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Inspection visit

Follow-up on corrections

KAREN'S SENIORS CARE HOME, INC.License 1976099323 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Kelly Dulek initiated a Case Management – Deficiencies visit to address deficiencies observed during a complaint investigation. LPA met with Facility Designee Clarita Zinkofsky. Entrance interview conducted. During a previous investigation at the facility, interviews revealed that multiple fall incidents occurred involving Resident #1 (R1.) Interview revealed that R1 fell around September or October 2020 resulting in laceration to R1’s eye and additional medical attention, on 02/16/2021 resulting in bruising and again on 02/20/2021 resulting in bruising and additional medical attention. LPA reviewed documents received in the Woodland Hills Regional Office and confirmed that no incidents were reported involving R1 in September or October 2020 and no incident report was received for the 02/16/2021 incident either. It was also revealed that although R1 fell at 04:00AM on 02/20/2021, facility designee did not arrive at the facility to assess R1 until around 01:00PM and facility staff called 9-1-1 around 02:00PM. R1 was then transported to the hospital to receive further medical attention due to the fall. Additionally, interviews revealed that both Administrator and facility designee refused to readmit R1 to the facility following R1’s hospitalization. Facility designee indicated to LPA that the family refused to relocate R1 when previously discussed, and that sending R1 to the hospital was the “chance to get [R1] out of here.” The following deficiencies were observed (see LIC 809-D) and cited from the California Code of Regulations, Title 22 and/or California Health and Safety Code. Civil penalty issued in the amount of $250. Facility Designee was informed that failure to correct the deficiencies may result in additional civil penalties. Exit interview conducted. A copy of the report and appeal rights were provided.

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)(D)Type B

    87211 Reporting Requirements (a)(1)(D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident.This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the above cited section as an incident involving R1 that occurred at the facility around September 2020 and an incident on 02/16/2021 were not reported to CCLD, which posed a potential health and safety risk to residents in care.

  • 87465(a)(1)Type A

    87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall...(1) The licensee shall arrange, or assist in arranging, for medical...conditions and needs of residents.This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above as facility staff did not take action to have R1 transported to a medical facility for 10 hours after R1 fell and sustained a head injury, which posed an immediate health and safety risk to residents in care. Civil penalty issued.

  • 87464(f)(1)Type A

    87464 Basic Services.(f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code Section 1569.2(c).This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the above cited section as proper supervision was not provided to R1, resulting in falls and R1 sustaining multiple bruises, which posed an immediate health and safety risk to residents in care. Civil penalty issued.

  • 87468.2(a)(20)Type A

    87468.2 Additional Personal Rights of Residents in Privately Operated Facilities(a)(20) To be protected from involuntary transfers, discharges, and evictions...shall comply with all eviction and relocation protections for residents...not by the resident.This requirement is not met as evidenced by: Based on interview, the licensee did not comply with the above cited section, as R1 was sent to the hospital and facility designee refused to readmit R1, which posed an immediate personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 9, 2023 inspection of KAREN'S SENIORS CARE HOME, INC.?

This was a other inspection of KAREN'S SENIORS CARE HOME, INC. on May 9, 2023. 3 citations were issued: 2 Type A (serious) and 1 Type B.

Were any citations issued to KAREN'S SENIORS CARE HOME, INC. on May 9, 2023?

Yes, 3 citations were issued (2 Type A, 1 Type B). The first citation was for: "87211 Reporting Requirements (a)(1)(D) Any incident which threatens the welfare, safety or health of any resident, such ..."

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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