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Inspection visit

Complaint

KINGSTON BAY SENIOR LIVINGLicense 1072069392 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

The Department investigated the allegation: Staff does not ensure cleaning and hygiene products are inaccessible to residents . On 8/12/24, resident hygiene products were observed in cabinets that were damaged or unlocked as well as body wash, shampoo, conditioner and mouth wash on the bathroom counters of residents in Memory Care with Dementia. On 9/7/24 conditioner was on the bathroom counter of R7 whose Physicians Report states cannot have access to hygiene and cleaning supplies. The preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . A deficiency is being cited in accordance with California Code of Regulations on the attached LIC 9099-D. An exit interview was conducted and Plan of Correction was developed. A copy of this report and Appeal Rights were discussed and left with AD, whose signature on this form confirms receipt of these documents. note contradicting levels of staff assistance for eating. Other activities of daily living note extensive staff assistance required. The facility does not keep records of liquid intake, so it is unable to be determined R1’s fluid before and after hospitalization. Based on interview and record review the above allegations are UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur. There were no citations issued. An exit interview was conducted and a copy of this report was left with AD, whose signature confirms receipt of these documents.

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.

  • 87303(a)Type B

    Maintain facility in clean, safe, sanitary condition

    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 was not met as evidenced by: Licensee did not ensure that R5's bed linens were clean. Dry brown smears were observed on the sheets and floor. A damaged nightstand was observed ias well as damaged bathroom door frame in R7's room. This poses a potential health and safety risk to persons in care.

  • 87705(g)(1)Type B

    87705 Care of Persons with Dementia (g)As required residents with dementia shall be allowed to keep personal grooming and hygiene items,. unless there is evidence… (1) Evidence means documentation from the resident’s physician... This requirement was not met as evidenced by: Licensee did not ensure hygiene supplies were inaccessable to residents. On 8/12/24 shampoo, conditioner, moulth wash were accessible in the bathrooms of R3 and R7. 9/5/25, conditioner was accessable in the bathroom of R7. R7's Physicians Report says R7 is at risk if accessible.

  • 87464(f)(1)Type A

    Care and supervision as defined by statute and rules

    87464 Basic Services (f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c).This requirement was not met as evidenced by: Licensee did not ensure R1's physical health, mental health, safety, or welfare once aware of the intimate sexual relationship between R1 and R2. The facility did not prevent multiple incidents of inappropriate interactions between R1 and R2. This poses an immediate health and safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 6, 2024 inspection of KINGSTON BAY SENIOR LIVING?

This was a complaint inspection of KINGSTON BAY SENIOR LIVING on September 6, 2024. 2 citations were issued: 2 Type B.

Were any citations issued to KINGSTON BAY SENIOR LIVING on September 6, 2024?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "87303 Maintenance and Operation (a)The facility shall be clean, safe, sanitary and in good repair at all times. Mainten..."

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.