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Inspection visit

complaint

CALIFORNIA STATE HEALTH GROUP LLCLicense 1976101114 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

Allegation: Staff refuse to administer resident's medications as prescribed. To investigate this allegation, LPAs conducted a medication review at 10:15 a.m. LPAs reviewed medication for R1 and LPAs requested Centrally Stored Medication and Destruction Record for R1 and R1’s physician report. Administrator did not provide the Centrally Stored Medication and Destruction Record, and the physician report for R1 was incomplete, missing R1’s diagnosis and medication list. Due to LPAs observation and record review, the allegation above is Substantiated at this time. Allegation: Staff do not ensure residents have access to food/snacks between meals. To investigate this allegation, LPA conducted an interview with six out of six residents from 10:30 a.m. to 11:30 a.m. Two (2) out of six (6) residents stated that they do not have access to the kitchen after dinner time, and there was an instance where R2 went to the groceries and bought food and snacks, however the Administrator told R2 they could not do that. LPAs interviewed the Administrator at 12:00 p.m., and the Administrator stated that they did in fact tell R2 that buying food for themselves was not fair to the other residents, and that there was already food at the facility. Based on an interview with two out of six residents and an interview with the Administrator, the allegation mentioned above is deemed substantiated at this time. Licensee is not following resident eviction procedures. To investigate this allegation, LPA conducted an interview with one (1) out of six (6) residents at 10:30 a.m. and R1 stated that the Administrator verbally told them that they will evict them for failure of non-payment. R1 stated the Administrator told them they sent an eviction notice to “Licensing”. An interview with the Administrator at 12:00 p.m. revealed that they verbally told R1 they are evicting them, and the Administrator stated that he sent LPA Ruiz an eviction notices via e-mail. LPA conducted a record review and LPA confirmed there was no e-mail sent by the Administrator. Based on interviews with the Administrator and R1 and record review, the allegation mentioned above is deemed substantiated at this time. Deficiencies issued per CA Code of Regulations, Title 22. Appeal rights issued. Report signed and delivered. Exit interview conducted.

Citations

4 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.

  • 1569.73(a)(5)Type A

    1569.73(a) (5) An agreement has been executed between the facility and the hospice regarding the care plan for the terminally ill resident or terminally ill person to be accepted as a resident. The care plan shall designate the primary caregiver, identify other caregivers, and outline the tasks the facility is responsible for performing and the approximate frequency with which they shall be performed. The care plan shall specifically limit the facility’s role for care and supervision to those tasks allowed under this chapter."This requirement is not met as evidenced by: Based on record review, LPAs did not observe a written plan care outlining R1's hospice care, specifically wound care. This posses an immediate health and safety risk to residents in care.

  • 87224(f)Type B

    87224(f) Eviction Procedures.A written report of any eviction shall be sent to the licensing agency within five (5) days.This requirement is not met as evidenced by: Based on interviews and record review the licensee did not comply with the section cited above by not notifying the licensing of R1's eviction. This poses a potential Health and Safety and Personal Right risk to residents in care.

  • 87458.1(a)(3)Type B

    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:(3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination.This requirement is not met as evidenced by: Based on interviews conducted, licensee failed to ensure that residents have access to the food/snacks at any time. This poses a potential health and safety or personal rights risk to the resident in care.

  • 87465(h)(6)(A)Type A

    87465(h)(6)(A)-(F)87465 Incidental Medical and Dental Care(h) The following requirements shall apply to medications which are centrally stored: (6) The licensee shall be responsible for assuring that a record of centrally stored prescriptions... (A)...(F)...This requirement is not met as evidenced by: Based on record reviews and interviews, licensee did not comply with the section above, as facility staff handling medications were not properly documenting prescribed medications on CSMDR, which poses an immediate health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 14, 2023 inspection of CALIFORNIA STATE HEALTH GROUP LLC?

This was a complaint inspection of CALIFORNIA STATE HEALTH GROUP LLC on April 14, 2023. 4 citations were issued: 2 Type A (serious) and 2 Type B.

Were any citations issued to CALIFORNIA STATE HEALTH GROUP LLC on April 14, 2023?

Yes, 4 citations were issued (2 Type A, 2 Type B). The first citation was for: "1569.73(a) (5) An agreement has been executed between the facility and the hospice regarding the care plan for the termi..."

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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