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Inspection visit

Health check

KINGSTON BAY SENIOR LIVINGLicense 1072069391 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Katie Brown arrived at the facility unannounced to deliver Case Management – Health Checks findings. The initial Case Management visit was conducted on 8/12/24. LPA met with and explained the reason for the visit with Administrator (AD) Rob Huntley. A case management - Health Checks was conducted in conjunction with complaint control number 24-AS-20240404121910. Interviews and record review confirm that the facility was aware of the intimate relationship between Residents (R1) and R2. Precautions were not put in place to ensure the safety of R1. R1 has a diagnosis of Dementia. A deficiency is being cited in accordance with California Code of Regulations on the attached LIC 9099-D in the area of Basic Services and Reporting Requirements. An Immediate Civil penalty is assessed on the attached LIC421IM for Repeat Violation of absence of care and supervision. 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.

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.

  • 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.

  • 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.

  • 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 an other inspection of KINGSTON BAY SENIOR LIVING on September 6, 2024. 1 citation were issued: 1 Type A (serious).

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

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87705 Care of Persons with Dementia (g)As required residents with dementia shall be allowed to keep personal grooming an..."

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.