Inspection visit

Follow-up on correctionsSeptember 29, 2023

LIFESTYLE HOME CARELicense 3364029943 citations on this visit

3 citations recorded

Inspector’s narrative

What the inspector wrote

On 09/29/2023 at 01:00 PM, Licensing Program Analysts (LPAs) Melody Brown and Bianca Wolcott met with Licensee/Administrator Mary Mateas and Steven Mateas at Community Care Licensing Division (CCLD) Adult and Senior Care (ASC) Regional Office to initiate a Case Management Office Visit. LPAs Brown and Wolcott explained the purpose of the requested Office Visit. The investigation consisted of observation, interviews and a review of pertinent documentation. During the Inland Regional Center (IRC) facility visit on 04/25/2022, IRC staff reported that Staff 2 (S2) has not received Direct Support Professional (DSP) – I certification which should have been obtained 01/31/2020 and Staff 3 (S3) has not received the required Direct Support Professional (DSP) – II certification which should have been obtained 04/30/2022. LPA Brown will be issuing a citation for this deficiency as this poses immediate risk to residents in care. In addition, IRC staff reported that during their visit, it was observed that no Physician Oder on file for both “Calmoseptine” and “Neosporin” for Resident 1 (R1) and its administration were not recorded on the Medication Administration Record (MAR). Moreover, during the IRC Visit, they observed that there’s no Physician Order, Medical Documentation or Plan on file to support that the facility staff were required to assist with R1’s glucose testing and monitoring. Also, per IRC’s review of documents, the administration of glucose testing was not recorded in MAR and no documentation was available to support that the S2 or S3 received training by licensed professional for glucose testing. IRC staff also observed during the visit that there is a prescription on file at the facility for R1 to take Ensure or Glucerna one (1) can twice per day, but it was also observed that the administration of Ensure or Glucerna is not being documented in the MAR. LPA Brown will be issuing a citation for these deficiencies as this poses immediate risk to residents in care. An exit interview was conducted where this report (LIC809), LIC80D and Appeal Rights were discussed and provided to Licensee/Administrator Mary Mateas and staff Steven Mateas.

Citations

5 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.

87411(c)(2)(B)Type A
87411 Personnel Requirements - General (c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual... (2) This training shall be...(B) Importance and techniques of personal care... This requirement is not met as evidenced by: Based on observations, interviews and record review, the Licensee did not comply with section cited above by having S2 and S3 worked at the facility without the required initial/annual training which poses immediate health, safety, and personal rights risk to resident in care.
87465(h)(6)Type A
Record centrally stored prescriptions and refill data
87465 Incidental Medical and Dental Care(h) The following requirements shall apply to medications...(6) The licensee shall be responsible for assuring that a record... This requirement is not met as evidenced by: Based on observations, interviews and record review, the Licensee did not comply with section cited above by not documenting in R1's Medication Administration Record (MAR) the administration of Calmoseptine and Neosporin, the administration of glucose testing was not recorded in MAR and Ensure or Glucerna per prescription issued which poses immediate health, safety and personal rights risk to resident in care.
87628(a)Type A
Allowing diabetic residents based on self-management ability
87628 Diabetes (a) The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing with blood or urine specimens and is able to administer his/her own medication including medication administered orally or through injection, or has it administered by an appropriately skilled professional. This requirement is not met as evidenced by: Based on interview and records review, the Licensee did not comply with the section cited above by allowing Staff #2 (S2) to perform blood glucose testing to Resident #1 (R1) which pose immediate health, safety and personal rights risks to residents in care.
87466Type A
Regular observation and documentation of resident changes
87466 Observation of the Resident The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional, and social functioning and that appropriate assistance is provided... This requirement is not met as evidenced by: Based on observations, interviews and record review, the Licensee did not comply with section cited above by not reporting to R1's physician and R1's responsible person the observed changes or deterioration of R1's physical health condition and by not ensuring that such changes are documented which poses an immediate health, safety, and personal rights risks to resident in care.
87468.2(a)(4)Type A
Right to sufficient care and qualified staff
87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following…(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency… This requirement was not met as evidenced by: Based on interviews & records review, it was found that Licensee did not ensure R1 received the care, supervision & services to meet their needs. On April 3, 2022, R1 was admitted to the hospital and was diagnosed with an unstageable pressure injury to their sacral. However, it was found that treatment and care for the injury was not being provided as needed. This violation of regulation posed an immediate risk to R1.
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FAQ · About this visit

Common questions about this visit

What happened during the September 29, 2023 inspection of LIFESTYLE HOME CARE?

This was an other inspection of LIFESTYLE HOME CARE on September 29, 2023. 3 citations were issued: 3 Type A (serious).

Were any citations issued to LIFESTYLE HOME CARE on September 29, 2023?

Yes, 3 citations were issued (3 Type A, 0 Type B). The first citation was for: "87411 Personnel Requirements - General (c) All RCFE staff who assist residents with personal activities of daily living ..."

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLD View original report

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Data from CCLD public records. Last updated June 8, 2026. If you believe any information is inaccurate, report it here.

Follow-up on corrections·September 29, 2023