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Inspection visit

Follow-up on corrections

SPRINGVILLELicense 1986030404 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Kimberly Ramirez conducted a Case Management Deficiencies visit due to observation made while investigating complaint control # 28-AS-20230503164443 visit. The purpose of the visit was explained to Administrator Linda Fan. During tour of facility LPA observed the following deficiencies: · 2 bottles of prescription for R1 and R2 were observed on water dispenser machine in dining room area. This area was accessible to 35 out of 35 residents in care. · Water temperature in 1 st floor bathroom#1 was measured at 96.4 degrees F, which does not meet Title 22 regulations. · Water temperature in 1 st floor bathroom#2 was measured at 98.6 degrees F, which does not meet Title 22 regulations. · 1 st floor storage 3 was observed to accessible and contained various tools, half bag of construction material, can of paint, oxygen tank and other potentially dangerous tools. · LPA observed several “Blood Glucose Testing and Insulin Injection Records” and “Incontinence Logs” taped outside several residents’ doors. Deficiencies are being cited. See LIC 809-D. Exit interview was held and a copy of this report, 809-D and appeals rights was provided via email due to printer problems.

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.

  • 87303(e)(2)Type B

    (e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C).This requirement is not met as evidenced by: 1st Floor shared bathroom# 1 and #2 water temperature read at 98.6 degrees F in bathroom # and 96.4 degrees F in bathroom#1.

  • 87465(h)(1)(2)Type A

    87465 Incidental Medical and Dental Care(h) The following requirements shall apply to medications which are centrally stored:(1) Medications shall be centrally stored under the following circumstances:(2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.This requirement is not met as evidenced by: LPA observed 2 bottles of medication for R1 and R2 sitting on top of a water dispenser machine, in dinning area. Medications were accessible to 35 out of 35 residents in care.

  • 87506(a)(13)(c)Type B

    Licensing 87506Resident Records(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. (13) Continuing record of any illness, injury, or medical or dental care, when it impacts the resident's ability to function or needed services.(c) All information and records obtained from or regarding residents shall be confidential.This requirement is not met as evidenced by: At 2:29 pm LPA observed "Blood Glucose Testing and Insulin Injection Sheet" taped to the outside of R3 bedroom door and "Incontinence Log" taped to the outside of R4 bedroom door. LPA observed these logs on several residents doors throughout the facility.

  • 87705(f)(1)Type A

    87705Care of Persons with Dementia(f) The following shall be stored inaccessible to residents with dementia:(1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). During tour, LPA observed storage door 3 to be unlocked and contained various tools, paint, oxygen tank and other potiential dangerous tools.

FAQ · About this visit

Common questions about this visit

What happened during the May 4, 2023 inspection of SPRINGVILLE?

This was a other inspection of SPRINGVILLE on May 4, 2023. 4 citations were issued: 2 Type A (serious) and 2 Type B.

Were any citations issued to SPRINGVILLE on May 4, 2023?

Yes, 4 citations were issued (2 Type A, 2 Type B). The first citation was for: "(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care..."

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.