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Inspection visit

Follow-up on corrections

ANA'S RESIDENCE CARE FACILITYLicense 1976096393 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

During the complaint investigation of complaint #29-AS-20240118120829, the following deficiencies were observed: Staff failed to seek medical attention for Resident #1 (R1) in a timely manner. The licensee/administrator and staff reported R1 complained of abdominal and back pain. The licensee/administrator called R1’s resident representative and told them to call an ambulance because R1 was not well. R1’s resident representative came to the facility and observed R1 was in “excruciating pain” and would scream when R1 was moved or tried to move. R1’s resident representative then took R1 to the hospital. Medical records showed R1 sustained a T11 compression fracture. R1 reported Staff #1 (S1) “dropped” R1. The licensee/administrator and staff failed to call 911 or R1’s doctor to seek medical attention for R1. Staff #1 (S1) advised they were a caregiver at the facility for approximately one week. The licensee/administrator reported that S1 worked at the facility from 01/01/2024 to 01/13/2024. S1 was covering for a caregiver who was on vacation. S1 was fingerprint cleared but was not associated to work at the facility. An Immediate $500 Civil Penalty is assessed today. A review of the Palermo hospice medical records indicated R1 was placed on hospice care at the facility on 01/11/2024. There is no evidence or confirmation that the hospice notification was submitted to Community Care Licensing (CCL). Citations issued, Immediate $500 Civil Penalty issued, exit interview, appeal rights given.

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.

  • 87355Type A

    87355 Criminal Record Clearance(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility:(2) Request a transfer of a criminal record clearance as specified in Section 87355(c). (f) Violation of Section 87355(e) shall result in an immediate assessment of civil penalties of one hundred dollars ($100) per violation per day for a maximum of five (5) days by the department.This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above. S1 was not associated to the facility yet worked at the facility from 01/01/2024 to 01/13/2024, which posed an immediate health and safety risk to residents in care. Immediate $500 civil penalty assessed.

    Read full inspector narrative
  • 87632(d)(2)Type B

    Hospice Care Waiver (d)(2)If the Department grants a hospice care waiver it shall stipulate terms and conditions of the waiver as necessary to ensure the well-being of terminally ill residents and of all other facility residents, which shall include…the following requirements: (2) The licensee shall notify the Department in writing within five working days of the initiation of hospice care services for any terminally ill resident in the facility…This requirement is not met as evidenced by: Based on records review, the licensee did not comply with the section cited above. There is no evidence or confirmation that the licensee submitted a notification for R1’s 01/11/2024 initiation of hospice care services, which posed a potential health and safety risk to residents in care.

  • 87465(a)(1)Type A

    87465(a)(1) 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: (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents.This requirement is not met as evidenced by: Based on interviews and medical records, the licensee did not comply with the section cited above. The licensee/administrator or staff did not seek medical attention when R1 complained of abdominal and back pain, which posed an immediate health and safety risk to residents in care.

  • 1569.312(a)Type A

    1569.312(a) Basic services requirements.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.S1 failed to adequately assist R1 resulting in R1 sustaining a T11 compression fracture while in care,which posed an immediate health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 29, 2024 inspection of ANA'S RESIDENCE CARE FACILITY?

This was a other inspection of ANA'S RESIDENCE CARE FACILITY on May 29, 2024. 3 citations were issued: 2 Type A (serious) and 1 Type B.

Were any citations issued to ANA'S RESIDENCE CARE FACILITY on May 29, 2024?

Yes, 3 citations were issued (2 Type A, 1 Type B). The first citation was for: "87355 Criminal Record Clearance(e) All individuals subject to a criminal record review pursuant to Health and Safety Cod..."

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.