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Inspection visit

Routine inspection

SENIOR'S RETREAT, INC.License 3060059144 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry by Administrator (AD) Lorna Smith and explained the purpose of the inspection. During the inspection, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: This is a one-story home with five resident bedrooms, two bathrooms, and attached two-car garage. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets. LPA observed all windows were screened. The backyard has a shaded sitting area. LPA observed residents resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested at 114.8 F degrees. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged. Gas stove, microwave, washer, and dryer were all inspected and observed to be operable. Sharps were observed locked in a kitchen drawer. All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to residents. Medication cabinet was observed to be locked. LPA reviewed four of four resident files and two staff files. Staff files did not contain any documentation for initial staff training, or annual staff training conducted, and AD was unable to provide LPA with a copy of staff training completed; Deficiencies were cited on today’s date. LPA interviewed staff and residents present. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights was left at the facility.

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.

  • 1569.605Type B

    Based on observation and AD interview, the licensee did not comply with the section cited above, as liability insurance for the facility is not being currently maintained, which poses a potential personal rights risk to persons in care.

  • 1569.618(c)(3)Type B

    Based on staff interview and record review, the licensee did not comply with the section cited above, as two of two staff providing direct care and supervision do not hold a current, unexpired CPR and first aid training card, which poses a potential safety risk to persons in care.

  • 1569.625(b)(2)Type B

    Based on AD interview and staff record review, the licensee did not comply with the section cited above as staff training does not include 20 hours annually, eight hours of which shall be dementia care training, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, which poses a potential health, safety and personal rights risk to persons in care.

  • 1569.69(a)(2)Type B

    Based on AD interview and staff record review, the licensee did not comply with the section cited above, as staff did not complete 10 hours of initial training, consisting of 6 hours of hands-on shadowing training, and 4 hours of other training or instruction, which poses a potential health, safety and personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the June 17, 2024 inspection of SENIOR'S RETREAT, INC.?

This was a inspection inspection of SENIOR'S RETREAT, INC. on June 17, 2024. 4 citations were issued: 4 Type B.

Were any citations issued to SENIOR'S RETREAT, INC. on June 17, 2024?

Yes, 4 citations were issued (0 Type A, 4 Type B). The first citation was for: "Based on observation and AD interview, the licensee did not comply with the section cited above, as liability insurance ..."

What type of inspection was this?

This was a inspection inspection. inspection 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.