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Inspection visit

complaint

RAE'S COTTAGE AT BREALicense 3060058281 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Albert Marin made an unannounced visit to this facility to deliver the findings for the investigation completed for the complaint filed against this facility last November 4, 2021. LPA met with Administrator (AD) Lisa Roche and stated the purpose of this visit, Based on file review, observation, and interviews, the following are the findings. On November 12, 2021, LPAs Marin and Haley initiated the complaint investigation and observed two staff members on the floor with six residents in care. LPAs did a review on medication and medication assistance procedure of the facility. Facility had provided training to staff members but unable to provide proof of training on medications to support current trainings. Based on the above findings, the preponderance of the evidence standard has been met. Therefore, the above allegation is found SUBSTANTIATED. Deficiency was observed. Citation was issued per Title 22 Division 6 of the California Code of Regulations. LPA Marin conducted an exit interview with AD Roche. LPA discussed deficiency, citation issued and appeal rights. Copy of this report was left in the facility.

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.

  • 87411(c)(3)(D)Type B

    87411 Personnel Requirements - General. All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69. This requirement was not met as evidenced by: Based on observation, interview and file review, facility missed to provide the initial and annual training as specified in HSC. Facility was unable to provide training logs for at least 1 staff member during 11/12/21 visit. This posed potential threat on the health and safety of residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 16, 2022 inspection of RAE'S COTTAGE AT BREA?

This was a complaint inspection of RAE'S COTTAGE AT BREA on September 16, 2022. 1 citation were issued: 1 Type B.

Were any citations issued to RAE'S COTTAGE AT BREA on September 16, 2022?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87411 Personnel Requirements - General. All RCFE staff who assist residents with personal activities of daily living sha..."

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.