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Inspection visit

Routine inspection

GREEN FEATHERS ASSISTED LIVINGLicense 0792010893 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

On 09/11/2024 at 10:27AM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an unannounced 1-Year Required inspection. LPA met with Caregiver Vilma Noda, spoke with Administrator, Pramod Balanandan via telephone, and explained the purpose of the visit. The Administrator arrived at 11:15AM and currently holds a certificate (#6050378740) that expires on 01/16/2025. Facility has census of 5. The facility’s fire clearance was approved for six (6) non-ambulatory residents. LPA toured the facility with Caregiver, Candido Nerona including but not limited to bedrooms, bathrooms, kitchen, common area and back yard. The facility consists of six (6) bedrooms and three (3) bathrooms. All outdoor and indoor passageways are kept free of obstruction. LPA did not observe any bodies of water. A comfortable temperature is maintained at 75 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 109.9 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars. There is a minimum of 7-day supply of non-perishable and 2-day of perishable foods. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 08/30/2024. Emergency Disaster Plan was last posted on 06/02/2024. First aid kit was observed to be complete. Fire drill was last conducted on 08/17/2024. Continued LIC809C. Continued from LIC809. LPA reviewed five (5) staff records and five (5) resident records. LPA also reviewed medications. LPA requested updated copies of the following documents to be submitted to CCLD by 09/18/2024 · LIC 308 Designation of Administrative Responsibility · LIC 309 Administrative Organization · LIC 500 Personnel Report · LIC 610E Emergency Disaster Plan · Liability Insurance LPA observed the following deficiencies: · At 10:40AM, LPA observed during tour, two (2) of the five (5) residents has bed rails without doctor's orders. · At 10:50AM, LPA observed during tour of backyard, a five (5) gallons of paint and primer, broken window screens and an umbrella for a patio table in the backyard leaning against the fence. · At 12:25PM, LPA observed during record review R1 doesn't have a current medical assessment (LIC602) The last medical assessment is dated 03/08/2023. Exit interview conducted. A copy of this report and appeal rights 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.

  • 87307(d)(6)Type B

    Based on observation, the licensee did not comply with the section cited above in having five(5) gallons of paint and primer, window screens and patio table umbrella in the backyard which poses/posed a potential health, safety risk to persons in care.

  • 87608(5)(A)Type B

    Based on observation and record review, the licensee did not comply with the section cited above in having two (2) residents with bed rails without doctor orders which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87705(5)(A)Type B

    Based on record review, the licensee did not comply with the section cited above in not having an annual medical assessment and appraisal needs and service for resident with dementia which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 11, 2024 inspection of GREEN FEATHERS ASSISTED LIVING?

This was a inspection inspection of GREEN FEATHERS ASSISTED LIVING on September 11, 2024. 3 citations were issued: 3 Type B.

Were any citations issued to GREEN FEATHERS ASSISTED LIVING on September 11, 2024?

Yes, 3 citations were issued (0 Type A, 3 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section cited above in having five(5) gallons of paint and pr..."

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.