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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 to conduct a subsequent complaint visit. LPA met with and explained the reason for the visit with Director of Nursing (DON) Jami Young, LVN. During this visit, LPA interviewed DON, obtained documents and delivered investigation findings. This Department investigated the allegation above. Interview and documentation provided by the facility confirm that Staff (S1) admitted that inappropriate interaction occurred in the presence of R1. 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 DON, Jami Young, LVN.

Citations

1 citation 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.

  • 87468.1(a)(1)Type B

    Dignity in personal relationships

    Personal Rights of Residents in All Facilities 87468.1 (a) Residents in all residential care facilities... (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by Licensee did not ensure R1 was accorded dignity in their personal relationships with staff. After R1 reported to DON, S1 admitted to an inappropriate interaction of body exposure to R1 during care. This poses a potential health and safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the December 12, 2025 inspection of KINGSTON BAY SENIOR LIVING?

This was a complaint inspection of KINGSTON BAY SENIOR LIVING on December 12, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to KINGSTON BAY SENIOR LIVING on December 12, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Personal Rights of Residents in All Facilities 87468.1 (a) Residents in all residential care facilities... (1) To be acc..."

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.