Inspection visit

ComplaintJanuary 24, 2023

MAGNOLIA PLACELicense 1572089405 citations on this visit

5 citations recorded

Inspector’s narrative

What the inspector wrote

(Continued from 9099) Interviews and records review evidence that R1 required care and supervision for incontinence care that was not provided by staff due to resident's refusal and cognitive mental state at the time. R1 was left soiled for several hours, on more than one occasion, while facility waited for assistance from R1's family. Records review and interviews evidence R1 did not have the initial personal property inventory list LIC621 , which is required at the time of admission. R1's walker was missing and a sheet set for R1's bed was also missing. Interviews evidence R1 was sent out to the hospital, with their lower body wrapped in only a sheet. R1 had no under garments on under the sheet, resulting in R1 being naked and possibly exposed. Based on the: LPA’s records review, interviews and observation, the preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies are being cited on the attached 9099-D. If not corrected, the violation will have a direct and immediate risk to the health and safety, or personal rights of resident's in care. In accordance with the California Code of Regulations, Title 22. An immediate civil penalty in the amount of $500 is being assessed in the amount of $500. An exit interview was conducted with Administrator. A plan of correction was developed by Administrator and reviewed with LPA. A copy of this report and appeal rights were discussed and provided at the time of visit.

Citations

5 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.

1569.49(c)(1)Type A
§1569.49 Civil penalties(c) The department shall assess an immediate civil penalty of five hundred dollars ($500) per violation and one hundred dollars ($100) for each day the violation continues after citation for any of the following serious violations:(1) Any violation that the department determines resulted in the injury or illness of a resident. This requirement was not met as evidenced by LPAs review of hospital and facility records evidencing R1 was not receiving the required blood sugar readings and or insulin injection per the physician's orders, resulting in hospitalization on two occasions. This poses a direct and immediate risk to the health and safety, or personal rights of resident's in care. A civil penalty in the amount of $500 is being assessed. This poses a direct and immediate risk to the health and safety, or personal rights of resident's in care.
Read full inspector narrative
87218(a)Type B
87218 Theft and Loss(a) The licensee shall ensure an adequate theft and loss program as specified in Health and Safety Code Section 1569.153 (1) The initial personal property inventory shall be completed by the licensee, and the resident, or the resident’s representative.
87468.1(a)(1)Type A
Dignity in personal relationships
(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by LPAs observation of pictures, records review and interviews. R1's hands/arms were held while staff were attempting to assist in daily living needs. This poses an immediate risk to resident's in care.
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..., This requirement was not met as evidenced by LPA's interviews with staff and reporting party that resident was sent to hospital via EMS with only a sheet (naked) wrapped around their lower body.
87625(b)(3)Type B
Maintain cleanliness and prevent incontinence odors
(b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following:(3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement was not met aas evidenced by LPAs interviews and records review that incontinence care was not provided by staff due to resident's refusal and cognitive mental state at the time. R1 was left soiled for several hours, on more than one occasion, while facility waited for assistance from R1's family.

FAQ · About this visit

Common questions about this visit

What happened during the January 24, 2023 inspection of MAGNOLIA PLACE?

This was a complaint inspection of MAGNOLIA PLACE on January 24, 2023. 5 citations were issued: 2 Type A (serious) and 3 Type B.

Were any citations issued to MAGNOLIA PLACE on January 24, 2023?

Yes, 5 citations were issued (2 Type A, 3 Type B). The first citation was for: "§1569.49 Civil penalties(c) The department shall assess an immediate civil penalty of five hundred dollars ($500) per vi..."

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 CCLD View original report

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CCLD public records. Last updated June 8, 2026. If you believe any information is inaccurate, report it here.

Complaint·January 24, 2023