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Inspection visit

complaint

ATRIA HACIENDALicense 3364000752 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

(CONTINUED FROM LIC 9099C) per their care plan which resulted in R1 falling and suffering a hip fracture. The investigation revealed on July 18, 2020, R1 was dropped off at the front entry area of the facility following an outing with family as observed by Staff #1 (S1). Interview with S1 revealed S1 observed R1 ambulating utilizing their walker and S1 noted no concerns. S1 stated they inquired with R1 if assistance was needed in getting back to their room, to which R1 replied, “No” and continued ambulating to their room. S1 later heard via facility radio that R1 had fallen in front of their room. Records reviewed revealed R1’s care plan listed escorting services which had been specifically requested by R1’s family. Interviews revealed, R1’s family was previously providing the escort back to R1’s room, however due to the facility’s change in process, R1’s family was no longer permitted to escort R1 when R1 was returned to the facility after being out with family. Based on LPAs observations, interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegations have been found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, Chapter 8, is being cited on the attached LIC 9099 D. An exit interview was conducted and a copy of this report was provided along with LIC 811- Confidential Names List and Appeal Rights were 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.

  • 87464(f)(1)Type A

    Basic Services- (f)Basic services shall at a minimum include: (1)Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c).This requirement was not met as evidenced by: The licensee did not ensure R1 was provided proper care and supervision during their ambulation following a visit. Based on interviews conducted and records reviewed, R1's care plan required the provision of escorting services which were not provided. This poses a immediate health, safety, and personal rights risk to residents in care.

  • 87465(g)Type A

    Incidental Medical and Dental Care- (g) The licensee shall immediately telephone 9-1-1 if an injury...has resulted in an imminent threat to a resident’s health...except as specified in Sections 87469(c)(2), (c)(3), or (c)(4). This requirement was not met as evidenced by:The licensee did not ensure 9-1-1 was called immediately following R1's fall on 7/18/2020. Based on interviews conducted and records reviewed, R1 was not sent for medical evaluation of their fall until 7/19/2020. The fall resulted in a hip fracture. which required surgery. This poses an immediate health, safety, and personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 10, 2022 inspection of ATRIA HACIENDA?

This was a complaint inspection of ATRIA HACIENDA on May 10, 2022. 2 citations were issued: 2 Type A (serious).

Were any citations issued to ATRIA HACIENDA on May 10, 2022?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "Basic Services- (f)Basic services shall at a minimum include: (1)Care and supervision as defined in Section 87101(c)(3) ..."

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.