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Inspection visit

Routine inspection

CEDAR CREEK SENIOR LIVINGLicense 207209043
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

On 08/16/22, Licensing Program Analyst (LPA) L. Salazar arrived unannounced to conduct the required Annual - Infection Control Inspection. LPA was greeted by Executive Director, stated purpose of visit. COVID precautionary measures were taken at the time of entry. LPA entered through the central entry point where hand sanitizer and visitor policy was posted. LPA observed the Staff and Visitor sign in and Covid Symptom Screening area. Facility Mitigation plan has been submitted to CCL. Infection control procedures described in the plan were observed and reviewed with LPA include: Daily symptoms screenings (for staff, persons in care and visitors), testing, visitation , quarantine/isolation procedures, emergency staffing plan, PPE storage, use and training, as well as daily infection control procedures. The Executive Director is identified as the Infection Control lead for the facility. LPA toured the facility and observed postings to encourage face coverings and hand washing were observed. Furniture in common and dining areas are spaced to promote distancing. Staff were all observed wearing face coverings. Facility has multiple designated visitation areas available. LPA observed PPE accessible to staff. Common and resident bathroom sinks are well stocked with liquid soap and paper towels for hand washing. Through LPA’s observations, documentation review and interview with Executive Director, the required infection control practices are found to be in compliance. No deficiencies cited on today’s inspection.

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.

  • 87211(a)(1)Type B

    (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. This requirement was not met as evidenced by LPAs observation of an incident report dated 07/26/22 was sent late. This poses a potential risk to residents in care.

  • 87705(f)(1)Type A

    87705 Care of Persons with Dementia(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). This requirement was not met as evidenced by LPA's observation of a screwdriver, hammer, meat thermometer, pizza slicer and wood skewer sticks accessible to residents in care. This poses an immediate risk to residents in care.

  • 87707(a)(2)Type B

    87707 Training Requirements If Advertising Dementia Special Care, Programming And/Or Environments (a) Licensees who advertise, promote, or otherwise hold themselves out as providing special care, programming, and/or environments for residents with dementia or related disorders shall ensure that all direct care staff, described in Section 87706(a)(1), who provide care to residents with dementia, meet the following training requirements: (2) Direct care staff shall complete at least eight hours of in-service training on the subject of serving residents with dementia within 12 months of working in the facility and in each succeeding 12-month period...Direct care staff hired as of July 3, 2004 shall complete the eight hours of in-service training within 12 months of that date and in each succeeding 12-month period. This requirement was not met as evidenced by LPAs review of training records. 5 out 5 staff did not have the required training.

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FAQ · About this visit

Common questions about this visit

What happened during the August 26, 2022 inspection of CEDAR CREEK SENIOR LIVING?

This was a inspection inspection of CEDAR CREEK SENIOR LIVING on August 26, 2022. The inspection found no deficiencies and no citations were issued.

Were any citations issued to CEDAR CREEK SENIOR LIVING on August 26, 2022?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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