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Inspection visit

Follow-up on corrections

COTTAGES OF LAKE BALBOA 3, THELicense 1976098733 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) conducted a Case Management - Deficiencies visit in conjunction with a complaint visit (Complaint Control #29-AS-20210715134128). LPA met with Benjie Binuya - Caregiver . Angelie De Leon - Resident Operation was contacted by phone and LPA explained the purpose of this report is to issue citation for deficiencies observed during the course of the complaint investigation. During the complaint investigation of complaint #29-AS-20210715134128, Investigator Santana observed the following deficiencies: 1) Per review of the Licensing Information System (LIS) report, Staff #1 (S1) appears to be an uncleared adult. There was no record of anyone with this name among the facility’s personnel history. An immediate civil penalty is issued today for $500. 2) Resident #1 (R1) has half bedrails on bed, but it is unclear whether they are used solely for assistance with mobility, since they are engaged even when R1 sleeps. 3) Investigator Santana compared R1’s Appraisal Needs and Services Plan dated 05/10/2020 with the Plan dated 06/01/2021. It is evident the information from the former Plan was copied and applied to the latter Plan, rendering the 06/01/2021 Plan less than accurate. For example, the T7 compression fracture for which R1 was hospitalized sometime prior to 05/10/2020 would no longer be considered “recent” to 06/01/2021. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): Immediate civil penalty $500 issued, exit interview conducted, copy of report and appeal rights issued via email to Licensee and Angelie De Leon - Resident Operation.

Citations

3 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.

  • 87463(a)Type B

    Reappraisals:(a)The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental, and social condition... This requirement is not met as evidenced by: Based on records review, the licensee did not comply with the section cited above. R1 Needs and Services Plan dated 06/01/2021 did not contain accurate, current information, which posed a potential health and safety risk to residents in care.

  • 87355(e)Type A

    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: (1)Obtain a California clearance or a criminal record exemption as required by the Department or (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:

  • 87608(A)Type B

    Postural Supports:(A)A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed.This requirement is not met as evidenced by: Based on observation by Investigator Santana, the licensee did not comply with the section cited above. Half bed rails are engaged on R1’s bed at night, which posed a potiential health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 26, 2022 inspection of COTTAGES OF LAKE BALBOA 3, THE?

This was a other inspection of COTTAGES OF LAKE BALBOA 3, THE on March 26, 2022. 3 citations were issued: 1 Type A (serious) and 2 Type B.

Were any citations issued to COTTAGES OF LAKE BALBOA 3, THE on March 26, 2022?

Yes, 3 citations were issued (1 Type A, 2 Type B). The first citation was for: "Reappraisals:(a)The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant ..."

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.