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Inspection visit

Follow-up on corrections

MORNINGSTAR OF PASADENALicense 1986034161 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Kimberly Ramirez conducted a Case Management Visit-Deficiencies on 8/04/23 at 10am, stemming from initial complaint investigation on 8/04/23. LPA Ramirez requested and obtained copies of Resident roster, Resident# 1’s (R1) Special Incident Report (SIR). Case Management-Deficiencies findings: · On 7/21/23 R1’s accommodation (Room #115) was flooded and R1 had to be relocated to another accommodation. Facility staff failed to provide written incident report within seven (7) days of occurrence 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. R1 had to be relocated into another accommodation on 7/25/23 due to the severity of the plumbing and A/C issues. · On 8/1/23 LPA Ramirez received two (2) death reports for Resident #2 (R2) and Resident #3 (R3). Rr passed away on 7/11/23 and R3 passed away on 7/17/23. Facility failed to provide written incident report within seven (7) days of occurrence when death of any resident. Deficiency is being cited. Exit interview was conducted. A copy of this report, 809-D and appeals rights was provided.

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.

  • 87303(a)Type B

    87303 Maintanance and Operation.(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.

  • 87211(a)(1)(A)(D)Type B

    87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: 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. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case.

  • 87468.2(14)Type A

    87468.2(14)Additional Personal Rights of Residents in Privately Operated Facilities-To reasonable accommodation of their individual needs and preferences in all aspects of life in the facility, except when accommodation would endanger the health or safety of the individual resident or other residents. This requirement is not met as evidence by:Facility placed R1 in memory care unit eventhough R1 does not require memory care assistance or have a MCI diagnosis.

FAQ · About this visit

Common questions about this visit

What happened during the August 4, 2023 inspection of MORNINGSTAR OF PASADENA?

This was a other inspection of MORNINGSTAR OF PASADENA on August 4, 2023. 1 citation were issued: 1 Type B.

Were any citations issued to MORNINGSTAR OF PASADENA on August 4, 2023?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87303 Maintanance and Operation.(a) The facility shall be clean, safe, sanitary and in good repair at all times. Mainte..."

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.