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Inspection visit

Follow-up on corrections

FIL-AM HOME FOR SENIORS IIILicense 1986032181 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 12/05/2022, Licensing Program Analyst (LPA) Alberto Lopez made initial 10-day visit. During this visit LPA met with Acting Administrator Lea Loaiza and explained the purpose of today's visit. LPA conducted a tour of this facility. LPA did not observe any signs of neglect, or abuse, but did observe health and safety risk. LPA cited facility on Case Management report and 809D. LPA also reviewed files for three residents and obtained relevant documentation. LPA obtained resident roster and names of staff. LPA asked facility for LIC500, and facility staff stated they would email it later today. On 08/08/2023 LPA Alberto Lopez made a subsequent visit to facility and met with Administrator Toby Miclat and discussed the purpose of the visit. LPA took a tour of the living room, dining areas, kitchen, common areas, and random resident rooms. LPA did not observe any signs of neglect, abuse or other immediate health and safety risks. LPA requested copies of staff and resident roster, and interviewed four(4) Staff (S#1-S#4) and six (6)residents (R#1-R#6). LPA interviewed four staff (S#1- S#4), six residents (R#1-R#6) and two witnesses (W#1-W#2). 04/30/24 - During today’s visit, LPA took a tour of the facility, including random resident rooms, and common areas of the facility. According to Department interviews, and records reviewed, and observation, The facility was using half rails for resident #1 (1) and #6 (6) without a doctor’s orders which poses an immediate health, safety, or personal rights risk to persons in care. Deficiency is being cited according to California Code of Regulations, Title 22, Division 6 and Chapter 8 Exit interview, a copy of this report and Appeals Rights were provided to the Facility Administrator Toby Miclat

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.

  • 87608(a)(3)Type B

    87608(a)(3)87608 Postural Supports(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions.(3) 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.This requirement is not met as evidence by: LPA observed R1 with double half rails and Administrator stated that the facility did not have a doctor’s order for the half bed rails that were used for R1 and R6 bed which poses an immediate health, safety, or personal rights risk to persons in care.

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  • 87464(f)(1)(c)Type A

    87464(f)(1)(c) Basic Services:Basic services shall at a minimum include:(1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c).H&S Code 1569.2(c) “Care and supervision” means the facility assumes responsibility for, or provides or promises to provide in the future, ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered. This requirement is not being met as evidenced by:Based on interviews and record review, resident suffered 2 facial fractures while in care at the facility and facility failed to provide medical attention to resident. Lack of care and supervision by facility resulted in staff not knowing resident had facial fractures. The fractures were discovered when resident made visit to emergency room for unrelated health issues.

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  • 87465(a)(1)Type A

    87465(a)(1) Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility...(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents.This requirement is not met as evidenced by: Based on interviews and record review, facility did not contact PCP or arrange to have wound care specialist provide wound care to resident who was admitted to facility with two stage 1 pressure injuries on both heals and developed stage 3 pressure injury on coccyx while in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 30, 2024 inspection of FIL-AM HOME FOR SENIORS III?

This was a other inspection of FIL-AM HOME FOR SENIORS III on April 30, 2024. 1 citation were issued: 1 Type B.

Were any citations issued to FIL-AM HOME FOR SENIORS III on April 30, 2024?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87608(a)(3)87608 Postural Supports(a) Based on the individual's preadmission appraisal, and subsequent changes to that a..."

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.