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Inspection visit

Routine inspection

MOUNT HOOD SERENITY CARELicense 3427006963 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Talwinder Bains arrived on 05/01/24 to conduct the annual inspection. LPA met with administrator, Irene Nepomuceno and explained the purpose of today's visit. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed one (1) resident and one (1) staff files . Facility was clean and well organized. All required postings were observed. Deficiencies were observed during residents and staff's files review as listed on 809-D. LPA and Administrator toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, kitchen, and common areas and outside area. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. Grab bars were present at the toilet and in the shower. All exits were unobstructed. There is a side gate for emergency access. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguisher was last serviced on 01/15/24 and was ready for emergency use. Hot water temperature was observed to be 120 degrees F, which is within the regulation range of 105-120 degree. Inside temperature was observed at 72 degree F. LPA requested a copy of the LIC 500, LIC610E and current liability insurance to be sent to the Department by 05/30/24. Deficiencies were observed and cited per Title 22, CCR Regulations as listed on 809-D. Exit interview conducted. Copy of this report and appeal rights were provided.

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.

  • 87506(b)Type B

    Resident record must include minimum required items

    Based on interview and record review, the licensee did not comply with the section cited above as resident, R1 file was missing LIC627C,Pre-admission appraisal,Needs and Service plan,LIC405, LIC621 which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87412(a)Type B

    Maintain required personnel records for staff

    Based on interview and record review, the licensee did not comply with the section cited above as staff ,S1 file were missing LIC503, LIC501,TB , Training Records for staff,S1, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • Maintain records of centrally stored medication dosages

    Based on interview and record review, the licensee did not comply with the section cited above as facility was not using Centrally Stored Medication Log for medication management as Required for all residents including R1, which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 1, 2024 inspection of MOUNT HOOD SERENITY CARE?

This was an inspection of MOUNT HOOD SERENITY CARE on May 1, 2024. 3 citations were issued: 3 Type B.

Were any citations issued to MOUNT HOOD SERENITY CARE on May 1, 2024?

Yes, 3 citations were issued (0 Type A, 3 Type B). The first citation was for: "Based on interview and record review, the licensee did not comply with the section cited above as resident, R1 file was ..."

What type of inspection was this?

This was an inspection. 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.