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Inspection visit

Follow-up on corrections

CROWN COVELicense 3060056421 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This unannounced Case Management – Deficiencies inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of issuing citations for deficiencies observed during the investigation into Complaint Control No. 22-AS-20201103132810. LPA met with Administrator (AD) Janette Hill and discussed the purpose of the inspection. During the course of the investigation, LPA interviewed a witness who stated that Resident #1 (R1) complained to the facility that due to a broken window their room, they were not able to open or close the window when needed to regulate the temperature in their room and that the facility’s response was to screw the window permanently shut. LPA reviewed a photograph of the window showing a screw in place to prevent the window from opening. LPA interviewed AD who stated there were likely two windows at the time. LPA inspected R1’s former room and noted there are two windows and both windows currently function properly. LPA reviewed the facility’s emergency disaster exit plan which does not indicate that windows would be used in an emergency and also observed that R1’s room was close to the stairs and a small balcony that can be entered using a full-size door. It is unclear whether only one window or both were alleged to have been screwed shut and the information obtained does not corroborate that screwing one window shut would have negatively affected a fire evacuation. However, permanently closing the window interfered with R1’s comfort and enjoyment of their room. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.

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.

  • 87465(a)(1)Type A

    87465 Incidental Medical and Dental Care. (a) … (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents… This requirement was not met as evidenced by Based on documents and interviews, the licensee did not ensure R1, who had known skin issues, received proper assistance and medical care resulting in R1 developing an unstageable wound, which poses an immediate health risk to persons in care.

  • 87465(a)(4)Type A

    87465 Incidental Medical and Dental Care. (a) … (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by Based on documents and interviews, the licensee did not ensure R1 received multiple medications as prescribed, which poses an immediate health risk to persons in care.

  • 87466Type B

    Observation of the Resident. ... When changes … are observed, the licensee shall ensure that such changes are documented and brought to the attention of … the resident's responsible person, if any. This requirement was not met as evidenced by: Based on documents and interviews, the licensee did not ensure R1’s worsening skin condition was noted and brought to the attention of their responsible party, which poses a potential health risk to persons in care.

  • 87468.1(a)(6)Type A

    87468.1 Personal Rights of Residents in All Facilities. (a) … (6) To leave or depart the facility at any time... This requirement was not met as evidenced by: Based on documents and interviews, the licensee did not licensee did not ensure that R1 was free to leave or depart from the facility without being forced to quarantine in their room upon return, which poses an immediate personal rights risk to persons in care.

  • 87468.1(a)(2)Type B

    87468.1 Personal Rights of Residents in All Facilities (a) … (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: Based on interviews and documents, the licensee did not ensure R1 had safe, healthful, and comfortable accommodations by permanently closing their window, which poses a potential personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the July 15, 2024 inspection of CROWN COVE?

This was a other inspection of CROWN COVE on July 15, 2024. 1 citation were issued: 1 Type B.

Were any citations issued to CROWN COVE on July 15, 2024?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87465 Incidental Medical and Dental Care. (a) … (1) The licensee shall arrange, or assist in arranging, for medical and..."

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.