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Inspection visit

Follow-up on corrections

CHLOIE'S COTTAGELicense 1976070711 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced Case Management visit regarding deficiencies noted during a complaint investigation for complaint # 28-AS-20250820121118 conducted on 08/21/2025. LPA met with Administrator Iren Creighton and the purpose of the visit was discussed. Case Management findings: On 08/21/2025, LPA reviewed resident medications and Medication Administration Records (MAR) and these records revealed that staff are not properly documenting the MAR as signatures were missing for 4 out of 14 medications for R1 and when LPA questioned staff, S3 stated that the medications have been administered they just sometimes forget to sign the MAR. This did not meet the requirement per Title 22 regulations- 87506(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. Based upon this observation and record review, LPA will issue one (1) Type B Deficiency. Exit interview was conducted. A copy of this report and appeal rights were provided.

Citations

3 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.

  • 87506(a)Type B

    87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement was not met as evidence by: During review of resident medications and MAR records it was revealed that staff are not properly documenting the MAR as signatures were missing for 4 out of 14 medications for R1.

  • 87465(a)(4)Type A

    87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidence by: During medication review LPA observed 1 medication within R1's prescribed medications to not have a doctors order documented for it, additionally R5 was missing 1 routine medication and 1 PRN from their prescribed medications these medications were listed on R5’s current physician report dated 5/6/2025.

  • 87468.1(a)(14)Type B

    87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (14) To have reasonable access to telephones, to both make and receive confidential calls. The licensee may require reimbursement for long distance calls. This requirement was not met as evidence by: LPA observed facility phone to not be reasonably accessible to residents as it has been moved from the kitchen to the locked staff office. R1s calls are being monitored, per staff R1 allegedly calls 911 for non emergency matters but there was no documentaion or poof porvided to LPA of these alleged calls and continuous behaviors.

FAQ · About this visit

Common questions about this visit

What happened during the August 23, 2025 inspection of CHLOIE'S COTTAGE?

This was a other inspection of CHLOIE'S COTTAGE on August 23, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to CHLOIE'S COTTAGE on August 23, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for eac..."

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.