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Inspection visit

complaint

CEDARS CARE HOME, THELicense 2868006671 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

The Department conducted a complaint investigation regarding the allegation that facility staff physically abused a resident in care. Licensing Program Analyst (LPA) Cuadra arrived unannounced for the purpose of delivering findings of the investigation and met with Administrator, Laura Sherwood. It was reported a staff (S1) pushed R1 resulting in R1 falling, S1 proceeded to kick and hit R1 with a shoe. Based on documentation dated 8/25/2021 staff admitted to pushing R1 from behind as well as kicking and hitting R1 with a shoe. Video evidence from 7/04/2021 revealed S1 grabbing and pushing R1 towards the laundry room at which point R1 falls to the ground. Video evidence also shows two staff (S1 & S2) grabbing R1 by the arm and shirt and dragging R1 in the direction of R1’s bedroom. Review of additional video surveillance revealed a second incident on 6/29/2021 involving S1 pulling R1 away from the dining room table, resulting in R1 falling. The Department obtained photo evidence of multiple bruises on R1s body. Based on observations, interviews and a review of records, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. An immediate civil penalty in the amount of $500 assessed due to a violation resulting in injury of R1. The licensee was informed that additional civil penalties are under review by the Department per Health and Safety Code 1569.49 (f).

Citations

4 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.

  • 1569.269Type A

    §1569.269 Enumerated rights; severability (a) Residents of RCFE shall have all of the following rights: (10) To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. This requirement was not met as evidence by: This requirement was not met as evidence by: Based on the Department’s investigation R1 was the victim of elder abuse by staff which poses an immediate risk to the health, safety and Personal Rights of residents in care.

  • 1526.269Type A

    1569.269 Enumerated rights; severability (a)Residents of residential care facilities for the elderly shall have all of the following rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by: Based on LPA observation, interview and record review, R1’s telephone calls and visitations were restricted. This is an immediate risk to the health, safety and rights of the residents in care.

  • 87211Type B

    87211(a)(1)(D) Reporting Requirements. (a) Each licensee shall furnish to the licensing agency...: (1) A written report shall be submitted to the licensing agency & person responsible for the resident within 7 days of the occurrence of ....(D) Any incident which threatens the welfare, safety or health of any resident....This requirement has not been met as evidenced by: Based on records review, interviews R1 had two incidents occurring on or around 7/4/2021 & incidents were not reported within regulatory timeframes and one incident that was not reported to CCL. R2 had an incident that was not reported within regulatory timeframes. This poses a potential risk to the health & safety of resident in care.

  • 87468.1(a)(6)Type A

    87468.1 (a)(6) Personal Rights of Residents in All Facilities (a) Residents in all RCFEy shall have all of the following personal rights: (6) To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night. This requirement was not met as evidenced by: Based on LPA observation, interview and record review R1’s movement was restricted at the facility. This poses an immediate risk to the health safety and personal rights of residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 9, 2021 inspection of CEDARS CARE HOME, THE?

This was a complaint inspection of CEDARS CARE HOME, THE on September 9, 2021. 1 citation were issued: 1 Type A (serious).

Were any citations issued to CEDARS CARE HOME, THE on September 9, 2021?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "§1569.269 Enumerated rights; severability (a) Residents of RCFE shall have all of the following rights: (10) To be free ..."

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 CCLDView original report

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