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Inspection visit

Follow-up on corrections

CARMEL OAKS ASSISTED LIVINGLicense 1976100314 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

On 01/11/2023, Licensing program Analysts (LPAs) Sandra Urena, and Ashley Smith conducted an unannounced Case Management-Deficiencies inspection visit at 09:20 a.m. due to deficiencies observed during the investigation of Complaint Control # 29-AS-20230103142731 . The LPAs met with Administrator Nirvana Ghaemi, and explained the reason for the visit. At 9:25 a.m. the LPAs conducted a brief tour of the physical plant. From 9:30 a.m. to 10:21 a.m. LPAs conducted resident interviews, and from 10:30 a.m. to 11:08 a.m. LPA’s conducted staff interviews. Record review was done from 11:10 a.m. to 11:25 a.m. During the course of the tour of the facility, the LPAs observed keys accessible (hanging from the hinge of the door frame) of the staff’s bedroom #4. Residents’ medication are located inside an unlocked cabinet inside bedroom #4, making the medication potentially accessible to residents in care. Additionally, LPAs observed medication in an unlocked cabinet in the unlocked bedroom #9. The LPAs interviewed the administrator about the medication observed in bedroom #9, and the administrator stated that the medication belonged to a resident that was no longer residing at the facility, and medication was not destroyed. While conducting an assessment of the foods in the pantry, the LPAs observed that a box of approximately 15 containers of Ensure Plus supplements had expired, with an expiration date of 11/ 01/2022 and 12/01/2022. Record review revealed that the Physician’s Report for Resident #1 was incompletely filled out. Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): Citations were issued. Exit interview conducted, today's report, and appeal rights were reviewed and issued.

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.

  • 87458(b)(1)Type B

    87458 (b)(1)-...A physical examination of the resident indicating the physician's primary diagnosis and secondary diagnosis, if any and results of an examination for communicable tuberculosis, other contagious/infectious diseases... This requirement is not met as evidenced by: Based on record review, the physician report on file for R1 was not completely filled out, which poses a potential health and safety danger to persons in care.

  • 87465(h)(2)Type A

    87465(h)(2) The following requirements shall apply to medications which are centrally stored: Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Based on observation, medications were found in unlocked cabinets and bedrooms and accessible to residents in care, which poses an immediate health and safety danger to persons in care.

  • 87465(i)Type B

    87565(i) Prescription medications which are not taken with the resident upon termination of services…shall be destroyed in the facility by the facility administrator and one other adult who is not a resident. This requirement is not met as evidenced by: Based on observation, medications for a terminated resident were found in the facility, which poses a potential health and safety danger to persons in care.

  • 87555(b)(8)Type A

    87555 (b)(8)-The following food service requirements shall apply: All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. This requirement is not met as evidenced by: Based on observation of foods found in the pantry, the nutritional drinks had an expiration of 11/ 01/2022 and 12/01/2022, which poses an immediate health and safety danger to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 11, 2023 inspection of CARMEL OAKS ASSISTED LIVING?

This was a other inspection of CARMEL OAKS ASSISTED LIVING on January 11, 2023. 4 citations were issued: 2 Type A (serious) and 2 Type B.

Were any citations issued to CARMEL OAKS ASSISTED LIVING on January 11, 2023?

Yes, 4 citations were issued (2 Type A, 2 Type B). The first citation was for: "87458 (b)(1)-...A physical examination of the resident indicating the physician's primary diagnosis and secondary diagno..."

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.