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Inspection visit

Complaint

SIERRA PALACE FOR THE ELDERLYLicense 1072065603 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

The Department conducted interviews and reviewed records. Based on interviews conducted with Regional Center and facility staff, facility failed to intervene in a physical altercation between R1 and R2, which resulted in R1 getting a black eye, missing teeth, and injury to his right arm. Records and Regional’s Center’s corrective action plan were also reviewed and supported that the facility failed to seek medical attention for R1 after the altercation and the incident was not reported to the Department until after regional center was made aware of the incident. The preponderance of evidence standard has been met, therefore, the above allegations are substantiated. Per Title 22, the following deficiencies are being cited on the attached 9099D. Plan of correction discussed. Appeal rights given. Exit interview completed.

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.

  • Report specified resident events within seven days

    87211(a)(1) Reporting Requirements A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This requirement was not met as evidence by: Based on records reviewed, the facility failed to submit an incident report of the altercation between R1 and R2 or of R1’s injuries until after the Department was notified by Regional Center, which poses a potential health and safety risk to the residents in care.

  • 87411(a)Type A

    Facility personnel sufficiency and competence

    87411(a) Personnel Requirements - GeneralFacility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by: Based on interviews conducted and records reviewed, the facility failed to intervened in a physical altercation between R1 and R2 that resulted in R1 getting a black eye, four missing teeth, and injury to his right arm. This poses an immediate health and safety risk to the clients in care.

  • 87466Type B

    Regular observation and documentation of resident changes

    87466 Observation of the ResidentThe licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. This requirement was not met as evidenced by: Based on records reviewed and interviews conducted, facility failed to seek medical attention for R1 after a physical altercation with another resident, which poses a potential health and safety risk to the residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 19, 2022 inspection of SIERRA PALACE FOR THE ELDERLY?

This was a complaint inspection of SIERRA PALACE FOR THE ELDERLY on May 19, 2022. 3 citations were issued: 1 Type A (serious) and 2 Type B.

Were any citations issued to SIERRA PALACE FOR THE ELDERLY on May 19, 2022?

Yes, 3 citations were issued (1 Type A, 2 Type B). The first citation was for: "87211(a)(1) Reporting Requirements A written report shall be submitted to the licensing agency and to the..."

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.

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