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Inspection visit

complaint

PIONEER CARE HOMELicense 1983204641 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

The investigation revealed the following: Allegation: Resident was inappropriately restrained On 11/12/2024, at 9:38 AM, LPA Zina Brown and LPM Janae Hammond interviewed Administrator (A1) Alvin Banzuela via phone regarding the above allegation. A1 stated that he has provided verbal training for the use of gait belts/postural supports. However, he acknowledged that there is no documented training on file for the use of gait belts/postural supports. A1 explained that clients use gait belts, which he believes are part of their wheelchairs and are buckled in front of the client. A1 confirmed there are no physician orders for the use of gait belts. On 11/12/2024, between 10:14 AM and 10:26 AM, LPA interviewed Staff #1-3 (S1-S3) regarding the allegation: All three staff confirmed the use of gait belts for all clients and stated that the gait belts are buckled from behind the clients. Two of the three staff confirmed receiving gait belt training prior to working at the facility. One staff member confirmed receiving training upon hire. Continues on LIC 9099-C On 11/12/2024, between 9:59 AM and 11:51 AM, LPA interviewed Clients #1-4 (C1-C4). All four clients denied the allegations. However, two of the four clients confirmed the use of gait belts. On 11/12/2024, all three staff demonstrated how gait belts are used on clients. The demonstration revealed that gait belts are buckled from behind the clients. On 11/12/2024, at 10:50 AM, LPA reviewed the records for Clients #1-4. No doctor’s orders for the use of gait belts or postural supports were observed. On 11/12/2024, at 11:00 AM, LPA reviewed the personnel records for Staff #1-3. No documentation of employee training was observed. Substantiated: Based on LPAs observations and interviews which were conducted and the records that were 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 LIC 9099D. Exit interview conducted with Alvin Banzuela (Administrator) and copy of the report and appeal right were provided .

Citations

5 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.

  • 87355(e)(2)Type A

    Request a transfer of a criminal record clearance as specified in Section 87355(c) or . . Based on records review, Staff #3 is not associated to the facility poses as a health and safety risk to residents in care.

  • 87412(a)Type B

    The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. . . Based on records review and observation Staff #1-Staff #3 personnel records were incomplete which poses a potential health and safety risk to the residents in care

  • 87506(a)Type B

    The licensee shall ensure that a separate, complete, & current record is maintained for each resident in the facility. . . Based on records review and observation, Resident #1 - #5 records were incomplete which poses as a health and safe risk to residents in care

  • 87608(a)(3)Type B

    A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. Based on records review and observation, Resident #2-#5 have half bed rails but no physician order on file which poses as a personal rights risk to residents in care.

  • 87468.1(a)(2)Type B

    . . .(2)To be accorded safe, healthful and comfortable accommodations, furnishings and equipment Based on observation & interview, the facility staff is utilizing a gait belt that is buckled behind the resident which does not the resident to release them from chair.

FAQ · About this visit

Common questions about this visit

What happened during the November 12, 2024 inspection of PIONEER CARE HOME?

This was a complaint inspection of PIONEER CARE HOME on November 12, 2024. 1 citation were issued: 1 Type B.

Were any citations issued to PIONEER CARE HOME on November 12, 2024?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Request a transfer of a criminal record clearance as specified in Section 87355(c) or . . Based on records review, Staff..."

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.