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Inspection visit

Follow-up on corrections

AEGIS LIVING CORTE MADERALicense 2168039941 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Hansen conducted an unannounced case management and met with Administrator Donald Stamets. The purpose of this case management inspection is to follow up on a self-reported incident report submitted to Community Care Licensing (CCL). CCL received a self-report incident report form on 3/28/2023 reporting on 3/17/2023 at approximately 9pm resident (R1) had eloped from community. Facility staff and law enforcement conducted search and located R1. Law enforcement returned R1 to community approximately 30 minutes later. LPA obtained records indicating R1 has diagnosis of dementia and is not to leave unassisted. LPA is issuing a citation today for R1 eloping from facility without staff knowledge on 3/17/2023. Administrator has informed R1's spouse has moved into facility relieving R1 of exit seeking at this time. 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

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 was not met as evidenced by: Based on LPA interview’s and record review facility has delayed call response for residents using their pendants. From1/23/2023-2/3/2023 reflect at least three hundred and one response times between 10-30 minutes, and at least 37 response times between 30-60 minutes. This is an immediate risk to the Health, Safety and Personal Rights of residents in care.

  • 87705(b)(2)Type A

    Night supervision when dementia residents require it

    87705(b)(2) Care of Persons with Dementia: Safety measures to address behaviors such as wandering, aggressive behavior and ingestion of toxic materials. Not met as evidence by** Based on a review records it was found that resident (R1) had been reported by facility to be missing from facility care. Medical documents indicate diagnosis of dementia.

FAQ · About this visit

Common questions about this visit

What happened during the April 11, 2023 inspection of AEGIS LIVING CORTE MADERA?

This was an other inspection of AEGIS LIVING CORTE MADERA on April 11, 2023. 1 citation were issued: 1 Type A (serious).

Were any citations issued to AEGIS LIVING CORTE MADERA on April 11, 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.