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Inspection visit

complaint

ROCK CREEK SENIOR CARELicense 3127002123 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

9099C(1). Allegation: Uncleared staff working at facility. LPA reviewed Department records confirming (2) Administrators and staff (S1) who was working on 10/27/22 and today are cleared and associated to the facility. LPA reviewed documentation showing that staff (S2) had her fingerprints taken yesterday, 10/27/22, just prior to starting to work at the facility. Administrator stated that a fingerprint clearance has not been received yet for S2. LPA observed S2 working at the start of today's inspection. Based on information obtained, LPA finds the allegation to be SUBSTANTIATED- A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Allegation: Facility not providing night supervision. Complaint states that on 10/28/22 at approximately 12:49 am, crew from the local fire department responded to a 9-1-1 call and entered the house, because no one responded by opening the front door. Crew was calling out throughout the facility searching for staff. Fire Crew finally was able to locate 2 staff (S1 and S2) sleeping in a room. LPA interviewed residents (R1 and R2) who stated both stated that resident R1 needed assistance with toileting on 10/28/22 at approximately 12:45 am and was calling staff for help, but there appeared to be no one available to help R1. Administrator confirmed that she was at the facility on 10/27/22 until approximately 11:30 pm that day and had left shortly before R1 got up to use the restroom. Both R1 and R2 stated R1 had been calling for staff to assist for quite a while, approximately 15 minutes. The fire department crew had to enter through the back doors and window because no one answered the door. When fire department Based on information obtained, LPA finds the allegation to be SUBSTANTIATED- A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. cont on 9099C(2)... 9099C(2).. Allegation: Facility not providing care and supervision to residents. LPA interviewed residents (R1 and R2) who stated both stated that resident R1 needed assistance with toileting on 10/28/22 at approximately 12:45 am and was calling staff for help. Both residents also confirmed that resident R2 called 9-1-1 for assistance in helping R1 since there appeared to be no one else available to help R1. Administrator confirmed that she was at the facility on 10/27/22 until approximately 11:00 pm that day and had left shortly before R1 got up to use the restroom. R1's family member stated that R1 has not been sleeping well since recently moving to the facility and also has a faint voice and staff may have not heard him asking for help. R2 stated R1 had been "screaming for help" to assist for quite a while, approximately 15 minutes, but staff were sleeping. Based on information obtained, LPA finds the allegation to be SUBSTANTIATED- A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Per California Code of Regulations, Title 22, Division 6, Chapter 8, the following (3) deficiencies and civil penalty is is cited on the 9099 page. Exit interview. Copy of report and appeal rights provided.

Citations

3 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.

  • 87411(a)Type A

    87411 Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. This requirement is not met as evidenced by: Based on interviews conducted, the Licensee did not ensure that staff provided assistance to resident (R1) on 10/28/22 at approximately 12:45 am, when he called for assistance in the bathroom, which posed an immediate health and safety risk to residents in care.

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  • 87412(a)(13)(B)Type A

    87412 Personnel Records (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information:(13) For employees that are required to be fingerprinted pursuant to Section 87355, Criminal Record Clearance:(B) Documentation of either a criminal record clearance or a criminal record exemption as required by Section 87355(e). This requirement is not met as evidenced by: Based on documentation reviewed and interviews conducted, the LIcensee did not ensure that staff (S2) was fingerprint cleared and associated to the facility, prior to beginning to work, which poses an immediate health and safety risk to residents in care.

  • 87415(a)(1)Type A

    87415 Night Supervision (a) The following persons providing night supervision from l0:00 p.m. to 6:00 a.m. shall be familiar with the facility's planned emergency procedures, shall be trained in first aid as required in Section 87465, Incidental Medical and Dental Care Services and shall be available as indicated below to assist in caring for residents in the event of an emergency.This requirement is not met as evidenced by: Based on interviews conducted, the LIcensee did not ensure that there was staff that was awake or on call, and able to respond to resident's (R1) call for assistance, which posed an immediate health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 28, 2022 inspection of ROCK CREEK SENIOR CARE?

This was a complaint inspection of ROCK CREEK SENIOR CARE on October 28, 2022. 3 citations were issued: 3 Type A (serious).

Were any citations issued to ROCK CREEK SENIOR CARE on October 28, 2022?

Yes, 3 citations were issued (3 Type A, 0 Type B). The first citation was for: "87411 Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competen..."

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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