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Inspection visit

complaint

NOHO ASSISTED LIVING, INCLicense 1958501761 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

for their hearty appetite. After lunch, Resident #1 was changed by caregiver and they were observed breathing heavily despite being on oxygen and the Administrator was advised. The Administrator notified the family that the resident did not have an appetite and also contacted Resident #1's doctor around 1 or 1:15pm to notify the doctor about Resident #1's heavy breathing. Per the doctor's instructions, the Administrator was told to increase Resident's oxygen level from 2 liters per minute to 4 liters per minute. Resident continued to have difficulty breathing even after increasing the oxygen level. Emergency services was not contacted until later in the afternoon when the resident's ability to breath became rapidly more difficult. The Administrator was guided by 911 personnel to perform cardiopulmonary resuscitation until the paramedics arrived at the facility to take over. Per the Administrator, this is the first time that she encountered a situation like this and she thought she was doing the right thing by contacting the resident's doctor for instructions and notifying the family, instead of calling 911 immediately. Based on the information received from the interviews conducted, there is sufficient evidence to support the allegation that facility staff did not seek timely medical attention for resident. Therefore, the allegation is substantiated at this time. Deficiency cited under California Code of Regulations, Title 22, Division 6, Chapter 8 Exit interview was conducted, Appeals Rights discussed and a copy was 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.

  • 87618(b)(3)(A)Type B

    Oxygen Administration - Gas and Liquid: In addition to Section 87611(b), the licensee shall be responsible for the following: Ensuring that the use of oxygen equipment meets the following requirements: A report shall be made in writing to the local fire jurisdiction that oxygen is in use at the facility. This requirement was not as evidenced by: Resident #1 uses oxygen and it was not reported to the local fire department as of today's visit

  • 87632(d)(2)Type B

    Hospice Care Waiver: If the Department grants a hospice care waiver it shall stipulate terms and conditions of the waiver as necessary to ensure the well-being of terminally ill residents and of all other facility residents, which shall include, but not be limited to, the following requirements: The licensee shall notify the Department in writing within five working days of the initiation of hospice care services for any terminally ill resident in the facility or within five working days of admitting a resident already receiving hospice care services. The notice shall include the resident's name and date of admission to the facility and the name and address of the hospice. Resident #1 was receiving hospice services begining 11/8/24 and it was not reported to the Department

  • 87465(g)Type A

    Incidental Medical and Dental Care: The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis except as specified in Sections 87469(c)(2), (c)(3), or (c)(4). This requirement was not met as evidenced by: Resident #1 was observed having difficulty breathing before lunch and the staff did not call 911 services until the late afternoon when the resident's ability to breathe rapidly declined.

FAQ · About this visit

Common questions about this visit

What happened during the November 18, 2024 inspection of NOHO ASSISTED LIVING, INC?

This was a complaint inspection of NOHO ASSISTED LIVING, INC on November 18, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to NOHO ASSISTED LIVING, INC on November 18, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "Oxygen Administration - Gas and Liquid: In addition to Section 87611(b), the licensee shall be responsible for the follo..."

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.