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Inspection visit

Follow-up on corrections

ELDERLY INN IV, THELicense 3427004161 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analysts (LPAs) Michael Hood and Angela Hood met with Acting Administrator, Marinela "Mary" Barac, to conduct a case management visit. During inspection conducted on 7/13/2023, LPAs reviewed medications for residents R1, R2, and R3. LPAs observed Centrally Stored Medication form to be incomplete for R2 and R3 during medication count, causing LPAs to not be able to determine if count was accurate. Due to facility not completing Centrally Stored Medication form for two (2) residents, a deficiency is being cited pursuant to California Code of Regulations, Title 22, Section 87465(a)(4) regarding medication administration. Deficiency is listed on 809-D. Exit interview was conducted with Acting Administrator. A copy of this report and appeal rights were provided. The Acting Administrator’s signature on these forms acknowledges receipt of these documents.

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.

  • 87465(a)(4)Type A

    87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall (...) 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 medication count and observations, the facility did not ensure that medications were properly administered by tracking R2 and R3's medications on Centrally Stored Medication form, which poses an immediate health, safety or personal rights risk to the residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the July 13, 2023 inspection of ELDERLY INN IV, THE?

This was a other inspection of ELDERLY INN IV, THE on July 13, 2023. 1 citation were issued: 1 Type A (serious).

Were any citations issued to ELDERLY INN IV, THE on July 13, 2023?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each fa..."

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.