Skip to main content
ReadyRule homepageReadyRule

Inspection visit

Incident investigation

ACC MAPLE TREE VILLAGELicense 3427006832 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 4/16/24 at 12:15pm, Licensing Program Analyst (LPA) Kevin Gould conducted an unannounced case management inspection to address concerns regarding an incident report received by the department on 4/15/24. LPA met with administrator Yesenia Jones and together discussed the reported incident. LPA conducted interviews with S1, S2 and conducted interviews with four (4) residents (see confidential names list, LIC 811 dated 4/16/24). LPA obtained the following records: Employment Application for S3, Notes from S1's conversation regarding suspected abuse by R3, declarations from S4, S5, and S6. LPA has obtained a preponderance of evidence to support S3 did in fact speak inappropriately to residents in care and did not treat residents with dignity and respect including not allowing a resident to get up from their wheel chair. LPA provided Administrator with copies of LIC 855 (Declaration Form) to be filled out by all staff members who provided written statements regarding suspected abuse by another staff member. The following deficiency is cited per California Code of Regulations, TITLE 22. Exit interview was conducted with facility staff. Appeal Rights were issued, and a copy of this report was left at the facility.

Citations

2 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.

  • 87211(a)(1)(D)Type A

    Reporting Requirements: Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidenced by statements obtained from S1 that a staff member had knowledge of inappropriate behavior by another staff member (cursing, rudeness) towards several residents in care that took place in February 2024 and was not reported to management or the department in a manner that meets regulations which poses an immediate health safety and personal rights risk to residents in care.

  • 87468.1(a)(1)Type B

    Personal Rights of Residents in All Facilities: To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by three declarations provided by three staff members who witnessed staff member act in an unprofessional manner and cursed and handled residents in a manner that did not treat residents with dignity and respect which poses an potential health safety or personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 16, 2024 inspection of ACC MAPLE TREE VILLAGE?

This was a other inspection of ACC MAPLE TREE VILLAGE on April 16, 2024. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to ACC MAPLE TREE VILLAGE on April 16, 2024?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "Reporting Requirements: Any incident which threatens the welfare, safety or health of any resident, such as psychologica..."

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

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

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