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Inspection visit

Follow-up on corrections

HACIENDA GRANDE SENIOR ASSISTED LIVINGLicense 1982050242 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 05/06/24 at 1pm Licensing program analyst (LPA) Villegas conducted a case management visit to issue deficiency for citations observed during complaint investigation 11-AS-20230811161937, LPA met with Administrator Shalani Ramos as the purpose of todays visit was explained. During the complaint investigation, LPA observed resident #1 (R1) had a change in condition and facility staff did not document such changes in residents record. Also, during complaint investigation during interviews conducted facility staff communicated with R1's physician when R1 refused medication but there was no documentation of the communication and the physicians directives. Deficiencies cited under California code regulations, title 22, division 6, chapter 8 are being cited on the attached 809D. exit interview conducted, appeal rights explained, and a copy of this report was provided Administrator Shalani Ramos

Citations

3 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.

  • 87465(d)(2)Type B

    Incidental Medical and Dental CareIf the resident is unable to determine his/her own need for a prescription...The date and time of each contact with the physician, and the physician's directions, shall be documented and maintained in the resident's facility record. This requirement is not met as evident by based on interviews conducted and records review, the licensee failed to document contact with R1's physician when R1 refused medication(s). This poses a health and safety risk to residents in care.

  • 87566Type B

    Observation of the Resident...When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physicians and the resident's responsible person, if any. Based on interviews conductedand reocrds reviewed, R1 had a change in condition in physical and mental functioning, and R1 was refusing meds and the licensee failed to document shuch changes. This poses a health and safety risk to residents in care.

  • 87211(a)(1)Type B

    Each licensee shall furnish to the licensing agency...A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below... This requirement is not met as evidet by, based on records review the licensee did not submit incident reports dated 4/17/24, and 4/19/24 to licensing within 7 days of the occurence. This poses potential health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 6, 2024 inspection of HACIENDA GRANDE SENIOR ASSISTED LIVING?

This was a other inspection of HACIENDA GRANDE SENIOR ASSISTED LIVING on May 6, 2024. 2 citations were issued: 2 Type B.

Were any citations issued to HACIENDA GRANDE SENIOR ASSISTED LIVING on May 6, 2024?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "Incidental Medical and Dental CareIf the resident is unable to determine his/her own need for a prescription...The date ..."

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.