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Inspection visit

complaint

ATTENTIVE MANOR IILicense 3318808953 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Regarding allegation "Authorized representative was not provided a refund": LPA Colvin reviewed R1's file at the facility as well as interviewed the Licensee and R1's POA. LPA Colvin learned that after R1 left the facility after being there only two months, the Licensee did not provide a refund of the Pre-Admission Fee, which contradicts both Title 22 Regulations and the facility's signed Admissions Agreement. Licensee Matt admitted to not providing R1's POA with any refund except for $100 of "petty cash" left of the $200 given to the facility at the beginning of R1's stay. Therefore, based on record review and interviews, the allegation "Authorized representative was not provided a refund" is SUBSTANTIATED. Regarding allegation " Staff did not follow physicians orders for medication": LPA Colvin conducted interviews with staff and reviewed R1's file at the facility. LPA Colvin was unable to review the Medication Administration Log (MAR) that the facility utilizes, as the facility had not maintained a copy in R1's archived file, and the copy maintained by the pharmacy was not available for LPA Colvin during today's inspection. It is worth noting that the facility does keep a physical MARs log for residents, but afterwards scans the log to the pharmacy. LPA Colvin observed that while a file for R1 was archived at the facility, this record for R1 was not. LPA Colvin was provided with a blank print out with no signatures or notes for administration of R1's medication. LPA Colvin asked Administrator Chris Peck if the facility does any other notation for "as needed" (PRN) medications on the MARs log, and Chris confirmed that it would be written on the back the time of the administration and the effect it had on the resident. These notes were not available to LPA Colvin during today's inspection, so LPA Colvin cannot verify that staff administered the medications correctly. Therefore, based on interviews and lack of records, the allegation " Staff did not follow physicians orders for medication" is SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation(s) is valid because the preponderance of the evidence standard has been met. An exit interview was conducted where this report and appeal rights were discussed. A copy of this report, LIC9099Ds, and appeal rights was provided to Administrator Chris Peck during the exit interview. Regarding allegation "Medications were accessible to resident in care": LPA Colvin conducted a tour of the facility and inspected a couple of resident bedrooms and did not observe any medications. LPA Colvin additionally observed the medication closet in the kitchen area to be locked when LPA Colvin arrived. LPA Colvin was not provided with any additional evidence of prior instances of medications being accessible to resident(s). Therefore, based on observations and lack of evidence, the allegation "Medications were accessible to resident in care" is UNSUBSTANTIATED. Regarding allegation "Staff took resident's personal belongings off the wall of bedroom": LPA Colvin conducted interviews with staff and outside parties regarding the allegation. Interviews conducted conflict on what transpired, and no evidence was provided (or available) for LPA Colvin to review in regards to this allegation. Therefore, based on lack of evidence, the allegation "Staff took resident's personal belongings off the wall of bedroom" is UNSUBSTANTIATED. A finding of UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted with Administrator Chris Peck and a copy of this report was provided.

Citations

10 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.

  • 87465(c)(2)Type B

    Incidental Medical and Dental Care: (c).... facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met:(3) A record of each dose is maintained in the resident's record... This requirement was not met by: Based on interviews and lack of records, the Licensee did not comply with the above regulation with one resident (R1). LPA Colvin observed there was no record of PRN medication doses administered in R1's file. This was a potential health and safety risk of R1.

  • 87468.1(a)(1)Type A

    Personal Rights of Residents in All Facilities: (a) Residents...shall have all of the following...:(1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by: Based on interviews conducted, the Licensee did not comply with the above regulation with one staff member (Licensee). Interviews revealed that Licensee has been verablly abusive to more than one resident in care. This was an immediate personal right violation to multiple residents, including R1.

  • 87507(g)(5)(E)(2)(b)Type A

    Admission Agreements: (g) Admission agreements shall specify...: (5) Refund conditions. (E) Preadmission fees shall be refunded...: 2....shall be refunded...: b. A refund of at least 60 percent...shall be provided if the resident leaves the facility...during the second month of residency. This was not met by: Based on interviews and record review, the Licensee did not comply with the above regulation with one resident (R1). R1's POA was not provided with a refund of the amount of the preadmission fee as laid out in this regulation and the Admissions Agreement. This was an immediate personal rights violation.

  • 87211(a)(1)(D)Type B

    Reporting Requirements: (a) Each licensee shall furnish to the licensing agency such reports...including...: (1) A written report shall be submitted to the licensing agency within seven days of the occurrence of any of the events...(D) Any incident which threatens the welfare, safety or health of any resident... This requirement was not met by: Based on interviews and record review, the Licensee did not comply with the above regulation with one resident. LPA Colvin observe R1 did not have any incident reports despite numerous hospital stays. This was a potential safety risk for R1.

  • 87216(a)Type B

    Bonding: (a) Each licensee, other than a county, who is entrusted to safeguard resident cash resources, shall file or have on file with the licensing agency a copy of a bond issued by a surety company to the State of California as principal. This requirement was not met by Based on interviews and record review, the Licensee did not comply with the above regulation with all residents. LPA Colvin observed the facility holds petty cash for all residents but does not have a Surety Bond to cover these funds. This is a potential personal rights risk to all residents.

  • 87216(d)Type B

    Bonding: (d) No licensee shall either handle money of a resident or handle amounts greater than those stated in the affidavit submitted by him or for which his bond is on file without first notifying the licensing agency and filing a new or revised bond... This requirement was not met by: Based on interviews and record review, the Licensee did not comply with the above regulation with all residents. LPA Colvin observed the facility holds petty cash for all residents, but has an affidavit on file with CCL that they will not handle resident funds. This is a potential personal rights violation.

  • 87217(g)(1)Type B

    Safeguards for Resident Cash...:(g) Each licensee shall maintain adequate safeguards and accurate records of cash resources...including...: (1) Records...shall include a ledger accounting (columns for income, disbursements and balance) for each resident... This requirement was not met by: Based on interview and record review, the Licensee did not comply with the above regulation with all residents. LPA Colvin observed that the Licensee did not maintain a ledger for resident funds, only receipts. This is a potential personal rights violation for all residents.

  • 87355(e)(2)Type A

    Criminal Record Clearance: (e) All individuals ....pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified... This requirement was not met as evidenced by: Based on record review, the Licensee did not comply with the above regulation with two staff (S1 & S2). LPA Colvin observed that S1 & S2 work at the facility but have not been associated. This is an immediate safety risk to all residents in care.

  • 87507(g)(3)(C)(4)Type B

    Admission Agreements: (g) Admission agreements shall specify...:(3) Payment provisions, including...: (C) Any fee that is charged...after admission... 4.A licensee shall not require, request, or accept any funds...that constitutes a deposit against any possible damages by the resident. This was not met by: Based on interviews, the Licensee did not comply with the above regulation with one resident (R1). LPA Colvin learned that R1's POA was only provided $100 of the $200 funds given to the facility for R1, due to damages hte facility charged back to R1. This was a potential personal rights violation.

  • 87705(l(2)Type A

    Care of Persons with Dementia: (l) The following initial and continuing requirements shall be met for the licensee to lock...perimeter fence gates:(2) The licensee shall ensure that the fire clearance includes approval of...locked perimeter fence gates. This requirement was not met as evidenced by: Based on record review and interview, the Licensee did not comply with the above regulation with two gates. LPA Colvin observed the front & side gates to have electronic locks. LPA Colvin confirmed with Fire Department that locked perimeter was not approved. This is an immediate safety risk.

FAQ · About this visit

Common questions about this visit

What happened during the September 2, 2021 inspection of ATTENTIVE MANOR II?

This was a complaint inspection of ATTENTIVE MANOR II on September 2, 2021. 3 citations were issued: 2 Type A (serious) and 1 Type B.

Were any citations issued to ATTENTIVE MANOR II on September 2, 2021?

Yes, 3 citations were issued (2 Type A, 1 Type B). The first citation was for: "Incidental Medical and Dental Care: (c).... facility staff designated by the licensee shall be permitted to assist the r..."

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.