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Inspection visit

Follow-up on corrections

MISSION LAKE VILLA, INC.License 3318809931 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On this date, Licensing Program Analyst (LPA) Jesse Gardner made an unannounced visit to the facility to investigate a complaint #18-AS-20231003142743. During today's inspection, LPA Gardner observed the following deficiency, which was reviewed with Administrator Anahit Mesropyan: Reporting Requirements - Through interview with staff, and record review, LPA discovered that Resident 1 (R1) had went to the hospital via ambulance to treat a possible medical episode that they were experiencing. Deficiency was cited for not reporting the incident to the Department within the specified time frame as noted in Title 22. An exit interview was conducted where a copy of this report was discussed with along with copies of the LIC811, LIC809D, and Appeal Rights were provided.

Citations

1 citation 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.

  • 87211(a)(1)(D)Type B

    Reporting Requirements: (a)Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not being met as evidenced by: Based on interview withe staff, and record review, LPA determined that there was not a report submitted to the Department in reference to R1 going to the hospital to treat their medical condition. This poses a potential health and safety and personal rights risk to residents in care.

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FAQ · About this visit

Common questions about this visit

What happened during the October 5, 2023 inspection of MISSION LAKE VILLA, INC.?

This was a other inspection of MISSION LAKE VILLA, INC. on October 5, 2023. 1 citation were issued: 1 Type B.

Were any citations issued to MISSION LAKE VILLA, INC. on October 5, 2023?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Reporting Requirements: (a)Each licensee shall furnish to the licensing agency such reports as the Department may requir..."

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.