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Inspection visit

Follow-up on corrections

SAFEWAY SENIOR LIVINGLicense 1976105024 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

On 1.6.2025 in conjunction with an initial complaint visit control number 31-AS-20241230165721. Licensing Program Analyst (LPA) Leslie Ngo-Castaneda completed an unannounced CASE MANAGEMENT- Deficiencies visit. LPA met with Licensee Anna Sargsyan, explained the purpose of the visit. During the facility tour at 12:02 PM . LPA observe the following: No files for employee and administrator to review. Two (2) staff are not associated or cleared to be with the facility. Five (5) residents does not have a file to review (Admission agreement; needs and service plan; physician report). Per the California Code of Regulations (CCR), Title 22, Division 6, Chapter 8, the following deficiency and civil penalty was observed and cited (Refer to LIC 809-D). Copy of this report provided, appeal rights given. Exit interview conducted.

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.

  • 873511(a)Type A

    A licensee or applicant for a license may request a transfer of a criminal record clearance from one state licensed facility to another, or from Trust Line to a state licensed facility by providing the following documents to the Department: (1) A signed Criminal Background Clearance Transfer Request, LIC 9182 This requirement is not met as evidenced by:Based on record review, licensee did not ensure that S2 and S3 is associated at this facility which poses an immediate health, safety and personal rights risk to the residents in care.

  • 87506(a)(b)Type B

    The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff.ach resident’s record shall contain at least the following information: Name; DOB, SSN, physician information, etc. This requirement is not met as evidenced by: Based on record review, administrator did not provide five (5) residents records to LPA which disrupts the comfort and health of others which poses a potential health, safety and personal rights risk to clients in care.

  • 87507(c)Type B

    Written in clear, understandable, coherent, and unambiguous language, using words with common and everyday meanings, and shall be appropriately divided with each section appropriately titled. This requirement is not met as evidenced by: Based on observation, administrator did not provide admission agreement upon taking in a resident which disrupts the comfort and health of others which poses a potential health, safety and personal rights risk to clients in care.

  • 87465(c)(2)Type A

    Incidental Medical and Dental Care Services. Once ordered by the physician, nonprescription PRN medications shall be given in accordance with the physician’s directions. LPA observed that R1 medication has, discrepancies. This requirement is not met as evidenced by: Based on observation, residents medication bubble pack was full and unuse which disrupts the comfort and health of others which poses a potential health, safety and personal rights risk to clients in care.

  • 87705(c)(4)Type B

    Care of Persons with Dementia: (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following:(4) There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety... This requirement was not met, evidenced by, based on interviews, staff are inconsistance to provide assiatance to the residents. This poses as a potential health and safety risk to residents in care.

  • 87411(c)Type B

    All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69. This requirement is not met as evidenced by: Based on observation, administrator and staff needs training which disrupts the comfort and health of others which poses a potential health, safety and personal rights risk to clients in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 6, 2025 inspection of SAFEWAY SENIOR LIVING?

This was a other inspection of SAFEWAY SENIOR LIVING on January 6, 2025. 4 citations were issued: 1 Type A (serious) and 3 Type B.

Were any citations issued to SAFEWAY SENIOR LIVING on January 6, 2025?

Yes, 4 citations were issued (1 Type A, 3 Type B). The first citation was for: "A licensee or applicant for a license may request a transfer of a criminal record clearance from one state licensed faci..."

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.