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Inspection visit

complaint

COGSWELL GARDEN HOMELicense 1976063471 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

of a PKU diet, but once Regional Center told them they implemented it. Interview with Client C 1 who stated he gets all his meals and is aware that he needs to be on a PKU diet. It should be noted that San Gabriel Pomona Regional Center on Corrective Action Plan 01/22/24 had substantiated findings. Review of files for C1 and C2 noted that they have PKU and needed to be on a special diet. In regards to the allegation Staff did not implement the IPP for residents , based on interviews conducted and information gathered, Administrator stated that she did not implement what was in the Initial Program Plan (IPP) in which the information was included in the IPP Risk Section for the reports written for 2016, 2019 and 2022. Interview with Staff S 1 who confirmed that they did not implement what was in Client C1 and C2's Initial Program Plan (IPP). It should be noted that San Gabriel Pomona Regional Center Corrective Action Plan 01/22/24 had substantiated findings. In regards to the allegation Administrator did not assess the needs of residents prior to placement , based on interviews conducted and information gathered Administrator stated that she had failed to review 2016 IPP prior to placement for C1 and C2. Interview with Staff S 1 who confirmed that the IPP was not reviewed for Client's C 1 and C 2 prior to placement. Interview with Client C 1 who stated he is on a PKU diet per doctor's orders. It should be noted that San Gabriel Pomona Regional Center on Corrective Action Plan 01/22/24 had substantiated findings. B ased on observations and interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the allegations Staff did not follow PKU diet orders for residents, Staff did not implement the IPP for residents, and Administrator did not assess the needs of residents prior to placement. are found to be Substantiated. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D.

Citations

1 citation 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.

  • 87468.1(a)(2)Type B

    Personal Rights of Residents in All FacilitiesResidents in all residential care facilities for the elderly shall have all of the following personal rights:to be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: review of Corrective Action Plan, and interviews conducted the facility did not follow a PKU diet, did not implement IPP and did not review IPP prior to placement for C 1 and C 2 which poses a potential health and safety risk for clients in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 30, 2024 inspection of COGSWELL GARDEN HOME?

This was a complaint inspection of COGSWELL GARDEN HOME on January 30, 2024. 1 citation were issued: 1 Type B.

Were any citations issued to COGSWELL GARDEN HOME on January 30, 2024?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Personal Rights of Residents in All FacilitiesResidents in all residential care facilities for the elderly shall have al..."

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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