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Inspection visit

complaint

BAYSHIRE SAN DIMASLicense 1986037102 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Regarding allegation: Licensee does not ensure the facility has an administrator present a sufficient number of hours to adequately manage facility. It is alleged that facility operational concerns are not being addressed due to the administrator never present at the facility. Per interviews conducted with staff, (6) of (9) staff corroborated the allegation. (2) of (6) staff stated the listed administrator is present at the facility once every (2) to (3) weeks. (4) of (9) staff stated the administrator has only been present at the facility twice since the facility was licensed, on April 1, 2024. Per resident interviews, (3) of (5) residents corroborated the allegation. Residents stated to not know who the listed administrator is and stated that S2 is actually the administrator. Regarding allegation: Staff are preventing resident from receiving telephone calls. It is alleged that the facility is not answering the telephone during their listed hours of operations to reach residents in care. Per staff interviews, (4) of (9) staff corroborated the allegation. Staff stated that the receptionist is responsible for answering the telephones and unlocking the facility front doors at 8:00am. However, the receptionist is not always on time, so the phone calls get answered upon staff arrival. Per resident interviews, (1) of (5) residents corroborated the allegation. Residents stated the receptionist is responsible for unlocking the front doors and answering the phones at 8:00am, however the receptionist is late and this is not being done timely. R1 stated to have opened the front door for a visitor last week because they were knocking and there was no staff present at the front desk to answer it. Based on LPA's observation and interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. Per California Code of Regulations, Title 22, deficiencies were observed and will be cited on LIC9099-D. An exit interview was conducted and a copy of this report and appeal rights were provided.

Citations

4 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.

  • 87405(a)Type B

    87405 Administrator - Qualifications and Duties(a)The administrator...shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility as specified in this section.This requirement was not met as evidenced by: Based on interviews conducted, the Licensee failed to ensure the administrator is at the facility a sufficient amount of hours to address operational concerns of the facility, which poses a potential Health, Safety, or Personal Rights risk to persons in care.

  • 87468.1(a)(14)Type B

    87468.1 Personal Rights of Residents in All Facilities(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(14)To have reasonable access to telephones, to both make and receive confidential calls...This requirement was not met as evidenced by: Based on interviews conducted, the Licensee failed to ensure the facility telephone is answered during normal business hours so that residents may be contacted, which poses a potential Health, Saftey, or Personal Rights risk to persons in care.

  • 87355(e)(1)Type A

    87355 Criminal Record Clearance(e) All individuals subject to a criminal record review...shall prior to working...in a licensed facility:(1) Obtain a California clearance or a criminal record exemption as required by the Department...This requirement was not met as evidenced by: Based on interview and record review, the Licensee failed to ensure that S2 had appropriate criminal record clearance prior to working at the facility, which poses an immediate Health, Safety, or Personal Rights risk to persons in care.

  • 87405(f)Type B

    87405 Administrator - Qualifications and Duties(f) The administrator in facilities licensed for fifty (50) or more shall have two years of college; at least three years experience providing residential care to the elderly; or equivalent education and experience as approved by the licensing agency.This requirement was not met as evidenced by: Based in interview and record review, the Licensee failed to ensure the listed administrator has appropriate qualifications to manage the facility, which poses 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 21, 2024 inspection of BAYSHIRE SAN DIMAS?

This was a complaint inspection of BAYSHIRE SAN DIMAS on May 21, 2024. 2 citations were issued: 2 Type B.

Were any citations issued to BAYSHIRE SAN DIMAS on May 21, 2024?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "87405 Administrator - Qualifications and Duties(a)The administrator...shall be on the premises a sufficient number of ho..."

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.