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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 unannounced at the facility unannounced to conduct a Case Management - Health & Safety Inspection in conjunction with a complaint visit ( Complaint Control Number 24-AS-20250527121130). LPA met with and explained the reason for the visit with Administrator (AD) Sarah Dennis. During the visit, LPA met with Memory Care Director (MCD) Frankie Tamayo and Director of Nursing (DON) Jami Young, LVN in Memory Care. LPA observed residents sitting at tables and on couches in common areas. During a tour, LPA randomly selected multiple resident rooms to enter and observe. Resident rooms were clean and properly furnished. Resident bathroom sinks delivered hot water measuring between 106-109 degrees F. The laundry room was locked from the main hallway which is where extra bedding, towels and resident hygiene supplies are stored. Memory Care has a small kitchen accessible through a door which was locked to the main area. Food is delivered hot for each meal from the main kitchen and served to residents. The kitchen was clean and did not contain any sharps or knives. There is an office area which leads to the medication room which is locked. Medications are stored in a medication cart in the med room with resident files. First aid kits contain required items. Fire extinguishers were serviced by Midstate on 3/19/25. Doors and passageways are unobstructed throughout the facility including outdoors. 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 DON.

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.

  • 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 an other inspection of KINGSTON BAY SENIOR LIVING on May 28, 2025. 1 citation were issued: 1 Type B.

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

Yes, 1 citation was issued (0 Type A, 1 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 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.