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Inspection visit

complaint

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

Inspector’s narrative

What the inspector wrote

Allegation: Staff mismanaged residents medication. Substantiated. On 01/17/2024 LPA spoke with RP that stated that a "pink pill' was pushed on R1. Interview with R1 revealed that on this particular day "a pink" pill was being administered to them and they asked S2 what was the pill. R1 stated that S2 said the pill was the same pill but there was a "different manufacturer". R1 stated that they did not refuse to take the pill. RP stated later R1 found out the "pink pill" was a thyroid medication. On 08/07/2024 LPA interviewed S4 that stated R1 was not on any type of thyroid pill and that R1 was on many different kinds of medications. LPA reviewed MAR for Sept 2023 and observed R1 was not given insulin Lispro injection for multiple days. There was no documentation explaining those dates R1 missed insulin Lispro injections. Based on LPA's information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED . California Code of Regulations, Title 22, are being cited on the attached LIC9099D. Exit interview conducted. A copy of this report and appeal rights provided. Allegation: Staff does not keep an accurate medication log. Unsubstantiated. LPA reviewed Centrally Stored Medication Log and observed that R1 has all medications documented with name of medication, prescription date, number of refills, etc. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview conducted, a copy of this report provided.

Citations

7 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.

  • 1569.625(b)(2)Type B

    Based on record review, the licensee did not comply with the section cited above by not having current annual training for S6 and S7 which poses a potential health and safety risk to persons in care.

  • 1569.695(c)Type B

    Based on record review, the licensee did not comply with the section cited above by not completing quarterly drills which poses a potential health and safety risk to persons in care.

  • 87411(f)Type B

    Based on record review, the licensee did not comply with the section cited above by not having health screening and TB test for S6 which poses a potential health and safety risk to persons in care.

  • 87458(b)(1)Type B

    Based on record review, the licensee did not comply with the section cited above by not having TB test for R4 which poses a potential health and safety risk to persons in care.

  • 87464(f)(4)Type B

    (f) Basic services shall at a minimum include: (4) Personal assistance and care as needed by the resident...with those activities of daily living such ...assistance with taking prescribed medications.This requirement was not met as evidenced by: Based on investigation, licensee did not comply with the section cited above by not administering medication according to doctor's orders which poses a potential health and safety risk to the persons in care.

  • 87629(b)(1)Type B

    Injections. Ensuring that injections are administered by an appropriately skilled professional should the resident require assistance. This requirement is not met as evidence by: Based on investigation, licensee did not comply with section cited above by having a staff inject insulin for R1 which poses a potential health and safety risk to the persons in care.

  • 87707(c)(5)Type B

    Based on record review, the licensee did not comply with the section cited above not having current medical assessments for three residents which poses a potential health and safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 7, 2024 inspection of KENSINGTON AT WALNUT CREEK, THE?

This was a complaint inspection of KENSINGTON AT WALNUT CREEK, THE on August 7, 2024. 1 citation were issued: 1 Type B.

Were any citations issued to KENSINGTON AT WALNUT CREEK, THE on August 7, 2024?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Based on record review, the licensee did not comply with the section cited above by not having current annual training f..."

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.