Inspection visit

ComplaintJune 24, 2022

VINCENT, THELicense 2168040105 citations on this visit

5 citations recorded

Inspector’s narrative

What the inspector wrote

LPA reviewed the Medication List and determined that the medication that was missed was supposed to be administered on certain days including the day of April 17, 2022. Facility failed to administer the medication based off of physician’s instructions (See LIC 9099D) . During the Document Review of the Medication Assessment Record (MAR), LPA observed the medication documentation was not accurate due to the facility staff missing a medication pass and not properly documenting the medication that was missed on April 17, 2022. In addition, the staff member that missed the medication pass did not communicate to upper level management regarding the missed medication for that day nor document in the MAR the missed medication (See LIC 9099D) . Complaint alleges that Resident's care plan was not adhered to when facility failed to respond to Call Bell in a timely manner. During the course of the investigation, LPA reviewed facility records and learned that on April 17, 2022 the resident call bell was not responded to when pressed. The resident had to wait 1 hour and 40 minutes before a staff member responded to that call bell (See LIC 9099D) . Complaint alleges that there are unqualified staff at the facility. During the course of the investigation, LPA conducted interviews and reviewed facility records and learned that 9 staff members have not had the required training hours as specified in regulation (See LIC 9099D) . 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 to the Resident Relations Director, Linda Nguyen . Complaint alleges Facility is in disrepair resulting in resident's room temperature not being maintained according to regulation, Facility does not have operable keys for resident's rooms and facility does not have enough staffing to meet resident's needs. During the course of the investigation, LPA toured the facility on June 17, 2022, May 26, 2022 and May 4, 2022 and was granted access into the rooms. Facility staff members had operable keys to residents rooms and all parts of the facility. LPA did observe that the temperature of the facility was at a comfortable temperature with exits free from obstruction. LPA toured a sample of residents rooms that had a comfortable temperature. Residents appeared to be content and happy with the temperature in the facility. During the tours of the facilities on said dates, LPA observed the facility to be adequately staffed. In addition, during a document review, LPA found the LIC 500 to be appropriate during the investigation. Complaint alleges Resident's medications were not managed properly. During the course of the investigation, LPA could not prove or disprove that the medications were not managed properly or that there was missing medication. A finding that the complaint allegations of, Resident(s) personal rights were violated, Facility is in disrepair resulting in resident's room temperature not being maintained according to regulation, Resident's medications were not managed properly, Facility does not have operable keys for resident's rooms, Not enough staffing to meet resident's needs. are unsubstantiated meaning that although the allegations 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. Exit interview was conducted and a copy of this was report was signed and given to the Resident Relations Director, Linda Nguyen.

Citations

5 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.

87307(d)(3)(B)Type A
87307(d)(3)(B): Facility failed to protect the personal rights of residents in care to receive safe and healthful accommodations and engaged in conduct inimical to the health, welfare, and safety of residents in care, in that staff members failed to properly wear face coverings while providing care and supervision to residents in care*, in violation of official government orders requiring the wearing of face coverings while working underThis requirement is not met as evidenced by:Based on interviews with a witness, staff members failed to properly wear face coverings while providing care and supervision to residents in care.
87465(a)(4)(5Type A
87465(a)(4)(5) Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:(4) The licensee shall assist residents with self-administered medications as needed.(5) Facility staff, except those authorized by law, shall not administer injections, but staff designated by the licensee may assist persons with self-administration as needed. Assistance with self-administered medications shall be limited to the following:(A) Medications usually prescribed for self-administration which have been authorized by the person's physician. This requirement is not met as evidenced by:Based on a review of the Medication Assessment Record (MAR), the facility missed a medication pass for a resident on April 17, 2022 which is an immediate health, safety and personal rights risk to the residents in care.
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87506Type B
87506 Resident Records:(a) The licensee shall ensure that a separate, COMPLETE, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff.(14) Current centrally stored medications as specified in Section 87465, Incidental Medical and Dental Care Services. This requirement was not met as evidenced by:Based on observation of the Medication Assessment Record (MAR), the staff member passing medication on April 17, 2022 did not document that a medication was missed for a resident which is a potential health, safety and personal rights risk to the residents in care.
1569.626(a)(1)Type B
Health and Safety Code1569.626 Training requirements for direct care staff:(a) All residential care facilities for the elderly shall meet the following training requirements, as described in Section 1569.625, for all direct care staff:(1) Twelve hours of dementia care training, six of which shall be completed before a staff member begins working independently with residents, and the remaining six hours of which shall be completed within the first four weeks of employment. All 12 hours shall be devoted to the care of persons with dementia. The facility may utilize various methods of instruction, including, but not limited to, preceptorship, mentoring, and other forms of observation and demonstration. The orientation time shall be exclusive of any administrative instruction. This requirement was not met as evidenced by:Based off of staff record review, LPA identified 9 staff members that have not had the training that is identified in the Health and Safety Code to work with Dementia residents. Therefore, the staff members are out of compliance.
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87303Type A
Maintenance and operation requirements for facilities
87303 Maintenance and Operation: (i) Facilities shall have signal systems which shall meet the following criteria:(1) All facilities licensed for 16 or more and all residential facilities having separate floors or buildings shall have a signal system which shall:(A) Operate from each resident's living unit.(B) Transmit a visual and/or auditory signal to a central staffed location or produce an auditory signal at the living unit loud enough to summon staff. This requirement was not met as evidenced by:Based off of record review, it was determined that a resident had to wait 1 hour and 40 minutes to be attended to which presents a health, safety and personal rights risk to the residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the June 24, 2022 inspection of VINCENT, THE?

This was a complaint inspection of VINCENT, THE on June 24, 2022. 5 citations were issued: 3 Type A (serious) and 2 Type B.

Were any citations issued to VINCENT, THE on June 24, 2022?

Yes, 5 citations were issued (3 Type A, 2 Type B). The first citation was for: "87307(d)(3)(B): Facility failed to protect the personal rights of residents in care to receive safe and healthful accomm..."

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 CCLD View original report

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Data from CCLD public records. Last updated July 20, 2026. If you believe any information is inaccurate, report it here.

Complaint·June 24, 2022