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Inspection visit

Follow-up on corrections

VALLEY SPRING MEMORY CARELicense 2472091721 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 5/23/2025, Licensing Program Analysts (LPA) Rachel Bruce and Daiquiri Boyd conducted an unannounced case management visit and met with Elizabeth Reynaga, Administrator (AD). The purpose of the visit was to discuss a recent incident report submitted on May 19, 2025 from the above facility. The incident report was regarding a medication error and described that on May 16, 2025 a staff Medication Tech (MT) gave the wrong medication to a resident (R1). MT self reported the error to her supervisor and immediately R1's doctor was notified. R1 was monitored by staff and at approximately 11:30 am it was decided to send R1 to the hospital for lab work and to ensure there were no ell effects from the medication that had been given to her in error. Ultimately it was determined that there were no signs of any side effects and R1 was released to return to the facility. LPA and AD discussed the incident and the seriousness of the mistake. At today's visit the facility will be receiving a citation for the error. See attached confidential names list and deficiency page.

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.

  • 87464(f)(4)Type A

    Basic Services (4) Personal assistance and care as needed by the resident ... with those activities of daily living such as ... assistance with taking prescribed medicationsThis requirement was not met as evidenced by A medical technician self reported that she had distributed the wrong medication to a resident in care. This poses an immediate risk to the care and well being of the residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 23, 2025 inspection of VALLEY SPRING MEMORY CARE?

This was a other inspection of VALLEY SPRING MEMORY CARE on May 23, 2025. 1 citation were issued: 1 Type A (serious).

Were any citations issued to VALLEY SPRING MEMORY CARE on May 23, 2025?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "Basic Services (4) Personal assistance and care as needed by the resident ... with those activities of daily living such..."

What type of inspection was this?

This was a 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.