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Inspection visit

Follow-up on corrections

TRACY'S BOARDING CARE - LASSENLicense 1976097404 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

On 10/16/24, at 9:25am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced case management visit and was greeted by Administrator, Anabelle Pascua. LPA was advised that incidents reports were not being sent to Community Care Licensing Department-(CCLD). While conducting staff interviews and record review, LPA discovered that resident #1 (R1) had received two (2) seizures, 911 was called and transported to the hospital. On one (1) of the seizure incidents, R1 had fallen from their wheelchair and none of these incidents were reported and/or sent to CCLD. In addition, R1 has a postural support that does not have a prescription and/or authorized by a doctor. During LPA’s physical tour, LPA observed roaches crawling on the wall of the above facility. Previously LPA has asked for the staff roster showing that a staff works during the night shift and it has not been sent to the LPA. Furthermore, there is dementia residents at the above facility that need night supervision. Per the California Code of Regulations, Title 22, Division 6, Chapter 8 cited and noted on LIC 809D. Exit interview conducted, four (4) citation(s) given, appeal rights and copy of report signed and delivered to the Administrator.

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)(A)Type B

    87211 (a)(1)(A)Reporting Requirements: (a) Each licensee shall furnish to the licensing agency such reports... including, but not limited to, the following:(1)A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below... This requirement is not met as evidenced by: Based on the LPA observation and interviews the licensee/administrator did not ensure resident reports to be submitted to CCLD from the above facility involving multiple incidents which poses a potential Health, Safety or Personal Rights risks to persons in care.

  • 87303(a)Type B

    Maintain facility in clean, safe, sanitary condition

    87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Based on the LPA's observations, staff/ resident interviews, the staff did not ensure the residents to have a clean and sanitary facility including rooms, common areas clean of roaches thus ensuring the facility was clean, which poses a potential Health, Safety or Personal Rights risks to persons in care.

  • 8705(c)(4)(A)Type B

    87705 Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia...(4)There is an adequate number of direct care...safety and health care needs… (A) In addition to... specified in Section 87415, Night Supervision, a facility with fewer than 16...at least one night staff person...This requirement is not met as evidenced by: Based on the observation, interviews andrecord reviews, the licensee did not ensure one out of three staff at the facility to be on duty at night and supervise the care of the residents of dementia have which poses a potential Health, Safety or Personal Rights risks to person in care.

  • 87608(a)(3)Type B

    Maintain physician order documentation in resident record

    A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order.This requirement is not met as evidenced by: Based on observation the licensee failed to ensure that Resident has a written order for postural support placed in Residents file. This poses an immediate health and safety risk to the residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 16, 2024 inspection of TRACY'S BOARDING CARE - LASSEN?

This was an other inspection of TRACY'S BOARDING CARE - LASSEN on October 16, 2024. 4 citations were issued: 4 Type B.

Were any citations issued to TRACY'S BOARDING CARE - LASSEN on October 16, 2024?

Yes, 4 citations were issued (0 Type A, 4 Type B). The first citation was for: "87211 (a)(1)(A)Reporting Requirements: (a) Each licensee shall furnish to the licensing agency such reports... including..."

What type of inspection was this?

This was an 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.