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Inspection visit

complaint

GOLDEN CARE LIVING IIILicense 1983200242 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Continued LIC9099-C page 2 S1-S3 stated that meeting the residents' needs requires two staff members, but on Sunday, June 23, 2024, there was only one staff member available to manage the care of all five residents. Staff Jeremy and LPA Bunker toured the entire facility buildings and grounds to observe and identify any signs of neglect, abuse, or other immediate health and safety threats. We did not observe any signs of neglect or abuse during today's visit. LPA Bunker requested and reviewed staff and residents' records. LPA Bunker requested pertinent documentation regarding the above allegation. (Identification and Emergency Information, Physician's Report, Medical Administration Record, Admission Agreement, Appraisal/Needs and Services Plan, Functional Capability Assessment, Personnel Report, Resident's Roster, Special Incident Report, Corrective Action Memo, and Ongoing In-Service Training) Allegation #1: Staff left residents in soiled diapers for an extended time S1-S3 stated that it is true the facility was not fully staffed on Sunday, June 23, 2024, with only one staff member on duty to care for five incontinent non-ambulatory residents. S1-S3 and R1-R2 stated that residents were left in soiled diapers for hours before staff could provide assistance. Allegation #2 Staff are not meeting residents' needs S1-S3 and R1-R2 stated on Sunday, June 23, 2024, staff did not meet the care needs of the residents for one day. S1-S3 and R1-R2 stated staff normally meet residents' care needs. R1-R2 stated they are generally happy with the care they receive, but on June 23, 2024, there were not enough staff on duty to assist residents as required. R1 mentioned that everything had been exceptional until the incident on that one day. S1-S3 and R1-R2 stated the staff addressed and resolved the issue. Investigation revealed the following: S1-S3 and R1-R2 stated that residents were left in soiled diapers for hours before staff could provide assistance. S1-S3 and R1-R2 stated on Sunday, June 23, 2024 staff did not meet the care needs of the residents for one day. S1-S3 and R1-R2 stated the staff addressed and resolved the issue. See continued LIC9099-C page 3 Continued LIC9099-C page 3 S1-S3 ensured that incontinent residents were kept clean and dry, the facility remained free of odors, and incontinent residents were checked regularly during known periods of incontinence. S1-S3 ensures sufficient and competent staff are available to provide the necessary services needed to meet residents' needs. Based on LPA’s observations, interviews that were conducted, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22, Division 6, and Chapter 8 are being cited on the attached LIC9099-D. Appeal Rights were discussed, and copies of the Complaint Investigation Report LIC9099, LIC9099-C, and LIC9099-D were provided to staff. Appeal rights have been issued and discussed. Exit interview conducted

Citations

2 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.

  • 1569.2(c)Type B

    1569.2 (c) Health and Safety Code:The facility staff is responsible for providing care and supervision to meet residents’ needs, including assistance with daily living activities such as personal care, dressing, bathing, and managing incontinence of bowel and/or bladder. The staff failed to meet the resident’s daily personal care needs.The violation poses a potential health and safety risk to residents in care.

  • 87625(b)(2)(3)Type B

    87625 (b) (2) (3) Managed Incontinence: The licensee shall be responsible for ensuring that incontinent residents are checked during those periods of time when they are known to be incontinent, including during the night. Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence odors from incontinence.On Sunday, June 23, 2024 residents 1 and 2 were left in soiled diapers for an extended period because one of the staff did not report to work and was a no-showThe violation poses a potential health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the July 2, 2024 inspection of GOLDEN CARE LIVING III?

This was a complaint inspection of GOLDEN CARE LIVING III on July 2, 2024. 2 citations were issued: 2 Type B.

Were any citations issued to GOLDEN CARE LIVING III on July 2, 2024?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "1569.2 (c) Health and Safety Code:The facility staff is responsible for providing care and supervision to meet residents..."

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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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.