Complaint·January 9, 2025

Citations

6 citations recorded^*CCLD

• 1569.619(c)(2)Type B

  1569.618 Administration and management of residential care facilities; substituted qualifications; employee scheduling (c) The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (2) Ensure the health, safety, comfort, and supervision of the residents. This requirement was not met as evidence by: interviews conducted. Interviews indicated staff did not prevent R2 from going into R1’s bedroom and physically attacking R1. This poses a potential health, safety and or personal rights risk to residents in care.

• 87211(a)(1)(D)Type B

  87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case.(D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidence by: interviews conducted and review of SIR’s. Interview with staff indicated an incident with R1 and R2 in a physical altercation. Review of SIR’s did not show the facility reported this incident to CCL or other appropriate parties. This poses a potential health, safety and or personal right risk to residents in care.

  Read full inspector narrative
• 87468.2(a)(4)Type B

  Right to sufficient care and qualified staff

  87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement was not met as evidence by: LPA observation and interviews conducted. Observation of S1 and S2 utilizing a translation device to communicate with residents, visitors and other staff.

• 87303(h)Type A

  87303 Maintenance and Operation(h)... Open-flame lights shall not be used. This requirement was not met as evidence by: LPA observation of candles previously used at the facility.

• 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, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement was not met as evidence by: Chemicals, medication and items that pose a danger to residents in care observed in unlocked garage accessible to residents.

• 87555(a)Type A

  Diet quality and preparation in safe healthful manner

  87555 General Food Service Requirements(a) The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared and served in a safe and healthful manner. This requirement was not met as evidence by: LPA observation of food stored in the facility was not of the quantity for the residents in care. This poses an immediate health, safety and or personal rights risk to residents in care.