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Inspection visit

Follow-up on corrections

COURTYARD PLAZALicense 1976035602 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Salia Walker conducted a Case Management - Deficiencies visit in conjunction with a complaint visit (Complaint Control #29-AS-20220124092223). LPA Walker met with Administrator Evelina Papazyan. The purpose of the visit is to issue citations for deficiencies observed during the complaint investigation. During the complaint investigation of complaint #29-AS-20220124092223, Investigator Santana observed the following deficiencies: The facility was aware that R1’s pressure injuries were worsening, but did not have a level of care meeting to discuss the change of condition with the resident, staff, and home health agency. R1’s Reappraisal was not updated to reflect the change of condition that R1’s pressure injuries were worsening and R1’s refusal to reposition self and follow the Home Health care plan. Citations issued, exit interview conduct, copy of report and appeal rights issued.

Citations

4 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.

  • 1569.312(a)Type A

    1569.312(a) Basic services requirements: Every facility required to be licensed under this chapter shall provide at least the following basic services: (a) Care and supervision as defined in Section 1569.2This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above, Licensee failed to coordinate care when R1’s pressure injuries worsened and R1 was not compliant with treatment, resulting in stage 3 pressure injuries, which posed an immediate health and safety risk to residents in care.

  • 87466Type A

    Observation of the Resident: The licensee shall ensure that residents are regularly observed for changes… and that appropriate assistance is provided when such observation reveals unmet needs…the licensee shall ensure…changes are documented and brought to the attention of the resident's physician…This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above. The facility failed to communicate R1’s worsening pressure injuries/wounds with R1’s physician which attributed to R1’s stage 3 pressure injuries while in care, which posed an immediate health and safety risk to residents in care.

  • 87463(a)(3)Type B

    Reappraisals(a)The pre-admission appraisal shall be updated...as frequently as necessary to note significant changes…(3) Any illness, injury…or change in the health care needs... specified in Sections 87455(c) or 87615, Prohibited Health Conditions.This requirement is not met as evidenced by: Based on records review and interviews, the licensee did not comply with the section cited above. Facility failed to update R1’s appraisal with change of condition when R1’s pressure injuries worsened, and R1 was not compliant with Home Health care plan, which posed a potential health and safety risk to residents in care.

  • 87463(c)Type B

    87463(c) Reappraisals(c):The licensee shall arrange a meeting with… a representative of the resident’s home health agency, if any, when there is significant change in the resident’s condition…This requirement is not met as evidenced by: Based on records review and interviews, the licensee did not comply with the section cited above. Facility failed to have a level of care meeting to discuss R1’s change of condition when R1’s pressure injuries were worsening, and R1 was not compliant with Home Health care plan, which posed a potential health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 24, 2022 inspection of COURTYARD PLAZA?

This was a other inspection of COURTYARD PLAZA on May 24, 2022. 2 citations were issued: 2 Type B.

Were any citations issued to COURTYARD PLAZA on May 24, 2022?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "1569.312(a) Basic services requirements: Every facility required to be licensed under this chapter shall provide at leas..."

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.