Skip to main content

Inspection visit

Follow-up on corrections

LEISURE GARDEN SENIOR ASSISTED LIVING FACILITYLicense 1976100321 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analysts (LPAs) Evelin Rios and Mariana Agban conducted an unannounced Case Management - Deficiencies visit in conjunction to Complaint #31-AS-20231025133939 and 31-AS-20231023143942. LPAs met with administrator and explained the purpose of the visit. LPA Agban toured the facility at 9:40 a.m. with the Administrator and observed the following: At 10:05 a.m., LPA observed chemicals for cleaning in a cart in a hallway in the designated memory care unit unattended. LPA observed a housekeeper in a resident's room cleaning. LPA observed housekeeper did not have a line of sight of chemicals used for cleaning. Based upon LPA's observations a deficiency was cited (refer to LIC 809-D). Exit interview conducted, Appeal Rights and a copy of the report provided to Administrator.

Citations

5 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.

  • 87307(a)(3)(C)Type A

    (a) Living accommodations and grounds shall be related to the facility's function... The following provisions shall apply:(3) Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident The resident may provide the following items; however, if the resident is unable or chooses not to provide them, the licensee shall assure provision of: based on LPAs obervation the facility failed to provide hygine items to residents.

  • 87309(a)Type A

    Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement has not been met as evidenced by:

  • 87705(k)(2)Type A

    87705(k)(2)The following initial and continuing requirements must be met for the licensee to utilize delayed egres devices on exterior doors or perimeter fence gates: The licensee shall ensure that the fire clearance includes approval of delayed egress devices. This requirement has not been met as evidence by LPA's observation. Facility failed to notify CCLD and provide a complete LIC 200 form within the appropriate time frame

  • 87411(a)Type A

    Personnel Requirements-General. 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 by evidence of: Based on observation, record review and interviews conducted, facility staff failed to meet the needs of resident (R1) and (R2) who required incontinant care and S1 was the only staff observed in the memory care unit to provide assistance which poses an immediate safety risk to this resident in care.

  • 87705(f)(2)Type A

    87705(f)(2) Care of persons with Dementia Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement is not met as evidenced by: Based on LPA's observation chemicals used for cleaning where left unattended in a hallway in the designated memory care unit accessible to residents in care which poses/posed an immediate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 27, 2023 inspection of LEISURE GARDEN SENIOR ASSISTED LIVING FACILITY?

This was a other inspection of LEISURE GARDEN SENIOR ASSISTED LIVING FACILITY on October 27, 2023. 1 citation were issued: 1 Type A (serious).

Were any citations issued to LEISURE GARDEN SENIOR ASSISTED LIVING FACILITY on October 27, 2023?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "(a) Living accommodations and grounds shall be related to the facility's function... The following provisions shall appl..."

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

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.