Skip to main content
ReadyRule homepageReadyRule

Inspection visit

Routine inspection

KINGSTON BAY SENIOR LIVINGLicense 1072069394 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Katie Brown arrived unannounced to conduct the Annual Inspection. LPA met with and explained the reason for the visit with Administrator (AD) Rob Huntley. During this visit, LPA toured the facility inside & out. Resident apartments contained required furnishings and lighting. The bathrooms were found to be clean and in good repair with faucets delivering hot water within required temperature. LPA observed required hygiene items, towels, extra bedding, and linens which were stored and available for use. The kitchen was clean, with necessary items and appliances. LPA observed required food supply and paper product storage. Cleaning/disinfecting supplies, knives and sharps are inaccessible to residents and stored separate from food. Medications are locked and centrally stored in medication carts. Medication rooms were locked when not in use. Common and activity areas were clean and occupied by residents throughout. Snack and water stations were available and observed to be well maintained. There are visitation areas available inside and out. Doors and passageways are unobstructed throughout the facility. The Fire extinguishers were 3/28/24 by Midstate Fire Co. A fire inspection was conducted by Fresno fire on 4/11/24. LPA conducted staff and resident file reviews. Deficiencies are being cited in accordance with California Code of Regulations on the attached LIC 809-D in the areas of: Administrator - Qualifications and Duties, Oxygen Administration, Hospice Care and Resident Records. An exit interview was conducted and Plan of Correction (POC) developed. A copy of this report was signed by AD and Appeal Rights were provided. LPA requested the following updated forms faxed to CCLD by 7/11/2024: Designation of Facility Responsibility (Lic308), Administrative Organization (Lic309), Affidavit Regarding Client/Resident Cash Resources (LIC 400), Emergency Disaster Plan (LIC610E), Client Roster (LIC 9020), Proof of current Liability Coverage and Infection Control Plan.

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.

  • 87405(a)Type B

    Certified administrator requirements and substitute coverage

    Based on interview and record review, the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care. AD's Administrator Certification is not current. The certificate expired 5/31/24. Required renewal documents has not been submitted for recertification.

  • 87458(b)(1)Type B

    Based on interview and record review, the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care. Resident (R4) Physician Report (PR) has not been updated as required. R4 is also Diabetic. The PR states that R4 cannot Administer Glucose testing or insulin injections. R4 has orders for both.

  • 87633(d)Type B

    Based on record review, the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care. Residents R1 and R3 do not have a current (certification period) Hospice Plan of Care maintained in their files.

  • 87618(a)(1)Type B

    Based on [(observation and record review, the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care. Resident (R2) stated to LPA and AD to be having trouble breathing. The oxygen was on and the tubing was on the floor. R2 thought the oxygen was off. Physician Report states R2 cannot self administer Oxygen. R2 resides in memory care.

FAQ · About this visit

Common questions about this visit

What happened during the June 11, 2024 inspection of KINGSTON BAY SENIOR LIVING?

This was an inspection of KINGSTON BAY SENIOR LIVING on June 11, 2024. 4 citations were issued: 4 Type B.

Were any citations issued to KINGSTON BAY SENIOR LIVING on June 11, 2024?

Yes, 4 citations were issued (0 Type A, 4 Type B). The first citation was for: "Based on interview and record review, the licensee did not comply with the section cited above, which poses/posed a pote..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

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