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Inspection visit

Incident investigation

KENSINGTON AT WALNUT CREEK, THELicense 0792012411 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 04/24/2024 at 11:40 AM Licensing Program Analyst (LPA) Lori Alexander conducted an unannounced Case Management visit regarding an Unusual Incident Report (UIR) that was reported to CCLD on 03/03/2024. LPA met with Executive Director (ED), Joseph Villanueva , and explained the purpose of the visit. The incident report indicated that S1 gave another resident's medication to R1 in error while in training. The UIR indicated that the care staff notified R1's physician and family and that R1 was placed on 72 hours monitoring. The UIR indicated that S1 was provided additional training on the same day. In-service Training to be provided to all Medication Technicians LPA L. Alexander reviewed the documents pertinent to the incident report: R1's Physician's Report (LIC602A) In-Service Training Attendance Roster for "Med Errors"; ED stated that the training took place on 02/29/2024. The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided

Citations

2 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.

  • 87468.2(a)(4)Type A

    87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1,...(4) To care, supervision, and services...competency to meet their needs.

  • 87303(a)Type B

    87303 Maintenance and Operation(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidence by:Based on observation and interview the licensee failed to secure the windows and window screens in memory care which posed an immediate Health & Safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 24, 2024 inspection of KENSINGTON AT WALNUT CREEK, THE?

This was a other inspection of KENSINGTON AT WALNUT CREEK, THE on April 24, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to KENSINGTON AT WALNUT CREEK, THE on April 24, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in..."

What type of inspection was this?

This was a other inspection. other 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.