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Inspection visit

Follow-up on corrections

GREENHAVEN PLACE INDEPENDENT LVG AND ASSISTED LVGLicense 3427004741 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst(LPA) Victoria Brown arrived unannounced on 8/30/23 at 11am to obtain additional information regarding a Special Incident report (SIR-LIC624) received by Community Care Licensing (CCL) on 8/28/23. The SIR stated that a medication error occurred where as resident #1(R1) received R2's medication. LPA interviewed Staff #1 (S1)-(S3) and (R1)-(R2) and reviewed the medication process with S2 during this visit. Based on the documents submitted to CCL and interviews, the preponderance of evidence standards has been met. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, the following deficiencies are being cited on the attached 809D during this visit. If any of the cited deficiencies are not corrected by the noted due dates; civil penalties may be assessed. The Facility Designee was provided a copy of their rights (LIC9058) and their signature on this form acknowledges receipt of these rights. An exit interview was conducted, a copy of the report was given.

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(j)Type B

    Incidental Medical and Dental CareIn all facilities licensed for sixteen (16) persons or more, one or more employees shall be designated as having primary responsibility for assuring ... assisting residents as needed with self-administration of medications... This requirement is not met as evidenced by: medication that belonged to R2 was administered to R1 and there was no adverse reaction Based on documentation which confirmed the medication error occurredThis violation poses an potential health, and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 30, 2023 inspection of GREENHAVEN PLACE INDEPENDENT LVG AND ASSISTED LVG?

This was an other inspection of GREENHAVEN PLACE INDEPENDENT LVG AND ASSISTED LVG on August 30, 2023. 1 citation were issued: 1 Type B.

Were any citations issued to GREENHAVEN PLACE INDEPENDENT LVG AND ASSISTED LVG on August 30, 2023?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Incidental Medical and Dental CareIn all facilities licensed for sixteen (16) persons or more, one or more employees sha..."

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 CCLDView original report

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