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Inspection visit

Routine inspection (multi-day)

PASADENA VILLA SENIOR LIVINGLicense 1986032868 citations on this visit
8 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst(s)(LPA) Mary Flores conducted an unannounced case management continuation -annual visit at the facility using the CARE tool. . LPA Flores met with Silvia Bernal Med-Tech and explained the reason for the visit. During this visit the following CARE tool domains were reviewed: Planned activities, Incidental Medical and Dental, Disaster Preparedness, and Residents with Special Health Needs. Facility has planned activities posted on hallway, a library with reading material, and an activities director. On 4/22/23 - LPA Flores conducted a review of medication for 5 residents during initial annual visit. Resident #1(R1) did not have 4 medications listed. Resident #2(R2) was out of 1 medications listed on medication sheet. Resident #4(R4) was out of 3 prescribed medications and 1 medication was out of the original package. Per Med-Tech medications have not been provided for weeks, however the medication sheet is initial as provided. During facility's tour LPA observed resident's medication on top of bed frame in shared bedroom #4. On 5/27/23 LPA reviewed emergency disaster plan. Last fire drill was conducted on 12/20/22 for the morning staff, 2/22/23 for the evening staff, and 2/23/23 for the night staff. On 4/22/23 - During facility's tour LPA observed full bed rails for R3 and resident #5(R5) and half bed rails for R2, resident #4(R4) and resident #6(R6). R3,R4,and R5 did not have a physician's order request on file. On 4/22/23 - LPA was made aware facility handles P&I money for residents. On 5/27/23 LPA reviewed P&I money for R2,R6, resident #7(R7),#8(R8),#9(R9) and record of resident's safeguarded cash resources for R2 and R8 balance was not written in log, for R2 as it is written R2 should have a balance of $70.00 and there is no money available. Facility did not provided a copy of surety bond. Deficiencies were noted on LIC 809D per Title 22 Regulations. Exit interview was conducted with Scarlett Munoz - Receptionist and a copy of this report, LIC 809D, and appeal rights were provided.

Citations

8 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.

  • 1569.695(c)Type B

    Based on record review, the licensee did not comply with the section cited above in last fire drill conducted for each shift was conducted on 12/20/22, 2/22/23, and 2/23/23 which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87217(g)(1)Type B

    Based on record review, the licensee did not comply with the section cited above in review of P&I money showed R2 should have a balance of $70 per log and there was no money on envelope and R8's balance was not tracked on log which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(c)(2)Type A

    Based on observation and record review, the licensee did not comply with the section cited above in 3 out of 5 resident's medication reviewed were missing 1 or more medications and medication sheet was initialed and provided to residents in care; R1,R2,R4 which poses an immediate health, safety or personal rights risk to persons in care.

  • 87465(h)(2)Type A

    Based on observation, the licensee did not comply with the section cited above in observation of medication for resident was observed on top of the bed frame in shared bedroom #4 which poses an immediate health, safety or personal rights risk to persons in care.

  • 87608(a)(3)Type A

    Based on record review, the licensee did not comply with the section cited above in 3 residents have full bed or half bed rails and a physician's request is not on file which poses an immediate health, safety or personal rights risk to persons in care.

  • 87465(h)(5)Type A

    Based on observation, the licensee did not comply with the section cited above in medication for R4 was observed outside original labeled package which poses an immediate health, safety or personal rights risk to persons in care.

  • 1569.695(d)Type B

    Based on record review, the licensee did not comply with the section cited above in emergency disaster plan LIC 610D reviewed did not have date of last update or review which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87216(a)Type B

    Based on record review, the licensee did not comply with the section cited above in during visit LPA was not provided a copy of surety bond which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 27, 2023 inspection of PASADENA VILLA SENIOR LIVING?

This was a other inspection of PASADENA VILLA SENIOR LIVING on May 27, 2023. 8 citations were issued: 4 Type A (serious) and 4 Type B.

Were any citations issued to PASADENA VILLA SENIOR LIVING on May 27, 2023?

Yes, 8 citations were issued (4 Type A, 4 Type B). The first citation was for: "Based on record review, the licensee did not comply with the section cited above in last fire drill conducted for each s..."

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.