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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 Angelica Segovia conducted an unannounced case management - deficiencies visit in conjunction to Complaint #31-AS-20241120085825. LPA's met with the Administrator, Jessica Pelaya and Assistant Administrator Crystal Barruentos and explained the reason for the visit, entrance interview conducted. During the complaint investigation it was revealed the facility self reported to Community Care Licensing (CCL) on 10/25/2024, that a resident had started "small fire" in their room on 10/20/2024, five days after the fire had occurred. According to interviews with the assistant administrator and seven (7) residents, the fire , which occurred in the facility, required 911/ Fire Department response. The facility failed to report the fire to CCL the next working day. Deficiency cited, refer to LIC809-D. Appeal rights provided. Copy report provided.

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.

  • 87211(a)(3)Type B

    (a)Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (3) Fires... which occur in... the premises shall be reported no later than the next working day to the licensing agency. This requirement is not met as evidenced by: According to record reviews the facility failed to report a facility fire to CCL the next working day which poses an potential health, safety, or personal rights risk to persons in care.

  • 87203Type A

    All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic.This requirement is not met as evidenced by: Based on LPAs' observation and interviews, the facility keep one (1) of (2) two exit doors on the second floor locked, which poses 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 November 25, 2024 inspection of LEISURE GARDEN SENIOR ASSISTED LIVING FACILITY?

This was a other inspection of LEISURE GARDEN SENIOR ASSISTED LIVING FACILITY on November 25, 2024. 1 citation were issued: 1 Type B.

Were any citations issued to LEISURE GARDEN SENIOR ASSISTED LIVING FACILITY on November 25, 2024?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "(a)Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not li..."

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.