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Inspection visit

Follow-up on corrections

TWIN PALMSLicense 1976068384 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA), Angela Panushkina, conducted a CASE MANAGEMENT visit at this facility to issue deficiency in conjunction with complaint control no.: 31-AS-20230605162033 and met with Amorlina Comedia, Staff #1 (S1). Administrator arrived shortly after and LPA explained the reason for the visit. LPA conducted a physical plant walk through, at approximately 8:20 AM, to ensure that the facility is in compliance with rules and regulations under California Code of Regulations, Title 22, Division 6. At 8:50 AM, LPA conducted an interview with one (1) staff members and two (2) out of four (4) residents. LPA also requested five (5) resident files, and three (3) staff files and obtained copies of pertinent documents relevant to the investigation. Upon review of documents LPA observed the following: Incident occurred with R1 on 05/25/23 and an Incident Report (LIC624) was never submitted to the Community Care Licensing Department (CCLD) in a timely manner. Based on Title 22 Regulation: a written Unusual Incident / Injury Report shall be submitted to CCLD within seven (7) days of occurrence. Facility is approved for one (1) hospice waiver and there are currently three (3) hospice residents One (1) hospice resident has (3) 1/2 bed rail and one (1) non-hospice resident has full bed rail. LPA did not observe doctor orders on file for the bed rails. A Staff #2 (S2) was hired to work today without having proper documentation and or fingerprints. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies are cited and noted on LIC 809D. Exit interview conducted. Appeal rights explained. Copy of this report signed and delivered.

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.

  • 87211(a)(1)AType B

    87211(a)(1) A,B & D Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports... (1) A written report shall be submitted to the licensing agency and to the person... ... any of the events specified in (A), (B) & (D)...This requirement is not met as evidenced by: Based on interviews and record reviews, the licensee did not comply with the section cited above by failing to notify CCLD regarding the incident that occured om 05/25/23, which posed/poses a potential health and safety risk to persons in care.

  • 87355(e)(b)(1)Type A

    Criminal record clearance: (e) All individuals subject to a criminal record review...(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance...This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above by hiring one (1) staff member (S2) on 06/06/23 without fingerprint clearance, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87608(a)(5)(B)Type A

    Postural Supports: (B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies...This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above by admitting a non-hospice resident (R4) and providing a full bed rail without a doctors approval, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87632(a)(1)Type B

    87632 Hospice Care Waiver: (a) In order accept or retain terminally ill residents and permit them to receive care from a hospice agency... (1) Specification of the maximum number of terminally ill...This requirement is not met as evidenced by Based on record review the licensee did not comply with the section cited above by addmiting three (3) hospice residents, when theh facility is only approved for one (1). This poses/posed a potential health, safety or personal rights risk to persons in care

FAQ · About this visit

Common questions about this visit

What happened during the June 6, 2023 inspection of TWIN PALMS?

This was a other inspection of TWIN PALMS on June 6, 2023. 4 citations were issued: 2 Type A (serious) and 2 Type B.

Were any citations issued to TWIN PALMS on June 6, 2023?

Yes, 4 citations were issued (2 Type A, 2 Type B). The first citation was for: "87211(a)(1) A,B & D Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports... (1) A ..."

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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