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Inspection visit

Complaint

ALDERSLYLicense 2168016861 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Staff interviews conducted stated that there have been issues with the pendant devices such as call buttons alarming when residents have not called for assistance and alarming for residents who were out of the facility, or no longer residing at the facility. Interviews revealed that sometimes staff members would forget to clear the call button after assisting a resident resulting in the button continuing its alarm until it was properly cleared. Interviews conducted indicated that the facility was aware of the devices having issues but could not determine its cause. LPA was informed that the call light system would be undergoing a system audit to address the issues observed with the call light system and defective pendants. Based on documents reviewed, observations made, and interviews conducted, the allegations that Staff do not respond to resident’s emergency call button in a timely manner and Facility does not have adequate staff to meet the needs of residents have been Substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Exit interview conducted. Copy of report, LIC-809D, Plan of Corrections, and Appeal Rights discussed and provided to Administrator. Signature on form confirms receipt of documents. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties.

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.

  • 87411(a)Type A

    Facility personnel sufficiency and competence

    87411(a) Personnel Requirements – General:(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs… This requirement has not been met as evidenced by: Based on records reviewed and interviews conducted, facility staff were unable to respond to resident care needs and call buttons in a timely manner. Records reviewed indicated that multiple call buttons had response times of an hour or longer. Interviews stated that there was an issue with facility pendants not working properly. This poses an immediate risk to the health and safety of residents in care.

  • 87211Type B

    Reporting requirements

    87211 Reporting Requirements:(a)Each licensee shall furnish to the licensing agency such reports as the Department may require, including...the following:(1)A written report shall be submitted to the licensing agency...within seven days of the occurrence of...(D)Any incident which threatens the welfare, safety or health of any resident... This requirement is not met as evidenced by:Based on Record Review, the Licensee did not comply with the section cited above, and did not submit reports to CCL as required. This poses a potential health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the December 29, 2022 inspection of ALDERSLY?

This was a complaint inspection of ALDERSLY on December 29, 2022. 1 citation were issued: 1 Type A (serious).

Were any citations issued to ALDERSLY on December 29, 2022?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87411(a) Personnel Requirements – General:(a) Facility personnel shall at all times be sufficient in numbers, and compe..."

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.

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.