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Inspection visit

complaint

PASADENA VILLA SENIOR LIVINGLicense 1986032862 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

The investigation revealed the following: Based on record review, Resident #1 (R1) was initially served a 30-day eviction letter on 5/5/21 and another most recently on 7/9/21. Per Executive Director, R1 had a physical altercation with another resident which led to the eviction notice served on 7/9/21. LPA interviewed R1 who denied the physical altercation and stated that the eviction letter was never provided to her. However, the incident was verified by staff through the video footage and the eviction letter served on 7/9/21 was signed by R1. Although LPA received documentation of incidents pertaining to R1, the specific incident(s) that caused for eviction were not indicated on the eviction letter. In addition, R1’s Appraisal/Needs and Services Plan has not been updated since 11/23/2020 to address the current behaviors. R1 is still residing at the facility. Based on record review, 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. An exit interviewed was conducted. The Plan of Corrections were reviewed and developed with the Executive Director. A copy of this report, LIC9099D, and appeal rights were provided.

Citations

2 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.

  • 1568.683(a)Type B

    1568.683 Eviction notices; reasons for eviction contents, service (a)... a notice of eviction to a resident shall set forth in the notice to quit the reasons relied upon for the eviction, with specific facts to permit determination of the date, place, witnesses, and circumstances concerning those reasons.This requirement is not met as evidenced by: The licensee did not ensure that the reasons for eviction for R1 was written on the eviction letter which poses a potential health, safety, and personal right risk to resident in care.

  • 87463(a)Type B

    87463 Reappraisals (a) The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental, and social condition.This requirement is not met as evidenced by: The licensee did not ensure that the Appraisal/Needs and Services Plan for R1 has been updated to address current behaviors which poses a potential health, safety, and personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 11, 2021 inspection of PASADENA VILLA SENIOR LIVING?

This was a complaint inspection of PASADENA VILLA SENIOR LIVING on August 11, 2021. 2 citations were issued: 2 Type B.

Were any citations issued to PASADENA VILLA SENIOR LIVING on August 11, 2021?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "1568.683 Eviction notices; reasons for eviction contents, service (a)... a notice of eviction to a resident shall set fo..."

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.