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Inspection visit

complaint

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

Inspector’s narrative

What the inspector wrote

Regarding the allegation… Resident eloped from the facility . It is being alleged the resident eloped from the facility on 12/06/2022 without staff members’ knowledge. The reporting party called the facility on Tuesday, 12/06/2022 and asked to speak to R1. The reporting party was told by staff R1 was sleeping. The reporting party called again on Thursday 12/08/2022 and staff told the reporting party R1 left the facility without staff member’s knowledge. During interviews with the two staff members (S1 and S2), S1 and S2 confirmed they worked the morning of 12/06/2022. S1 and S2 confirmed Room 103 was unlocked. S1 and S2 confirmed Room 103 was used for storage. Upon entering the room, S1 and S2 observed the door leading to the outside of the facility was open. S1 and S2 confirmed the Administrator has stated to all staff Room 103 must remain locked at all times since an exit door leading to the outside is located within that room. When S1 observed the side door was open, S1 sent a snapshot of the open door to Administrator. The Administrator confirmed the resident had eloped the morning of 12/06/2022. The Sheriff’s Department was called and the Department filed a missing person’s report. LPA Spaeth observed the report was dated 12/06/2022. LPA Spaeth reviewed the 12/06/2022 incident report that was sent to CCL regarding the elopement of R1. The report revealed S1 and S2 observed the side exit door was open. The report also stated S1 and S2 conducted a head count and discovered R1 was not at the facility. The Administrator confirmed the staff called the Administrator on 12/06/2022 confirming R1 was not in the facility. LPA Spaeth reviewed R1’s Physician’s Report (LIC 802) dated 08/28/2020 which revealed R1 would need to be accompanied with staff if R1 left the facility. Based upon LPA’s interviews and review of R1’s LIC 802 dated 8/28/2020, the allegation is substantiated . Exit interview conducted, appeal rights discussed, and a copy of the report was given.

Citations

2 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.

  • 87303(a)Type B

    87303 Maintenance & Operation (a) The facility shall be clean, safe, sanitary at all times. Maintenance shall include...mainte- nance services & procedures for the safety and well-being of residents, ....This is evidenced by: Based on LPAs observations and staff interview, the licensee did not comply with the section cited above by not ensuring the facility is free of bed bugs. This poses a potential health, safety or personal rights risk to persons in care.

  • 87468.1(a)(2)Type A

    87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and ….furnishings and equipment. This requirement is not met as evidenced by: Based on LPAs interviews, the licensee did not comply with the section cited above by not ensuring the storage room door was locked. The door was unlocked and R1 left the facility unassisted by staff. This poses a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 3, 2024 inspection of LEISURE GARDEN SENIOR ASSISTED LIVING FACILITY?

This was a complaint inspection of LEISURE GARDEN SENIOR ASSISTED LIVING FACILITY on May 3, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to LEISURE GARDEN SENIOR ASSISTED LIVING FACILITY on May 3, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87303 Maintenance & Operation (a) The facility shall be clean, safe, sanitary at all times. Maintenance shall include......"

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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.