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Inspection visit

complaint

MEADOWBROOK AT AGOURA HILLSLicense 197608878
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

On the allegation "Facility is not preventing the spread of COVID-19."; it is the concern of the reporting party that on August 16th, 2024, there was an outbreak of Covid-19, and that the facility is not testing the residents. It was further reported that the facility does not have any protocols in place and Covid-19 is spreading. To investigate the allegation the LPA conducted a tour of the facility, interviews, and file review. On 08/28/24, during a plant tour the LPA observed an adequate supply of Personal Protective Equipment (PPE), and Covid tests and staff informed the LPA the community can obtain additional supplies as needed. In addition, the LPA observed PPE stations outside resident rooms who were Covid positive to allow for staff to promptly don and doff PPE when entering and exiting those rooms. File review revealed that the community has an approved infection control plan in place. The community’s infection control plan does not require mass testing of the residents. The facility’s policies and procedures as it pertains to infection control are adequate. In addition, staff and resident interviews revealed that residents were informed that there were Covid positive cases at the community. Furthermore, staff shared with the LPA the letter that was sent on 08/16/2024 via a mass email blast to the residents and the resident families informing them that the community was experiencing multiple Covid-19 positive cases, that the communal dining and group activities had stopped, and infection control practices were shared. Staff interviews also revealed that residents that had been exposed or presented symptoms were tested for Covid-19 and isolated if tested positive. Lastly, interview with an LA’s public health nurse during today’s visit revealed that testing closed contacts is recommended however, mass testing is not required unless specifically asked for. Based on the information gathered, the above allegation is deemed unsubstantiated at this time. Exit interview conducted and report issued.

Citations

5 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.

  • 87303(e)(2)Type A

    Based on observation, the licensee did not comply with the section cited above in seven (7) resident rooms where the hot water measured above 120 degrees which poses an immediate health, safety or personal rights risk to persons in care.

  • 87303(e)(3)Type A

    Based on observation, the licensee did not comply with the section cited above in the kitchen sink of assisted living which poses an immediate health, safety or personal rights risk to persons in care.

  • 87202(a)Type A

    Based on observation, the licensee did not comply with the section cited above in two (2) resident rooms where the LPA observed smoke detector not operable or a missing smoke detector which poses an immediate health and safety risk to persons in care.

  • 87465(h)(2)Type A

    Based on observation the licensee did not comply with the section cited above in three resident rooms observed with medications, and per their physicians room they cannot store and administer their medication which poses an immediate health and safety risk to persons in care.

  • 87309(a)Type A

    Based on observation, the licensee did not comply with the section cited above in four (4) resident rooms and one unlocked storage room which poses an immediate health and safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 10, 2024 inspection of MEADOWBROOK AT AGOURA HILLS?

This was a complaint inspection of MEADOWBROOK AT AGOURA HILLS on September 10, 2024. The inspection found no deficiencies and no citations were issued.

Were any citations issued to MEADOWBROOK AT AGOURA HILLS on September 10, 2024?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

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