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Inspection visit

Follow-up on corrections

COPPER RIVER RETIREMENT GROUPLicense 1072068112 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 1/14/22 at 2:35 PM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct a case management - deficiencies inspection. LPA explained reason for inspection and was granted entry. Licensee (LIC) Shay Dustin arrived a short time later. S1 and S2 are not fingerprint cleared. Both S1 and S2 have been working in the facility since 9/6/21. During the complaint investigation #24-AS-20211026095919, LPA found that Licensee did not immediately provide a copy of the admission agreement to R1 and R1's responsible party upon signing the admission agreement. Licensee admitted she did not provide a copy to R1 or R1's responsible party immediately upon signing the admission agreement and stated she provided the copy of the admission agreement the following day to staff to give to R1 and R1's responsible party. Deficiencies are being cited based on LPA observations, interviews conducted, and records review in accordance with the California Code of Regulations, Title 22, see LIC9909D. Exit interview conducted. Due to COVID-19 precautionary measures, a copy of this report and appeal rights were emailed to email on record with "Read receipt" to confirm receipt of this report. LPA confirmed email on record is correct with Licensee.

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.

  • Limit staff assistance with self-administered drugs

    87465 Incidental Medical and Dental Care (a) (a) A plan for incidental medical and dental care shall be developed by each facility...(5) The licensee shall assist residents with self-administered medications as needed.This requirement is not met as evidenced by: R1's physician report did not order for R1's medication to be crushed or placed in R1's food. This poses a potential health, safety, or personal rights risk to residents in care.

  • 87507(f)Type B

    Comply with all admission agreement terms

    87507 Admission Agreements (f) The licensee shall comply with all applicable terms and conditions set forth in the admission agreement, including all modifications and attachments.This requirement was not met as evidenced by: According to R1's admission agreement section VI(A)(1)(b)(2), since R1 left the facility during the first month of residency, R1 is entitled to 80% of the preadmission fee. This poses a potential personal rights risk to residents in care.

  • 87355(d)Type A

    87355 Criminal Record Clearance (d) All individuals subject to criminal record review shall be fingerprinted and sign a Criminal Record Statement (LIC 508 [Rev. 1/03]) under penalty of perjury.This requirement is not met as evidenced by: S1 and S2 are not fingerprint cleared. Both S1 and S2 have been working in the facility since 9/6/21. This poses an immediate health, safety, and personal rights risk to residents in care.

  • 87507(e)Type B

    Provide copies of signed agreements and amendments

    87507 Admission agreements (e) The licensee shall provide a copy of the signed and dated current admission agreement...immediately upon signing the admission agreement or modification...This requirement is not met as evidenced by: During the complaint investigation #24-AS-20211026095919, LPA found that Licensee did not immediately provide a copy of the admission agreement to R1 and R1's responsible party upon signing the admission agreement. Licensee admitted she did not provide a copy to R1 or R1's responsible party immediately upon signing the admission agreement and stated she provided the copy of the admission agreement the following day to staff to give to R1 and R1's responsible party. This poses a potential personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 14, 2022 inspection of COPPER RIVER RETIREMENT GROUP?

This was an other inspection of COPPER RIVER RETIREMENT GROUP on January 14, 2022. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to COPPER RIVER RETIREMENT GROUP on January 14, 2022?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "87465 Incidental Medical and Dental Care (a) (a) A plan for incidental medical and dental care shall be developed by eac..."

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.