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Inspection visit

complaint

LEO'S ASSISTED LIVING IILicense 1976100543 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Regarding the allegation “Staff took residents cell phone after calling 9-1-1”, it was alleged S1 took R1’s cell phone after calling 9-1-1. From interviews, S1 said they never took R1’s phone. R1’s roommate Resident #2 (R2) did not witness the event occur. Based on interviews, although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation “Facility food is not nutritious”, it was alleged that meals served have not sufficient in quantity or quality. From interviews, residents noted the food served was not consistently nutritious and often lacking fruits or vegetables. Staff and residents noted Staff #2 (S2) was designated to shop for the facility. S2 had not been to work in over 3 days. From photo review, several meals served were lacking fruits and vegetables. R1 also showed LPA receipts from takeout ordered due to poor food quality. From observations, LPA saw a refrigerator full of fresh fruits and vegetables. Based on interviews, phot review, and observations, the allegation is deemed SUBSTANTIATED at this time. Deficiency is cited on LIC 9099-D. Regarding the allegation “Medications accessible to residents”, it was alleged S1 left medications unlocked. From physical plant tour on 11/08/2022, LPA observed medications unlocked and accessible. S1 immediately locked the medications afterwards. Based on observations, the allegation is deemed SUBSTANTIATED at this time. Deficiency is cited on LIC 9099-D. The deficiency was cited during a case management visit on 11/08/2022. Regarding the allegation “Resident bed in disrepair”, it was alleged the brakes on R1’s bed were inoperable. From interviews, some residents noted their beds to be uncomfortable. From observations, the brakes on R1’s bed were not functional. Based on observations and interviews the allegation is deemed SUBSTANTIATED at this time. Deficiency is cited on LIC 9099-D. Exit interview conducted. Copy of report provided. Appeal rights discussed.

Citations

6 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.

  • 87411(d)(3)Type B

    87411 Personnel Requirements - General(d) All personnel shall... have related experience in the job assigned to them. (3) Skill and knowledge required to provide necessary resident care... including the ability to communicate with residents.This requirement is not met as evidenced by: Based on observations and interviews, the licensee did not comply with the section cited above in 2 out of 2 employees which poses a potential Health, Safety, or Personal Rights risk to persons in care.

  • 87464(f)(3)Type B

    87464 Basic Services (f) Basic services shall at a minimum include: (3) Three nutritionally well-balanced meals and snacks made available daily, including low salt or other modified dietsThis requirement was not met as evidenced by: Based on observations and interviews, the licensee did not comply with the section cited above in 3 out of 5 residents which poses a potential Health, Safety, or Personal Rights risk to persons in care.

  • 87506(c)(1)Type B

    87506 Resident Records (c) All information and records obtained from or regarding residents shall be confidential. (1) The licensee and all employees shall reveal or make available confidential information only upon the resident's written consent. This requirement is not met as evidenced by: Based on observations and interviews, the licensee did not comply with the section cited above in 1 out of 5 residents which poses a potential Health, Safety, or Personal Rights risk to persons in care.

  • 87307(a)(3)(A)Type B

    87307 Personal Accommodations and Services (a)...The following provisions shall apply: (3) ...the licensee shall assure: (A) A bed... shall be equipped with good springs, a clean and comfortable mattress, available pillow(s) and lightweight warm bedding.This requirement is not met as evidenced by: Based on interviews and observations, the licensee did not comply with the section cited above in 3 out of 5 residents which posed a potential risk to the Health, Safety, or Personal Rights to persons in care.

  • 87411(c)Type B

    87411 Personnel Requirements - General(c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual trainingThis requirement was not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above in 2 out of 2 employees which posed a potential risk to the Health, Safety, or Personal Rights to persons in care.

  • 87555(b)(5)Type B

    87555 General Food Service Requirements (b) The following food service requirements shall apply: (5) Meals shall consist of an appropriate variety of foods and shall be planned with consideration for cultural... backgrounds and food habits of residents.This requirement was not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above in 3 out of 5 residents which posed a potential risk to the Health, Safety, or Personal Rights to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 12, 2023 inspection of LEO'S ASSISTED LIVING II?

This was a complaint inspection of LEO'S ASSISTED LIVING II on January 12, 2023. 3 citations were issued: 3 Type B.

Were any citations issued to LEO'S ASSISTED LIVING II on January 12, 2023?

Yes, 3 citations were issued (0 Type A, 3 Type B). The first citation was for: "87411 Personnel Requirements - General(d) All personnel shall... have related experience in the job assigned to them. (..."

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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