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Inspection visit

Complaint

RIVERSTONE TERRACE SENIOR LIVING MEMORY CARELicense 1572041311 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 01/14/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to delivered complaint findings on the above allegation. LPA introduced self, stated the purpose of the visit and met with Administrator Douglas Rice. The department conducted investigation. Based on the records reviewed and interviews conducted, on 04/20/2024, at approximately 1140 hours, R1 sustained a fall and S1 found her on the floor next to her bed. Facility staff failed to abide by the discharge instructions. Staff also failed to contact emergency medical services until approximately 1956 hours, upon R1’s daughter’s request. Therefore, the preponderance of evidence standard has been met, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, are being cited on the attached LIC 9099D. An exit interview was conducted. A copy of this report and appeal rights was provided to the Administrator, whose signature on this form 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.

  • Obtain required California clearance or exemption

    87355(e)(2) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c)This requirement is not met as evidenced by: During course of a complaint investigation for complaint 24-AS-20240911151955, it was found that S1, S2, S3, S4, and S5 were not associated to the facility which poses an immediate risk to the health and safety of the residents.

  • Resident care and supervision skills

    87411(d)(3) Personnel Requirements - General Skill and knowledge required to provide necessary resident care and supervision…This requirement was not met as evidence by: Based on records review and interviews conducted, R1 sustained a fall and S1 found R1 next the resident’s bed. Staff failed to abide by the discharge instructions. Staff failed to contact emergency medical services until R1’s daughter instructions 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 January 14, 2025 inspection of RIVERSTONE TERRACE SENIOR LIVING MEMORY CARE?

This was a complaint inspection of RIVERSTONE TERRACE SENIOR LIVING MEMORY CARE on January 14, 2025. 1 citation were issued: 1 Type A (serious).

Were any citations issued to RIVERSTONE TERRACE SENIOR LIVING MEMORY CARE on January 14, 2025?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87355(e)(2) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) sh..."

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.

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.