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Inspection visit

Complaint

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 unannounced at the facility unannounced to conduct an initial complaint investigation. LPA met with and explained the reason for the visit and the allegation with Administrator (AD) Sarah Dennis. During this visit, LPA also delivered investigatigation findings. On 5/25/25 around 4:00 AM, Staff S1 called for assistance because Resident R1 was being physically aggressive. S1 pulled R1 by the legs and then by the arms to move R1 away from R2 which caused R1 to sustain a skin tear on the right arm. Based on interviews conducted and staff statements reviewed, the preponderance of evidence standard has been met, therefore the above allegation is 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.

Citations

2 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.

  • 87309(a)Type B

    Ensure hazardous items are locked and not unattended

    87309 Storage Space and Access (a)Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances,... in locked storage and are not left unattended if outside the locked storage. This requirement was not met as evidenced by: Licensee did not ensure items which could pose danger to R1 were locked and inaccessible. Per Physicians Report, R1 is at risk is allowed access to Hygiene items. R2's report is blank on #14j of the Physician report. Shampo, hairspray, cleansing spray and peri wash were left unlocked and accessible to residents.

  • 87468.1(a)(3)Type A

    Protection from punishment and intimidation

    87468.1 Personal Rights... (a) Residents .....shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature... This requirement was not met as evidenced by: Licensee did not ensure R1's personal rights were met. S1 pulled R1 by the legs and then by the arms to move R1 away from R2 which caused R1 to sustain a skin tear on the right arm. This poses an immediate health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 28, 2025 inspection of KINGSTON BAY SENIOR LIVING?

This was a complaint inspection of KINGSTON BAY SENIOR LIVING on May 28, 2025. 1 citation were issued: 1 Type A (serious).

Were any citations issued to KINGSTON BAY SENIOR LIVING on May 28, 2025?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87309 Storage Space and Access (a)Except as specified in subsection (b), the licensee shall ensure that disinfectants, c..."

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.