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Inspection visit

Follow-up on corrections

ATWATER RESIDENTIAL CARE FACILITYLicense 2472092092 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

This is an amended report. On 09/23/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct a case management – deficiencies visit. LPA introduced self, stated the purpose of the visit and was granted entry to the facility. LPA met with Administrator, Jessica Johnson. The purpose of this visit is to follow up on an incident reports submitted to the Fresno CCL office. Upon entry to the facility, LPA observed an uncleared staff working in the facility. Per ADM, S1 has worked in the facility for training yesterday, 09/22/2022 and is currently in training today 9/23/2022. LPA informed ADM that S1 is not cleared and cannot work in the facility until S1 receives fingerprint clearance and is associated to the facility. Regarding the incident that was reported to the Fresno CCL office, Administrator (ADM) reported that on 8/28/2022, R1 left the facility after repeated attempts to redirect R1, and entered a neighboring home, resulting in ADM calling law enforcement. Additionally, R1’s personal rights were violated when ADM administered PRN medications to R1 while R1 was restrained. Based on interviews with ADM, deficiencies are being cited in accordance with the California Code of Regulations, Title 22 , Division 6 on the attached 809D. An immediate civil penalty is being assessed in the amount of $500 for Care and Supervision on the attached LIC421IM and an immediate civil penalty in the amount of $100 is being assessed for Caregiver Background Check on the attached LIC421BG, for a total of $600. Exit interview conducted and a Plan of Correction was reviewed and developed with ADM. A copy of this report was discussed and provided to Administrator, Jessica Johnson, whose signature on this form confirms receipt of this document

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.

  • 87465(a)(5)(D)Type A

    (a) A plan for incidental medical and dental care shall be developed by each facility…. (5) Assistance with self-administered medications shall be limited to the following: (D) Assistance with self-administration does not include forcing a resident to take medication, hiding or camouflaging medications in other substances without the resident's knowledge and consent, or otherwise infringing upon a resident's right to refuse to take a medication. This requirement was not met as evidenced by: Based on interviews, the Licensee did not ensure that the requirements for the section 87465(a)(5)(D) on 08/28/2022 when ADM administered PRN medications to R1 while R1 was restrained. This poses an immediate health and safety risk to residents in care

  • 87468.2(a)(4)Type A

    (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. Based on interviews, Licensee did not ensure all residents were provided care and supervision when on 08/28/2022, R1 was able to "bypass" facility staff, exit the facility, and enter a neighboring home unsupervised, which poses an immediate health and safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 23, 2022 inspection of ATWATER RESIDENTIAL CARE FACILITY?

This was a other inspection of ATWATER RESIDENTIAL CARE FACILITY on September 23, 2022. 2 citations were issued: 2 Type A (serious).

Were any citations issued to ATWATER RESIDENTIAL CARE FACILITY on September 23, 2022?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "(a) A plan for incidental medical and dental care shall be developed by each facility…. (5) Assistance with self-adminis..."

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.