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Inspection visit

Follow-up on corrections

BELMONT VILLAGE CALABASASLicense 1976095182 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analysts (LPA) Brian Balisi conducted an unannounced Case Management - Deficiencies visit in conjunction with a complaint visit (Complaint control # 29-AS-20240214112429 ). LPA met with Executive Director Nancy Nelson and explained the reason for the visit. During the Department’s investigation of complaint # 29-AS-20240214112429, the following deficiencies were observed: A review of the facility notes revealed that on several dates (11/10/2021, 12/22/2022, 02/25/2022, 02/08/2023, 03/28/2023, and 04/04/2023) Resident #1 (R1) had unwitnessed falls which required visits to the Emergency Room. There were no incident reports submitted to Community Care Licensing (CCL) for the dates noted. On 07/30/2023, after an unwitnessed fall in the bathroom, R1 suffered facial swelling on the right side and a skin tear to chin and was admitted to the hospital. R1 was placed on Affinity hospice and discharged back to the facility. The facility did not submit a hospice notification to CCL. Citations issued, exit interview, appeal rights given.

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.

  • 1569.312(a)Type A

    Basic services shall at a minimum include: (a) Care and supervision as defined in Section 1569.2.This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above. Due to a lack of supervision, R1 sustained multiple falls resulting in multiple injuries, which posed an immediate health and safety risk to residents in care.

  • 87463(a)(3)Type B

    Any illness, injury, trauma, or change in the health care needs of the resident that results in a circumstance or condition specified in Sections 87455(c) or 87615, Prohibited Health Conditions. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above as R1 was observed to have sustained (8) falls and a reappraisal was only conducted (2) times. This poses / posed a potential health, safety and personal right rights risk to persons in care.

  • 87465(c)(2)Type A

    Incidental and Medical Care: ....Once ordered by the physician the medication is given according to the physician's directions.This requirement has not been met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above as R1 did not receive their prescribed medications on 12/30/23,which poses an immediate health and safety risk to residents in care.

  • 87211(1)(B)Type B

    (a) Each licensee shall furnish to the licensing agency...(B) Any serious injury as determined by the attending physician and occurring while the resident is under facility supervision.This requirement is not met as evidenced by: Based on records review, the licensee did not comply with the section cited above. Licensee did not submit incident reports for R1’s numerous unwitnessed falls which required hospital visits, which posed a potential health and safety risk to residents in care.

  • 87632(d)(2)Type B

    The licensee shall notify the Department in writing within five working days... name and date of admission to the facility and the name and address of the hospice.This requirement is not met as evidenced by: Based on records review, the licensee did not comply with the section cited above. Licensee did not submit hospice notification to CCL when R1 was placed on hospice 07/30/2023, which posed a potential health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 29, 2024 inspection of BELMONT VILLAGE CALABASAS?

This was a other inspection of BELMONT VILLAGE CALABASAS on August 29, 2024. 2 citations were issued: 2 Type B.

Were any citations issued to BELMONT VILLAGE CALABASAS on August 29, 2024?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "Basic services shall at a minimum include: (a) Care and supervision as defined in Section 1569.2.This requirement is not..."

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.