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Inspection visit

Follow-up on corrections

BLUE SKIES RANCHLicense 1976097631 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

In conjunction to the complaint number 31-AS-20230703161605 Licensing Program Analyst (LPA) Mariana Agban conducted a case management- Deficiencies visit. During the complaint investigation, LPA asked for R1 hospice records and Administrator had lost Hospice records for R1. LPA advised Administrator to keep all residents records for 3 years. Exit interview conducted, citations issued and copy of this report delivered.

Citations

7 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.

  • 87411(a)Type B

    Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by: Based on interviews and direct witnesses facility does not have adequate staff to care for residents. This pose a potential health & safety risk to the residents in care.

  • 87464(a)Type B

    (a) The services provided by the facility shall be conducted so as to continue and promote, to the extent possible, independence and self-direction for all persons accepted for care. Such persons shall be encouraged to participate as fully as their conditions permit in daily living activities both in the facility and in the community. This requirement was not met as evidenced by: Based on direct witnesses Staff left R1 in bed for an extended period of time. This pose a potential health & safety risk to the residents in care.

  • 87468.1(a)(11)Type B

    To have their visitors, including ombudspersons and advocacy representatives, permitted to visit privately during reasonable hours and without prior notice, provided that the rights of other residents are not infringed upon. This requirement was not met as evidenced by: Based on information obtained Staff did not allow resident visitors. This pose a potential health & safety risk to the residents in care.

  • 87468.1(a)(8)Type B

    § 87468.1 - Personal Rights of Residents (8) To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs. This requirement was not met as evidenced by: Administrator didn't notify R1's responsible party regarding the new medication perscribed and administred.This pose a potential health & safety risk to the residents in care.

  • 87555(b)(5)Type B

    General Food Services (5) Meals shall consist of an appropriate variety of foods and shall be planned with consideration for cultural and religious background and food habits of residents. This requirement was not met as evidenced by: Based on interviews and direct witnesses R1 was left without food or provided an alternative options. This requirement was not met as evidenced by:

  • 87625(b)(3)Type B

    87625 Managed Incontinence (b) (3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement was not met as evidenced by: Based on interviews and direct witnesses R1 was left in soiled for an extended period of time. This pose a potential health & safety risk to the residents in care.

  • 80070(f)Type B

    Original or photographic reproduction of all client records shall be retained for at least three years following termination of service to the client. This requirement was not met as evidenced by: Based on interview, Administrator lost hospice records for R1. This pose a potential health & safety risk to the residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the July 22, 2024 inspection of BLUE SKIES RANCH?

This was a other inspection of BLUE SKIES RANCH on July 22, 2024. 1 citation were issued: 1 Type B.

Were any citations issued to BLUE SKIES RANCH on July 22, 2024?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet ..."

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.