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Inspection visit

Follow-up on corrections

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

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Galarza made an unannounced Case Management-Deficiencies visit for the purpose of an unrelated complaint investigation control # 28-AS-20230321092912. LPA met with Wellness Nurse and explained the purpose of this report. During today's, complaint visit LPA was informed that Administrator Chia Demurjian is not available due to short term leave, with unknown date of return. Ms. Demurjian last worked at the facility on February 17, 2023. The Licensee did not find a temporary replacement and designate responsibility to another person in order to ensure the facility is in compliance. In addition, Community Care Licensing was not notified of the Administrator’s absence. Deficiency is cited per California Code of Regulation Title 22. See LIC809-D. Exit interview held with Wellness Nurse Elizabeth Contreras. A copy of the report and appeal rights were provided.

Citations

4 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.

  • 87411(d)(4)Type B

    Personnel Requirements - General(d) All personnel shall be given on the job training or have related experience in the job assigned to them.... (4) Knowledge required to safely assist with prescribed medications which are self-administered. This requirement was not met evidenced by: Based on interviews and record review, med-tech staff and Administration staff did not do their due diligence in reviewing all medication records and physician orders. In addition, MAR documentation errors were observed during today's visit; 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, R1 had in place a physician order for Rexulti 4 mg and it got changed to 3mg on 10/11/22 by a different unathorized doctor. This poses an immediate health and safety risk to persons in care.

  • 87468.1(a)(8)Type B

    Personal Rights of Residents in All Facilities. Residents in residential care facilities for the elderly shall have personal rights which include.....8) To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs. Based on record review, facility staff did not obtain R1's responsible party's consent to change doctor; which poses a potential health and safety risk to persons in care.

  • 87405(a)Type B

    Administrator - Qualifications and Duties.All facilities shall have a qualified and currently certified administrator....The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility as specified in this section. When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications adequate to be responsible and accountable for management and administration of the facility as specified in this section. Administrator last worked at the facility on Feb. 17, 2023, and no designee has been appointed, nor was CCL notified.

FAQ · About this visit

Common questions about this visit

What happened during the March 24, 2023 inspection of ROYAL VISTA SAN GABRIEL?

This was a other inspection of ROYAL VISTA SAN GABRIEL on March 24, 2023. 1 citation were issued: 1 Type B.

Were any citations issued to ROYAL VISTA SAN GABRIEL on March 24, 2023?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Personnel Requirements - General(d) All personnel shall be given on the job training or have related experience in the j..."

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.