Skip to main content
ReadyRule homepageReadyRule

Inspection visit

complaint

CITY CREEK ASSISTED LIVINGLicense 3427008352 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

LPA Ivey Canady interviewed 4 staff. 4 out of 4 staff members admitted to LPA Ivey Canady residents did not receive their medications. According to interview, S3 stated the facility has gone as long as 2 weeks without proper medications to administer to residents. According records reviewed, LPA Ivey Canady observed several occasions whereas residents did not receive medications with annotations of "waiting on pharmacy". According to records review LPA observed residents did not receive medications over a course of weeks at a time.LPA Ivey Canady interviewed 6 residents. 3 out 6 residents indicated they have missed doses of medications. This allegation is substantiated and has also been cited on complaint control number 27-AS-20220210154551 According to interview with S3, there is not enough staff to cover the shifts and medications are not being properly disbursed because of this. According to interview with S4, staff who no longer work at the facility are being listed on the schedule to work. Because staff that no longer work at the facility are scheduled to work specific shifts, and are a no show, residents are going significant amounts of time without their proper dosages of medications. This causes a health and safety concern to the residents and is in violation of Title 22 regulations. Facility administrator stated he was unaware of residents being administered insulin by unskilled staff. According to interview with S2 and S3 both report knowledge of untrained staff administering insulin. According to interview with S2, S2 provides specific details regarding the reasons why untrained staff are administering insulin. According to interview with S2, those details include residents insisting to have assistance from staff administering their insulin, stating they are unable to do it themselves. According to interview S2, S2 stated untrained staff are administering insulin to residents. Page 2 of 3 Continued from page 2... According to interviews with S2, residents that are confined to wheelchairs are not being tended to in a timely fashion when asking for assistance. S2 stated residents in wheelchairs ask for assistance from staff and staff are too busy filling in for missing staff that there is no time to attend to request of wheelchair residents in a timely fashion. This allegation is substantiated and has also been cited on complaint control number 27-AS-20220210154551 Based on interviews and record review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8) are being cited on the attached LIC-9099D. Failure to correct the deficiency may result in civil penalties. Appeal rights were provided. An exit interview was conducted, and a copy of the report was provided to Administrator Caleb Summerhays . Page 3 of 3

Citations

7 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.

  • 87464(f)(6)Type B

    87464 Basic services (f) Basic services shall at a minimum include...(6)Arrangements to meet health needs, including arranging transportation, as specified in Section 87465, Incidental Medical and Dental Care Services. This requirement was not met as evidenced by: Based on interviews and records review the licensee did not provide arrangements for transportation for 1 out of 2 residents to the medical facility of personal choice. This poses a potential health and safey risk to persons in ca

  • 87465(a)(1)Type A

    87465 Incidental Medical and Dental Care(a)A plan for incidental medical and dental care shall be developed by each5/20 facility...(1)The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidenced by: Based on interviews with staff and residents, residents in wheelchairs are not having requested assistance in a timely fashion, which poses an immediate health and safety risk to persons in care.

  • 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...(4)The licensee shall assist residents with self-administered medications as needed.This requirement was not met as evidenced by: Based on interviews and records review the licensee did not ensure 3 out of 6 residents did not received medications as prescribed, which poses an immediate health and safety risk to persons in care.

  • 87629(b)(2)Type A

    87629 Injections (b)...the licensees who admit or retain residents who require injections shall be responsible for the following:(2) Ensuring that sufficient amounts of medicines, test equipment, syringes, needles and other supplies are maintained in the facility.. This requirement was not met as evidenced by: Based on interviews with staff and residents, licensee did not ensure residents were equiped with the appropriate medical equipment, which poses an immediate health and safety risk to residents in care.

  • 87465(1)(a)Type A

    87465(1)(a) Incidental Medical and Dental CareA plan for incidental medical and dental care shall be developed by each facility…(1)The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidenced by: Based on interviews and records review the licensee did not ensure 1 out of 2 residents needs were met which poses an immediate health and safety risk to residents in care.

  • 87629(b)(1)Type A

    87629 Injections (b)...the licensees who admit or retain residents who require injections shall be responsible for the following:(1) Ensuring that injections are administered by an appropriately skilled professional should the resident require assistance. This requirement was not met as evidenced by: Based on interviews and record review, licensee did not ensure appropriately skilled professionals were administering injections, which poses an immediate health and safety risk to residents in care.

  • 87464(f)(1)Type A

    87464 Basic Services (f) Basic services shall...include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code 2(c). This requirement was not met as evidenced by: Based on record review and interview, the licensee did not ensure R1 did not leave the facility unassisted, which poses an immediate health and safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 19, 2022 inspection of CITY CREEK ASSISTED LIVING?

This was a complaint inspection of CITY CREEK ASSISTED LIVING on May 19, 2022. 2 citations were issued: 2 Type A (serious).

Were any citations issued to CITY CREEK ASSISTED LIVING on May 19, 2022?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "87464 Basic services (f) Basic services shall at a minimum include...(6)Arrangements to meet health needs, including arr..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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.