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Inspection visit

Follow-up on corrections

MEGAN'S PLACELicense 1976100435 citations on this visit
5 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Trevor Byrne arrived to the facility at 09:05 AM to conduct an unannounced Case Management visit at the facility today. LPA met with Administrator Annie Osborne. The LPA advised the Administrator of the reason for the visit. During an investigation into a complaint at the facility, LPA Byrne interviewed the facility Administrator. Interviews with the Administrator revealed that Resident #1 (R1) was admitted to the hospital on 10/18/2024 or 10/19/2024 and again on 10/24/2024 and the Administrator did not submit an Unusual Incident/Injury Report (UIR) or written report to the Department. LPA informed the Administrator that a written report shall be submitted the Department within seven (7) days following an incident involving the facility’s residents. During file review it was also observed that R1 did not have a completed medical assessment signed by a physician prior to being accepted as a resident, a signed admission agreement, or a pre-placement appraisal. During the interview with the Administrator, they confirmed that they did not have did not have a medical assessment or signed admission agreement (resident admitted 10/15/2024) for the resident and had not conducted a pre-placement appraisal prior to accepting R1. LPA informed the Administrator that pre-admission appraisals and medical assessments signed by a physician are required for all residents prior to accepting them into their care. During the physical plant tour LPA observed Resident #2’s (R2) bed to contain full bed rails. LPA reviewed R2’s file which revealed that R2 is not on hospice and does not have a physician’s order for full bed rails. LPA informed the Administrator who confirmed that R2 does not have an order for full bed rails. The Administrator removed the bed rails during the inspection. Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): Exit interview conducted and copy of the report was issued and appeal rights provided.

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.

  • 87211(a)(1)(D)Type B

    87211 Reporting Requirements(a)... licensee shall furnish to the licensing agency such reports...(1) A...report shall be submitted to the licensing agency...within seven days...(D) Any incident...health of any resident...This requirement is not met as evidenced by: Based on record review and interview the licensee did not comply with the section cited above as no special incident reports were submitted for the hospitalization of Resident 1 which poses a potential health, safety, or personal rights risk to clients in care.

  • 87457(a)(2)Type B

    87457 Pre-Admission Appraisal General (a) Prior to admission, the... resident ...shall be interviewed by the licensee...(2) The...resident's...her background, including...medical background... shall be discussed.This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above as no preadmission appraisal of resident 1 was completed prior to accepting resident 1 into care which poses a potential health and safety rick to clients in care.

  • 87458(a)Type B

    87458 Medical Assessment(a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year....This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above as resident 1's file was observed to contain an incomplete medical assessment which poses a potential health and safety risk to clients in care.

  • 87507(c)Type B

    87507 Admission Agreements(c) Admission agreements shall be signed and dated...no later than seven days following admission...This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above as a resident's file was observed to contain an admission agreement that was not filled out or signed which poses a potential personal rights risk to clients in care.

  • 87608(a)(5)(B)Type B

    87608 Postural Supports(a) ...Postural supports may be used under the following conditions. (5)...(B) Bed rails that extend the entire length of the bed are prohibited except for ...hospice care...This requirement is not met as evidenced by Based on observation and record review the licensee did not comply with the section cited above as a resident's bed was observed to contail full bed rails, the resident is not on hospice and does not have a doctor's order for full bed rails which poses a potential personal rights risk to clients in care.

FAQ · About this visit

Common questions about this visit

What happened during the November 1, 2024 inspection of MEGAN'S PLACE?

This was a other inspection of MEGAN'S PLACE on November 1, 2024. 5 citations were issued: 5 Type B.

Were any citations issued to MEGAN'S PLACE on November 1, 2024?

Yes, 5 citations were issued (0 Type A, 5 Type B). The first citation was for: "87211 Reporting Requirements(a)... licensee shall furnish to the licensing agency such reports...(1) A...report shall be..."

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.