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Inspection visit

Incident investigation

TWIN RIVERS AT NATOMASLicense 3427000121 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On January 31, 2025, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a case management visit regarding an incident report the Department received. LPA met with med-tech and explained the purpose of the visit. Additionally, LPA spoke with Administrator on the phone to inform Administrator of LPA's purpose. Incident report revealed that on January 28, 2025, it was reported to the Administrative Office by S1 that S2 had obtained a photo of R1's credit card and purchased shoes online with R1's credit card information. S1 had returned the shoes and provided Administrator the refund to return to R1. LPA and Administrator discussed the following incident. Administrator stated S1 noticed that S2 had new shoes and when asked how did S2 afford them. S2 stated S2 took a photo of R1's credit card information and made purchases. Administrator informed LPA that S2 was terminated from the facility due to performance issues, prior to the awareness the financial abuse. Administrator stated she took immediate actions and made a police report and additionally, worked with R1's payee services to get the credit card successfully canceled. Administrator stated the shoe refund has not been given to R1 yet as R1 is currently out of the facility. As a result of the reported behavior of S2, deficiencies was cited. LPA explained that although facility took appropriate actions, since the incident did occurred at the facility, it was a violation against personal rights. Exit interview and a copy of report and appeal rights 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.

  • Residents in all facilities must have rights

    87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly 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 is not met as evidenced by: Based on file review, Licensee did not comply as R1 was not treated with dignity and respect by S2 which poses a potential risk for residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 31, 2025 inspection of TWIN RIVERS AT NATOMAS?

This was an other inspection of TWIN RIVERS AT NATOMAS on January 31, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to TWIN RIVERS AT NATOMAS on January 31, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly..."

What type of inspection was this?

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

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