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Inspection visit

Follow-up on corrections

SPRING GLEN ELDERLY CARE VILLALicense 3427003501 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to complete and deliver findings to a complaint investigation received on 1/28/2022. LPA met with Fredricka Quarrie, Maureen Williams, Marlene Duncan, caregivers, who contacted the Administrator, Lani, by phone. LPA met with Glenn Bilog, Co-Administrator, who arrived at the facility around 3:30 pm. Prior to initiating today's inspection, LPA completed required COVID-19 testing protocols and completed a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. Additionally, LPA was screened per Covid-19 precautionary measures upon entering the community. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N95 mask. LPA observed (6) residents to be napping/awake in their rooms at the start of the inspection. During the course of the investigation, the additional deficiency was observed as follows: During a medication record review for resident (R1) on 5/26/22, it was determined that (7) tablets of a bottle of (30) of PTN Alprazolam 0.5 mg were administered to R1 from 5/15/22 through 5/26/22; however, there is no documentation to show on what days, times, etc as required per the regulation. Per California Code of Regulations, Title 22, Division 6, Chapter 8, the following (1) deficiency is being cited on the 809D page. Exit interview. Copy of report and appeal rights provided to Administrator.

Citations

3 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.

  • 87465(d)(3)Type B

    87465 Incidental Medical and Dental Care(d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to communicate his/her symptoms clearly, facility staff designated by the licensee, shall be permitted to assist the resident with self-administration provided all of the following requirements are met:(3) The date and time the PRN medication was taken, the dosage taken, and the resident's response shall be documented and maintained in the resident's facility record. This requirement is not met as evidenced by: Based on record review and interviews conducted, the Licensee did not ensure that the facility maintained a record of PRN medications administered for Alpharazolam 0.5mg for resident (R3), which poses a potential health and safety risk to residents in care.

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  • 87457(c)(1)Type B

    (c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of his/her individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations.(1) The appraisal shall include, at a minimum, an evaluation of the prospective resident's functional capabilities, mental condition and an evaluation of social factors as specified in Sections 87459, Functional Capabilities and 87462 Social Factors.This requirement is not met as evidenced by: Based on interview with Administrator, the Licensee did not ensure that resident (R1) was evaluated in person prior to admission on 1/22/22, which posed a potential health and safety risk to residents in care. ,

  • 87465(a)(4)Type B

    87465 Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:(4) The licensee shall assist residents with self-administered medications as needed.This requirement is not met as evidenced by: Based on documentation review, medications were not administered for residents, R2 and R3, per physician's orders, as medication exhausted before a refill was obtained. Additionally, MAR does not document that R3 received Atorvastatin-Calcium 40 mg, or Melatonin 10mg as ordered, which poses a potential health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 26, 2022 inspection of SPRING GLEN ELDERLY CARE VILLA?

This was a other inspection of SPRING GLEN ELDERLY CARE VILLA on May 26, 2022. 1 citation were issued: 1 Type B.

Were any citations issued to SPRING GLEN ELDERLY CARE VILLA on May 26, 2022?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87465 Incidental Medical and Dental Care(d) If the resident is unable to determine his/her own need for a prescription o..."

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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