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Inspection visit

complaint

ROYAL VISTA SAN GABRIELLicense 1986025641 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Allegation: Staff failed to provide access to resident's records. It is alleged that on October 22, 2020, the facility received via fax and U.S. mail a formal medical records request pertaining to resident (R1). A prior records request was sent via fax and U.S. mail on October 13, 2020, to the Skilled Nursing Facility (SNF) "Royal Vista Care Center" next door regarding R1. That request had the incorrect name and address listed, but had Royal Vista San Gabriel's correct fax number and resident (R1's) name. On both request dates aforementioned, the records were to be provided within two (2) business days as required by California Health and Safety Code 1569.269(21). Based on record review, the findings indicate that the initial request was addressed to the incorrect facility name/address/type, but was faxed to this Assisted Living facility with the correct resident's name. The SNF next door and this facility are owned by the same licensee. Therefore, have direct daily communication pertaining to administrative matters. Per former Administrator interview, Ms. Fuentes confirmed the records request was received on Oct. 13, 2020, and that they were provided to the facility's corporate office staff within 2 days. Former Resident Care Coordinator stated that the records were provided to the Administrator one (1) day later, and they were given to the corporate office staff. Both staff (S1 & S2) stated corporate staff were responsible in providing the resident records to the legal representative. Per staff interviews, the records were provided to the facility corporate office staff. However, as of October 28, 2020 the resident's records had not been provided to the legal representative. Therefore, based on document review there is sufficient evidence to corroborate the allegation. Based on interviews and information obtai ned the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . Deficiency is being cited according to Title 22, Division 6 Health and Safety Code, Chapter 3.2 Residential Care Facilities for the Elderly Article 02.5 Resident's Bill of Rights. See LIC 9099D. Exit interview was conducted with Administrator Chia Demurjian. A copy of the report and appeal rights were provided.

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.

  • 87468.1(a)(3)Type A

    Personal Rights of Residents in All Facilities. Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. Based on interviews conducted and document review, registry staff (S1) abused resident (R1) by not dressing the resident appropriately when taking it to the dining room, and force feeding the Dementia resident without regard to choking or apiration. This poses an immediate health and safety risk to persons in care.

  • 1569.269(a)(21)Type B

    Enumerated rights; severability. Residents of residential care facilities for the elderly shall have all of the following rights: To have prompt access to review all of their records and to purchase photocopies. Photocopied records shall be promptly provided, not to exceed two business days, at a cost not to exceed the community standard for photocopies. This requirement was not met evidenced by: Based on record review, the facility received a formal medical records request on 10/22/2020, and failed to provide the records within 2 business days, as required per regulation; which poses a potential health and safety risk to persons in care.

  • 87465)(c)(2)Type A

    Incidental Medical and Dental Care. If the resident's physician has stated in writing that the resident is unable to determine his/her own need ........ facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: Once ordered by the physician the medication is given according to the physician's directions. Based on records review, on Jan. 22, 2023 med-tech staff gave resident (R1) resident (R2's) Velphoro 500 mg medication in error. R1 immediately reported the error, and the medication was not taken. This poses an immediate health and safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 26, 2023 inspection of ROYAL VISTA SAN GABRIEL?

This was a complaint inspection of ROYAL VISTA SAN GABRIEL on January 26, 2023. 1 citation were issued: 1 Type B.

Were any citations issued to ROYAL VISTA SAN GABRIEL on January 26, 2023?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Personal Rights of Residents in All Facilities. Residents in all residential care facilities for the elderly shall have ..."

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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