen pantry, deficiency cleared during visit, LPA observed staff throw eggs away -At 10:57 AM LPA observed unlocked medication in a kitchen drawer, deficiency cleared during visit, Administrator locked medications in medication cabinet -At 11:00 AM LPA observed unlocked medication (tablets and insulin) in the kitchen refrigerator -At 11:10 AM LPA observed a glucose testing machine and was informed by staff(S1) that they perform glucose testing for resident(R1). The following deficiencies were observed (see LIC 809 D) 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 and a copy of this report provided along with Appeal rights

Citations

4 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.

  • 87309(a)Type A

    Ensure hazardous items are locked and not unattended

    87309 Storage Space(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by:Based on observation, bathroom cleaner (toilet bowl cleaner, windex, cleaner with bleach) was unlocked in residents bathroom which poses/posed an immediate Health, Safety risk to persons in care

  • Store centrally held medications in locked secure place

    87465(h)(2) Incidental Medical and Dental Care(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible... This requirement is not met as evidenced by:Based on observation, medication (tablets and insulin) was accessible in the kitchen drawer and refrigerator which poses/posed an immediate Health, Safety risk to persons in care.

  • Rapid-growth perishable foods must be covered

    87555(b)(23) General Food Service Requirements(b) The following food service requirements shall apply(23) All readily perishable foods ..capable of supporting rapid and progressive growth of micro-organisms which can cause food infections...shall be stored in covered containers at appropriate temperatures. This requirement is not met as evidenced by:Based on observation, eggs were left in the kitchen pantry which poses/posed an immediate Health, Safety risk to persons in care.

  • 87628(a)Type B

    Allowing diabetic residents based on self-management ability

    87628(a) Diabetes(a) The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing with blood .. and is able to administer his/her own medication ... This requirement is not met as evidenced by:Based on observation and interview, LPA observed glucose testing machine and was informed that S1 performs glucose testing for R1 which poses/posed an immediate/potential Health, Safety risk to persons in care

FAQ · About this visit

Common questions about this visit

What happened during the September 19, 2023 inspection of SPYGLASS SENIOR VILLA 4?

This was an other inspection of SPYGLASS SENIOR VILLA 4 on September 19, 2023. 4 citations were issued: 3 Type A (serious) and 1 Type B.

Were any citations issued to SPYGLASS SENIOR VILLA 4 on September 19, 2023?

Yes, 4 citations were issued (3 Type A, 1 Type B). The first citation was for: "87309 Storage Space(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if..."

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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