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Inspection visit

Incident investigation

CITY CREEK ASSISTED LIVINGLicense 3427008351 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Christina Valerio and LPA Ivey Canady arrived to the facility unannounced to conduct a case management visit to follow up on an incident report received regarding a resident that had left the facility without the knowledge of staff. LPAs met with Administrator Caleb Summerhays and explained the purpose of the visit. According to the incident report submitted, facility staff discovered that Resident 1 (R1) was not in the building. Staff conducted a building search and confirmed the resident was not in the building or surrounding areas. Later in day, the facility received a call from an officer stating the resident was in Natomas, CA and transferred to Sutter Hospital. R1 returned from the hospital later that day with no noted injuries. LPAs reviewed Resident 1 (R1) LIC 602 Physician's Report, which states that the resident is not able to leave the facility unassisted. Based on the above mentioned information, deficiencies were observed and can be found on LIC 809-D. 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 facility staff Caleb Summerhays.

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 other inspection of CITY CREEK ASSISTED LIVING on May 19, 2022. 1 citation were issued: 1 Type A (serious).

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

Yes, 1 citation was issued (1 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 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.