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Inspection visit

complaint

SENIOR'S RETREAT, INC.License 3060059141 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

The police brought the resident back to the facility and S1 informed the family that R1 needed a higher level of care and the family understood. R1 was able to leave the facility a second time and facility staff were alerted by the sound of the auditory exit alarm and were able to catch up with the resident and redirect R1 back to the facility. At that time S1 called the family and informed them they need to find a new facility for R1. The family called the Psychiatric Evaluation Team (PET) to go check on R1 however, the PET said they could not see R1 at the facility (Senior’s Retreat) the resident could only be evaluated in the emergency room. At that time R1’s family called 911 and had the resident sent to the hospital. According to S1, after a few days the nurse, discharge planner, and the social worker from the hospital called and asked if R1 could return to the facility. S1 admitting to telling hospital staff, R1 could not return because the resident needed a higher level of care. Based on the evidence gathered through the interview with Staff 1, and observations the preponderance of evidence standard has been met, therefore, the above allegation is SUBSTANTIATED. Violations are being cited per California Code of Regulations Title 22.

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.

  • 87303(a)Type B

    87303 Maintenance and Operation(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 requirement was not met as evidenced by S1 admitting to having issues with the facility heater heating the entire facility. S1 arranged for major repairs to the heating system January 18, 2025 and provided receipts.

  • 87468.1(a)(2)Type A

    87468.1 Personal Rights of Residents in All Facilities(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not being met as evidenced by S1 admitting to using a colostomy bag on the rectum/bottom area of Resident 1 to prevent loose stool from causing additional damage to the residents’ skin area that was already damaged and being treated.

  • 87355(e)(1)Type A

    87355 Criminal Record Clearance(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance… This requirement was not met as evidenced by:Based on an interview with S1, the licensee did not ensure ID1 was background cleared prior to working at the facility, which poses an immediate safety risk to persons in care.

  • 87468.1(a)(3)Type A

    (a) Residents in all residential care facilities... shall have all of the following personal rights:(3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature... or interfering with daily living functions such as eating, sleeping, or elimination. This requirement was not being met as evidenced by R1 not being accepted back at the facility after being discharged by the hospital.

FAQ · About this visit

Common questions about this visit

What happened during the January 24, 2025 inspection of SENIOR'S RETREAT, INC.?

This was a complaint inspection of SENIOR'S RETREAT, INC. on January 24, 2025. 1 citation were issued: 1 Type A (serious).

Were any citations issued to SENIOR'S RETREAT, INC. on January 24, 2025?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87303 Maintenance and Operation(a) The facility shall be clean, safe, sanitary and in good repair at all times. Mainten..."

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.