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Inspection visit

Follow-up

LILY OF THE VALLEYLicense 1976063414 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Angelica Arambulo conducted a case management visit in conjunction with complaint # 31-AS-20211005123059. During the review of documents of the complaint it was discovered that the following documents are not updated or submitted to licensing. Register of residents is not done. Staff schedule is not done reporting requirements of hospitalization's or death not submitted. The facility is cleared for only 1 hospice resident and there are 2. Mr. Rudy Espino states he is still working on this. Resident PRN medication was not documented and administrator does no recall what it was for. The stored medication and destruct log has not been updated since April 2021. Upon entry the staff does not wear a mask. Screening is just your temperature. No questions asked at entry. Any citation which has not been issued during todays visit shall be cited on LPA next visit. Citations issued, appeal rights given, exit interview conducted. The report shall be emailed to administrator.

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.

  • 87211A(1)(a)Type B

    Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement is not met as evidenced by record review and administrator admission that he never completes incident reports.

  • 87405(d)(3)Type B

    Administrator Qualifications:(d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply. (3) Ability to maintain or supervise the maintenance of financial and other records. This requirement is not met as evidence by records review and administrator admission to not follow requirements of maintaining records. Such as reporting requirements. each time a resident was hospitalized.

  • 87465(e)Type A

    Require physician order and label for PRN medication

    Incidental Medical and Dental (e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file, and a label on the medication. This requirement has not been met as evidence by The administrator could not locate the PRN for resident #1 antibiotics. Medication was no longer available.

  • 87508Type B

    Register of Residents(a) The licensee shall ensure that a current register of all residents in the facility is maintained and contains the following updated information: (b) Registers of residents shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. This requirement has not been met as evidence by a review of facility documents. The administrator did not know what the register was and did not have any updated documents.

FAQ · About this visit

Common questions about this visit

What happened during the October 6, 2021 inspection of LILY OF THE VALLEY?

This was an other inspection of LILY OF THE VALLEY on October 6, 2021. 4 citations were issued: 1 Type A (serious) and 3 Type B.

Were any citations issued to LILY OF THE VALLEY on October 6, 2021?

Yes, 4 citations were issued (1 Type A, 3 Type B). The first citation was for: "Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limit..."

What type of inspection was this?

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

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