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Inspection visit

Follow-up on corrections

ATTENTIVE MANOR IILicense 3318808957 citations on this visit
7 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Crystal Colvin arrived at the facility unannounced for the purpose of investigating a complaint (#18-AS-20210824111213). During LPA Colvin's inspection, LPA Colvin observed additional items that needed to be addressed with the Administrator. Below is a summary of what was observed: Unassoicated Staff - LPA Colvin observed that two staff members (S1 & S2) are working at the facility but are not associated. LPA Colvin was able to confirm background clearance for both staff, but in review of their files at the facility LPA Colvin did not locate a clearance transfer request to the facility, which is required for the staff to be associated. A facility must have submitted a transfer request for staff with background clearance prior to them working in the facility. Deficiency cited . This deficiency comes with a civil penalty in the amount of $100 per day, per staff, for a maximum of 5 days. Since both staff have worked at the facility for longer than 5 days, the maximum penalty of $500 per staff ($1,000 total) will be assessed. Locked Perimeter - LPA Colvin observed that the facility's front and side gate both have an electronic lock which requires a security code to unlock. LPA Colvin reviewed the facility's application and fire clearance and observed that the facility has not been approved for a locked perimeter. LPA Colvin additionally contacted the Cathedral City Fire Department and confirmed that the Fire Marshall did not approve the locked perimeter. Deficiency cited. A violation of a facility's fire clearance comes with an immediate civil penalty in the amount of $500, which will be assessed today. Licensee requested LPA Colvin to submit request to Fire Department for inspection for approval for delayed egress . Resident Funds - LPA Colvin observed that the facility is holding on to resident funds (average of $200 for each resident). LPA Colvin reviewed the facility's application for license and confirmed that it was stated to Licensing that they would not handle resident funds. Deficiency cited. Additionally, LPA Colvin confirmed with the Licensee that the facility does not have a surety bond, which would protect clients' money in the event of a theft. Deficiency cited. Lastly, in review of a resident's file (R1) in relation to a complaint, LPA Colvin observed that there is no accounting ledger for the resident's money. LPA Colvin inquired with the Licensee about this, and the Licensee stated that the funds are kept in an envelope along with receipts for purchases. No other accounting ledger is utilized to itemize expenses to ensure an accurate accounting of the funds held for the resident by the facility. Deficiency cited. Lastly, LPA Colvin learned in an interview with the Licensee and Administrator that R1's funds of $200 was returned to R1's Power of Attorney (POA) with $100 taken out, in order to account for repairs needed on a toilet used by R1. Title 22 Regulations state that a facility cannot use resident's personal funds (such as R1's $200) for expenses or as a deposit. Deficiency cited. Reporting Requirements - LPA Colvin observed that though R1 went to the hospital on numerous occasions for emergency services, and was even admitted for several days on at least one occurance, the facility never submitted an Special Incident Reports (SIRs) to Community Care Licensing (CCL). Facilities are required to report to CCL any event or occurrence which may pose a risk to a resident's health or safety. Deficiency cited. Due to observations made by LPA Colvin, the facility was cited and civil penalties in the amount of $1,500 were issued, An exit interview was conducted where this report and appeal rights were discussed. A copy of this report, LIC809D, LIC421 BG, LIC421IM, and appeal rights was provided to Administrator Chris Peck during the exit interview.

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 other inspection of ATTENTIVE MANOR II on September 2, 2021. 7 citations were issued: 2 Type A (serious) and 5 Type B.

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

Yes, 7 citations were issued (2 Type A, 5 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 other inspection. other 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.