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Inspection visit

Complaint

IRIS GUEST HOMELicense 3060057224 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

LPA confirmed R1 and R2 require incontinence care assistance from facility staff. LPA interviewed residents but was unable to determine frequency of incontinence services. Regarding the allegation the Ombudsman poster is not posted in the facility, LPA Alvaro Ramirez confirmed via photograph taken that Ombudsman poster was not properly posted in a visible location. While the facility was observed to have a poster present in the building, poster was observed laying on an end table in facility living room. Regarding the allegation Facility did not administer medications to resident, LPA confirmed Resident 3 (R3)’s medication was being rationed by facility staff due to pharmacy failing to provide refill for prescription on time. LPA spoke with Administrator Brevet Dao who stated she did reach out to the pharmacy once notified the pharmacy failed to refill medication on time. R3’s physician was not notified of the missed medication dosages. It was alleged resident was not given an admission agreement due to R3 not receiving an admission agreement. LPA interviewed R3 who confirmed they did not receive a copy of admission agreement upon moving in. R3 reported they were provided an Admission Agreement on 3/04/23 by Administrator Dao for signature. R3 moved into the facility on 12/18/2021. Therefore, based on the preponderance of evidence gathered, the allegations that Facility is malodorous; Ombudsman poster is not posted in facility; Residents are not provided adequate bedding; Facility did not administer medications to resident; and Resident was not given an admission agreement are determined to be Substantiated. The following is being cited per California Code of Regulations Title 22 Division 6 Chapter 8. An exit interview was conducted with Administrator and a copy of this report, LIC9099-D, and appeal rights was provided at the time of exit. * Due to technical difficulties LPA was unable to print document, document emailed to Administrator Therefore based on preponderance of evidence through records reviewed, observations made and interviews conducted the allegation Residents are not provided adequate bedding is determined to be UNFOUNDED, meaning that the allegations were false, could not have happened and/or is without a reasonable basis. This agency has investigated this complaint. No deficiencies cited. An exit interview was conducted and a copy of this report and confidential names list was provided.

Citations

7 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.

  • 87303(h)Type B

    87303 (h) Emergency lighting shall be maintained. At a minimum this shall include flashlights, or other battery powered lighting, readily available in appropriate areas accessible to residents and staff. Open-flame lights shall not be used. This requirement is not met as evidence by Administrator stated that the facility utilizes hallway and bathroom lights on at night. Facility does not have emergency lighting set up.

  • 87303(a)Type A

    Maintain facility in clean, safe, sanitary condition

    87303 Maintenance and Operations: (a )The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requriement was not met as evidence by the facility had multple rodent traps, but the present of rodent droppings were still visble. This poses an immediate health and safety risk to persons in care.

  • 87307(3)(B)Type B

    87307 Personal Accommodations and Services (3) Equipment and supplies necessary for personal care ... shall be readily available to each resident. The resident may provide the following items; however, if the resident is unable or chooses not to provide them, the licensee shall assure provision of: B) Bedroom furniture, which shall include, for each resident,.. a lamp, or lights sufficient for reading... This requirement was not met as evidence by 2 out of 3 residents bedrooms have missing light bulbs. This poses a potential risk to persons in care.

  • 1569.269(a)(12)Type B

    To contact the ... ombudsman ... The licensee shall post the telephone numbers and addresses for the local offices ... and ombudsman program, in accordance with Section 9718 of the Welfare and Institutions Code, conspicuously in the facility foyer, lobby, residents’ activity room, or other location easily accessible to residents. This requirement was not met as evidence by LPA Ramirez took photographic evidence of ombudsman poster on a table in the living room. This poses a potential health and safety risk to persons in care,

  • Personal assistance and care for required daily activities

    87464 (f)Basic services shall at a minimum include:(4)Personal... assistance with taking prescribed medications...This requirement was not met as evidenced by based on interviews facility was rationing R3's medication.

  • 87507(C)Type B

    Admission Agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident’s representative, and the licensee no later than seven days following admission. This requirement was not met as evidence by R3 did not sign agreement until 3/4/2023. R3 entered facility on 12/18/2021 This poses a potential health and safety risk to persons in care.

  • Maintain cleanliness and prevent incontinence odors

    87625 Managed Incontinence (b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: (3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement is not met as evidence by the facility bedroom of R1 and R2 had a strong urine odor. This poses a potential health and safety risk to persons in care,

FAQ · About this visit

Common questions about this visit

What happened during the April 20, 2023 inspection of IRIS GUEST HOME?

This was a complaint inspection of IRIS GUEST HOME on April 20, 2023. 4 citations were issued: 1 Type A (serious) and 3 Type B.

Were any citations issued to IRIS GUEST HOME on April 20, 2023?

Yes, 4 citations were issued (1 Type A, 3 Type B). The first citation was for: "87303 (h) Emergency lighting shall be maintained. At a minimum this shall include flashlights, or other battery powere..."

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.

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