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Inspection visit

Follow-up on corrections

PASADENA VILLA SENIOR LIVINGLicense 1986032861 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Christine Wong conducted a Case Management Deficiencies visit due to observation made while investigating complaint control # 28-AS-20231215162057 visit. The purpose of the visit was explained to the Admission Director Madison Aceves During the complaint visit, LPA tried to obtain incident report for Resident#1 (R1) hospital admission for month of December, 2023 and the staff was not able to provide and indicated they do not have access to incident reports except certain staff. 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.

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.

  • 87618(b)(3)(H)Type A

    87618 Oxygen Administration-Gas and Liquid (b) In addition to Section 87611(b), the licensee shall be responsible for the following: (3) Ensuring that the use of oxygen equipment meets the following requirements: (H) Equipment shall be operable. The requirement was not met as evidenced by a witness observed R1 oxygen tanks were not filled and R1 had oxygen which posed a immediate risk to residents in care.

  • 87211(a)(1)(D)Type B

    87211 Reporting Requirements: (1)A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below.(D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. The requiement was not met as evidenced: LPA tried to request R1's incident reports for the month of Dec 2023, but staff reported they do not have any access on it and LPA was not able to obtain any incident reports during the complaint visit.

FAQ · About this visit

Common questions about this visit

What happened during the December 21, 2023 inspection of PASADENA VILLA SENIOR LIVING?

This was a other inspection of PASADENA VILLA SENIOR LIVING on December 21, 2023. 1 citation were issued: 1 Type B.

Were any citations issued to PASADENA VILLA SENIOR LIVING on December 21, 2023?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87618 Oxygen Administration-Gas and Liquid (b) In addition to Section 87611(b), the licensee shall be responsible for th..."

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.