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Inspection visit

Follow-up on corrections

BAYSHIRE RANCHO MIRAGELicense 3318810861 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA), Stephanie Martinez, conducted an unannounced visit to the facility to address a violation observed during the investigation of complaint #18-AS-20221209144911. The LPA met with Resident Services Director (RSD), Michael Maeda, and informed him of the purpose for the visit. During the complaint investigation the LPA became aware, through interviews and text messages, that a facility manager became aware of an alleged physical and verbal assault involving Resident One (R1) and Staff One (S1). Staff Two (S2), a manager, reported no written or verbal incident report was made to report the incident due to an internal investigation showing the alleged incident could not be corroborated. Regulatory requirements indicate mandated reporters are to report incidences to appropriate agencies whenever abuse is suspected. S1 reported they initially suspected an abuse did take place, which lead to the internal investigation. Due to the incident not being reported to appropriate agencies a citation will be issued. An exit interview was conducted; this report was reviewed with Resident Services Director (RSD) Maeda and a copy was provided.

Citations

2 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.

  • 87468.1(a)(1)Type B

    Personal Rights of Residents in All Facilities: (a) Residents in all RCFEs shall have all of the following personal rights: (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 interview, the licensee did not ensure R1 was accorded dignity in their personal relationship with S1. It was reported S1 made a statement criticizing R1 for not wanting to talk with S1 and claiming to have had sexual interactions with R1's family member. It was also reported S1 argued with R1 & did not make attempts to de-escalate the resident.

  • 87211(c)Type B

    REPORTING REQUIREMENTS: (c) Any suspected physical abuse that does not result in serious bodily injury of an elder or dependent adult shall be reported to the local ombudsman, the corresponding licensing agency, & the local law enforcement agency within 24 hours as required by 15630(b)(1). This requirement was not met, as evidenced by: Based on interviews & text messages, the Licensee didn't ensure the suspected abuse of R1 was reported due to an internal investigation showing the alleged incident could not be corroborated.

FAQ · About this visit

Common questions about this visit

What happened during the September 25, 2023 inspection of BAYSHIRE RANCHO MIRAGE?

This was a other inspection of BAYSHIRE RANCHO MIRAGE on September 25, 2023. 1 citation were issued: 1 Type B.

Were any citations issued to BAYSHIRE RANCHO MIRAGE on September 25, 2023?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Personal Rights of Residents in All Facilities: (a) Residents in all RCFEs shall have all of the following personal righ..."

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.