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Inspection visit

Follow-up on corrections

AUTUMN RIDGE ASSISTED LIVINGLicense 1072094921 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 05/09/25, Licensing Program Analyst (LPA) M. Yang conducted an unannounced case management deficiency inspection regarding incident reports that received from the facility. LPA met with Administrator Karen Dhaliwal and Licensed Vocational Nurse Diane Cramer. The purpose of the today's visit is to address a medication error. Facility reported medication checked was completed on 04/18/25 at 10:00PM, S1 inadvertently administered R1’s medication Hydrocodone-Acetaminophen 5mg-325mg to R2 on 04/18/15 at approximately 08:41PM. On 04/18/25 at approximately 03:30PM, S1 inadvertently administered R3’s medication Oxycodone-Acetaminophen 10mg-325mg to R4. A deficiency is being cited, per California Code of Regulations, Title 22, Division 6, see attached Lic 809D. A civil penalty is being assessed see attached Lic 421IM. Exit Interview conducted. A copy of this report and appeal rights was provided to Administrator, whose signature confirms receipt of this report.

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.

  • Store centrally held medications in locked secure place

    87465(h)(2) Centrally stored medicines shall be kept in a safe and locked place... not accessible to persons other than employees...This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above when LPA toured the facility at approximately 10:27AM, observed one medication tablet on bedside tablet next to the resident unlock which poses an immediate health, safety or personal rights risk to person in care.

  • Give PRN medication by physician order

    87465 (c)(2) Once ordered by the physician the medication is given according to the physician's directions.This requirement was not met as evidenced by: Based on interviews and records review, at approximately 03:30PM, S1 administered medication oxycodone-acetaminophen 10mg-325mg prescribed for R3 to R4 and at approximately 08:41PM, S1 administered medication hydrocodone-acetaminophen 5mg-325mg prescribed for R1 to R2, which poses an immediate health and safety risks to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 9, 2025 inspection of AUTUMN RIDGE ASSISTED LIVING?

This was an other inspection of AUTUMN RIDGE ASSISTED LIVING on May 9, 2025. 1 citation were issued: 1 Type A (serious).

Were any citations issued to AUTUMN RIDGE ASSISTED LIVING on May 9, 2025?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87465(h)(2) Centrally stored medicines shall be kept in a safe and locked place... not accessible to persons other than ..."

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.