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Inspection visit

complaint

WINDCHIME OF MARINLicense 2168009772 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Continue from LIC9099-C Staff do not ensure facility is kept free of mal odors - Complainant alleges due to lack of housekeeping resident’s rooms smell badly as the majority of residents are incontinent and the smell travels through the hallways as you enter the facility. On 7/22/2024 (Monday) LPA toured the facility at aprox 8:54am starting on the 3rd floor and when entering the floor when door opened - there was a pungent smell of urine/mal. LPA & S2 toured 5 rooms finding 2 bedrooms having strong urine/mal odors which S2 opened windows and removed soiled clothing in laundry basket. LPA was informed from staff interviews there are 2-3 residents who have incontinent issues and behaviors of urinating on the floor in their rooms & in the hallways. Per staff interviews regarding June & July, 2024 the facility does not have housekeeping cleaning on Sunday. Staff schedule obtained supports lack of housekeeping staff on Sunday. The facility just hired a new housekeeper, but staff believe the smell is due to the floors not being cleaned over the weekend. Due to LPA’s observations & interviews regarding Staff do not ensure facility is kept free of mal odors allegation is found to be SUBSTANTIATED. A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of evidence standard has been met. The following deficiencies were observed (see LIC 9099D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided. Allegation of Staff do not ensure facility is kept free of mal odors is Substantiated due to odor and lack of housekeeping on sight. Although, LPA was unable to obtain or observed additional evidence to support facility is not safe and sanitary citation issued under reference allegation. Although it was alleged Staff do not ensure residents rooms are kept in safe, clean, sanitary condition may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated .

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.

  • 1569.69(a)(1)Type B

    1569.69(a)(1) Medication Administration Training (a)Each residential care facility for the elderly shall ensure that each employee …who assists residents with the self-administration of medications meets all the following training requirements: (1)In facilities licensed for 16 or more.. employee shall complete 24 hours of initial training…consisting of 16 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 8 hours of other training or instruction..which shall be completed within the first four weeks of employment. This requirement is not met as evidenced by: Based on: Record review & interview with Administrator, S1 lacks proof of required HSC 1569.69(a)(1) medication training, the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care.

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  • 87625(b)(3)Type B

    87625(b)(3) Managed Incontinence(b)In addition to Section 87611, General .., the licensee shall be responsible for :(3)Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement is not met as evidenced by: Based on statements and observation, this requirement is not met as evidenced by: On 8/22/24 LPA & staff observed 3rd floor of facility and R1 & R2’s rooms having strong incontinence odors. This poses a potential health & safety risk to R1, R2 & other residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 6, 2024 inspection of WINDCHIME OF MARIN?

This was a complaint inspection of WINDCHIME OF MARIN on August 6, 2024. 2 citations were issued: 2 Type B.

Were any citations issued to WINDCHIME OF MARIN on August 6, 2024?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "1569.69(a)(1) Medication Administration Training (a)Each residential care facility for the elderly shall ensure that eac..."

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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