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Inspection visit

Incident investigation

BELLO GARDENS ASSISTED LIVINGLicense 2168032391 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Hansen arrived unannounced to conduct a Case Management inspection and met with Administrator, Charleen Vierra. LPA is following up regarding a self reported Incident Report received on 1/24/2023 that occurred on 1/17/2023. At approximately 8:20 am R1 AWOLed from facility, could not be located and later was found by individual after falling. Individual called 911 and R1 was taken to hospital. Based on LPA's interviews R1 was AWOLed for approximately 2 hours. Per facility policy, Law Enforcement authorities are to be notified of elopement within 30 minutes, should resident not be located. LPA received conflicting statements from interviews and incident report submitted. Facility did not follow personnel requirements and or their plan of operations for elopement (see LIC 809-D). LPA requested documents to be submitted to CCL. Appeal of Rights Given. The following deficiencies were observed (see LIC 809D) 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

Citations

1 citation 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 did not respond to residents elopement in an appropriate amount of time and or follow facilities Plan of Operation by contacting Law Enforcement. Records reviewed indicated that resident was a wanderer w/ dementia, not allowed to leave facility unatended. Interviews stated R1 AWOLed for aprox 2 hrs before outside individual contacted 911. Facility protocol is to contact law enforcement within 30 min.This poses an immediate risk to the health and safety of residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 26, 2023 inspection of BELLO GARDENS ASSISTED LIVING?

This was an other inspection of BELLO GARDENS ASSISTED LIVING on January 26, 2023. 1 citation were issued: 1 Type A (serious).

Were any citations issued to BELLO GARDENS ASSISTED LIVING on January 26, 2023?

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 an 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.