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Inspection visit

Routine inspection

STERLING SENIOR LIVING 3License 19832030812 citations on this visit
12 citations recorded

Inspector’s narrative

What the inspector wrote

On 10/05/23 Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with administrator Kian Pascual and Albert Narez. LPA Dabuet explained the purpose of today’s visit. The facility is licensed to operate for (6) elderly residents. (2) ambulatory, (3) non-ambulatory and (1) bedridden. The facility is approved for (4) hospice residents. Currently, there is only (1) hospice in care. The facility is a single-story structure located in a residential neighborhood. It consists of the following: (6) resident bedrooms (2) common bathrooms, an activity room, a dining area, a kitchen, a patio, and a garage. LPA toured the physical plant. There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the resident's personal belongings was observed. Bed linens, comforters, and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 109.6 degrees F. A comfortable temperature was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene and sharps objects were stored and not accessible to clients. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. A fire extinguisher was charged. A review of the Medication Records Administration (MAR) was maintained in place. During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. LPA observed First Aid Kit was maintained. A working landline phone was operational. Evaluation Report continues LIC 809-C LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. An audit of resident #1-#6 (R1-R6) service files and staff #1-#7 (S1-S7) personnel files were conducted. DEFICIENCIES: Postural Support: non-authorized full bed rails for resident #3 – Type B Disinfectants/Toxic Cleaning Solutions: unsecured/unlocked bathroom #2 cabinet – Type A Room #3 window blinds: Broken shades – Type B Room #4 End Table missing drawer – Type B Administrators Certificate: Expired for Staff #1 – Type B No current CPR/First Aid certificates - staff #1 and #5 - Type B Resident 4: No current medical and appraisal assessment for resident with Dementia – Type B Medicines required refrigeration not stored properly - Type A No night supervision - No night shift staff after 8pm - Type B No quarterly emergency drills conducted/documented - Type B No documentation/record keeping of PRN for resident #4 - Type B Prescribed medications and PRN not included in (MAR) - Type B Administrator's Qualification: Failed to conform to applicable rules and regulations, which resulted to multiple citations. - Type B According to the California Code of Regulations (Title 22, Division 6, Chapter 8), the following deficiencies has been observed and citation issued (ref. LIC 9099-D). An exit interview conducted with Albert Nanrez and a copy of report and appeal rights provided. Note: *Citations not cleared by the due date will be a $100 fine assessed for each citation until it is cleared. Civil penalties will continue to accrue until Proof of Corrections (POC) are cleared. *

Citations

12 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.

  • 1569.695(c)Type B

    Based on record review and interview, the licensee did not comply with the section cited above. LPA was informed by staff that no emergency drills have been conducted. The facility did not have log drills have been performed. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87303(a)Type B

    Based on observation, the licensee did not comply with the section cited above. LPA identified window blinds in room #3 with broken blinds and room #5 bedside table as a missing drawer. The violaiton which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87309(a)(1)Type A

    Based on observation, the licensee did not comply with the section cited. A bottle of wound solution was found under bathroom #2 sink accessible to resident with dementia. This violation which poses an immediate health, safety or personal rights risk to persons in care.

  • 87309(b)Type A

    Based on observation], the licensee did not comply with the section cited above. LPA identified prescribed medications that required refrigeration were store in refrigerator for residents. The medications were accessible to residents in care. This violaton which poses an immediate health, safety or personal rights risk to persons in care.

  • 87405(b)(2)Type B

    Based on interview and record reviews the Licensee/Administrator failed to adhere to Title 22 regulations, resulting to multiple deficiencies cited. Administrator is not meeting the required hours for supervision at the facility according to staff. The admnistrator spend less than 20 hour per week. This which poses a potential health and safety risk to residents in care.

  • 87407(d)Type B

    Based on observation and record review, the licensee did not comply with the section cited above. LPA identified staff #1 did not have a current administratior certificate. The certificate expired 08/30/23 and not proof of evidence that renewal was submitted to Department Administrator Certification. This violaton which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87411(c)(1)Type B

    Based on record review, the licensee did not comply with the section cited above. LPA identified staff #1 and #5 did not a valid or current CPR/First Aid on file. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87415(a)Type B

    Based on observation, interview and record review, the licensee did not comply with the section cited above. The facility does not have a NOC shift staff according to LIC 500 and administrator. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(d)Type B

    Based on observation and record review, the licensee did not comply with the section cited above. LPA identified no record keeping records were foun for resident # 4 on file. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(d)(3)Type B

    Based on observation, interview and review, the licensee did not comply with the section cited above. LPA identified in resident #2, #3, and #5 PRNs and prescibed medications by PCP were not included on the Medication Administration Record (MAR). This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87608(5)(B)Type B

    Based on observation and record review the licensee did not comply with the section cited above. LPA identified resident #3 had full bed rails and not on hospice care with no dotor's orders. This violationwhich poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87705(5)Type B

    Based on observation and record review, the licensee did not comply with the section cited above. LPA identified resident #4 did have a current medical/appraisal assessment and is diagnosed with Dementia. The last medical assessment is 2021. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 5, 2023 inspection of STERLING SENIOR LIVING 3?

This was a inspection inspection of STERLING SENIOR LIVING 3 on October 5, 2023. 12 citations were issued: 2 Type A (serious) and 10 Type B.

Were any citations issued to STERLING SENIOR LIVING 3 on October 5, 2023?

Yes, 12 citations were issued (2 Type A, 10 Type B). The first citation was for: "Based on record review and interview, the licensee did not comply with the section cited above. LPA was informed by st..."

What type of inspection was this?

This was a inspection inspection. inspection 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.