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Inspection visit

Complaint

SEQUOIA GROVE ASSISTED LIVING, INCLicense 1072093233 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

CONT... Records reviewed indicated 2 of 2 residents were on hospice with Bright Horizons. Interview with Licensee indicate this is the hospice agency Licensee is “familiar with” and Licensee “has a preference to use this agency”. Licensee further indicated that 2 of 2 residents on hospice were with placed with another hospice agency and were switched over to Bright Horizons (Licensees preference). Interview statements indicate residents are not provided with the opportunity to select their preferred healthcare provider or that alternative options were given. The allegation staff did not allow resident to choose their own healthcare provider is SUBSTANTIATED. The preponderance of evidence standard has been met per California Code of Regulation, Title 22. The allegations listed above are SUBSTANTIATED. Deficiencies issued on attached 9099D. If not corrected, deficiencies will have a direct impact to residents in care. Exit interview conducted with Care Giver, Marisol. A plan of correction was provided by Care giver and Licensee via telephone and reviewed by LPA. A copy of this report, deficiencies and appeal rights provided.

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.

  • 87465(a)(5)(D)Type B

    87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility…(5)...Assistance with self-administered medications shall be limited to the following: (D) Assistance with self-administration does not include forcing a resident to take medication, hiding or camouflaging medications in other substances without the resident's knowledge and consent, or otherwise infringing upon a resident's right to refuse to take a medication. This requirement was not met as evidence by: records reviewed and interviews conducted. The licensee did not comply with the section cited above in that R1 did not have a prescription on file to place medications inside their food. Interviews disclosed R1 was forced to take medications without their consent. This poses a potential health safety and or personal rights risk to residents in care.

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  • 87468.1(a)(3)Type B

    Protection from punishment and intimidation

    87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement was not met as evidence by: interviews conducted. The licensee did not comply with the section cited above in that staff failed to maintain respectful interactions with R1 and forcing them to consume food with medication inside without R1’s approval. This poses a potential health safety and or personal rights risk to residents in care.

  • 87633(a)(3)Type B

    87633 Hospice Care of Terminally Ill Residents (a) The licensee shall be permitted to accept or retain residents who have been diagnosed as terminally ill…when all of the following conditions are met: (3) Hospice agency services are contracted for by each terminally ill resident…not by the licensee on behalf of a resident or prospective resident. These hospice agency services must be provided by a hospice agency both licensed by the state and certified by the federal Medicare program. This requirement was not met as evidence by: records reviewed and interviews conducted. The licensee did not comply with the section cited above in that 2 of 2 residents receiving hospice care were changed from their original agency selection to the licensee’s "preferred agency". This poses a potential health safety and or personal rights risk to residents in care.

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FAQ · About this visit

Common questions about this visit

What happened during the February 14, 2026 inspection of SEQUOIA GROVE ASSISTED LIVING, INC?

This was a complaint inspection of SEQUOIA GROVE ASSISTED LIVING, INC on February 14, 2026. 3 citations were issued: 3 Type B.

Were any citations issued to SEQUOIA GROVE ASSISTED LIVING, INC on February 14, 2026?

Yes, 3 citations were issued (0 Type A, 3 Type B). The first citation was for: "87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each fa..."

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.