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Inspection visit

Follow-up on corrections

INN AT THE PARK VENTURALicense 1958503395 citations on this visit
5 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analysts (LPA) Brian Balisi conducted an unannounced Case Management - Deficiencies visit in conjunction with a complaint visit (Complaint control # 29-AS-20240306081830). The purpose of this visit is to issue citations for deficiencies observed during the complaint investigation which were not related to the complaint. Upon arrival LPA met with Rose Anguiano and explained the reason for the visit. During the Department’s investigation, the following deficiencies were observed: On 01/21/2024, at approximately 5:41 p.m., Resident #1 (R1) presented to the emergency department for abdominal pain. The records noted R1 had three days of abdominal pain and diarrhea. On 01/30/2024, the clinical update noted R1 tested positive for C. difficile colitis (C-diff). On 01/31/2024, R1 was discharged from the hospital to the facility with a new medication of Vancomycin to treat the C-diff infection. A review of the facility Medication Assistance Record (MARs) revealed no indication the new prescription for Vancomycin was administered as directed by the hospital. The facility did not submit a Special Incident Report (SIR) to Community Care Licensing (CCL) to notify that R1 tested positive for C. difficile colitis (C-diff). Additionally, the facility did not submit an exception request for a prohibited health condition, when R1 tested positive for C. difficile colitis (C-diff). R1’s Needs and Services Plan dated 12/26/2023 was not updated to reflect R1’s change in condition and develop a plan of care to meet R1’s needs. Based on the numerous deficiencies noted during the course of the investigation of complaint 29-AS-20240306081830, the administrator did not demonstrate knowledge of the requirements of Title 22 Regulations, including care and supervision of residents. Citations issued, exit interview conducted and , appeal rights given.

Citations

8 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(g)Type A

    (g) 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…This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above. Facility staff did not seek timely medical care when R1 had C-diff and recurring symptoms, which posed an immediate health and safety risk to residents in care.

  • 87466Type A

    The licensee shall ensure that residents are regularly observed for changes…or a physical health condition are observed, the licensee shall ensure... resident's physician and the resident's responsible person…This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above. Facility staff did not notify R1’s representative or physician when R1 had a change in physical health condition, which posed an immediate health and safety risk to residents in care.

  • 87470(b)(2)(C)Type A

    (b) In addition to subsection (a), when one or more residents…. Are diagnosed with a contagious disease, the following shall apply:...are trained in the proper use of all required PPE... quarantine or isolation, from others.This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above. The facility failed to provide the staff training regarding how to care and monitor the resident with a C-diff infection, which posed an immediate health and safety risk to residents in care.

  • 87211(a)(1)(B)Type B

    (a)Each licensee shall furnish to the licensing agency such reports...Any serious injury as determined... by the attending physician and occurring while the resident is under facility supervision.This requirement is not met as evidenced by: Based on records review, the licensee did not comply with the section cited above. Licensee did not submit an incident report when R1 tested positive for C. difficile colitis (C-diff), which posed a potential health and safety risk to residents in care.

  • 87405(d)(1)(2)Type B

    (d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7)... (2) Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement is not met as evidenced by: Based on records review and interviews, the licensee did not comply with the section cited above. The administrator did not demonstrate knowledge of the requirements of Title 22 Regulations, which posed a potential health and safety risk to residents in care.

  • 87463(a)(3)Type B

    The pre-admission appraisal shall be updated, in writing as frequently as necessary ...(3)Any illness... that results in a circumstance or condition specified in... Prohibited Health Conditions.This requirement is not met as evidenced by: Based on records review, the licensee did not comply with the section cited above. Licensee did not update R1’s needs and services plan to reflect R1’s change in condition and develop a plan of care to meet R1’s needs, which posed a potential health and safety risk to residents in care.

  • 87465(a)(4)Type A

    (a) A plan for incidental medical and dental care shall be developed by each facility...(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on records review, the licensee did not comply with section cited above as the Medication Assistance Record (MAR) revealed no indication that Vancomycin was administered as prescribed which posed an immediate health and safety risk to residents in care.

  • 87615(a)(4)Type A

    (a) Persons who require health services... shall not be admitted or retained in a residential care facility for the elderly: (4) Staphylococcus aureus ("staph") infection or other serious infection. This requirement is not met as evidenced by: Based on records review, the licensee did not comply with the section cited above. Licensee did not submit an exception request for a prohibited health condition when R1 tested positive for C. difficile colitis (C-diff), which posed an immediate health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the November 21, 2024 inspection of INN AT THE PARK VENTURA?

This was a other inspection of INN AT THE PARK VENTURA on November 21, 2024. 5 citations were issued: 2 Type A (serious) and 3 Type B.

Were any citations issued to INN AT THE PARK VENTURA on November 21, 2024?

Yes, 5 citations were issued (2 Type A, 3 Type B). The first citation was for: "(g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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.