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Inspection visit

Follow-up

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

Inspector’s narrative

What the inspector wrote

On 10/25/2023, at 1:00pm, Licensing Program Analysts (LPAs) Michael Bilger and Arvin Villanueva arrived at the facility unannounced to conduct a case management regarding a discovery during a complaint investigation regarding the allegation from 27-AS-20230130141811. LPAs met with Administrator Caleb Summerhays and stated the purpose of this visit. LPAs Bilger and Villanueva interviewed staff members and reviewed Resident_4’s (R4’s) files, including resident charting notes, resident care plans home health notes, activity of daily living (ADL) notes, and resident physician orders. Based on record review, R4 was assessed with stage 3 pressure wound on the coccyx area by home health agency on 6/7/23. Based on interview with S1 on 8/30/23, facility did not submit an exception for prohibited health condition regarding R4's condition to the Department once R4 was assessed with stage 3 pressure wound. Per California Code of Regulations (Title 22, Division 6, Chapter 8) citations for deficiencies can be found on the LIC 809 -D. An exit interview was held with administrator Caleb Summerhays, and a copy of this report and the 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.

  • 87465(a)(4)Type B

    87465(a)(4) The licensee shall assist residents with self-administered medication as needed.This was not met as evidenced by: Based on record reviews and interviews, licensee did not ensure R1’s blood pressure medication was being administered appropriately. This poses a potential health and safety risk to person in care.

  • 1569.312(e)Type A

    1569.312 Basic services requirement. Every facility...shall provide at least the following basic services: (e) Monitoring...residents while they are under the supervision of the facility to ensure their general health, safety, and well-being.This was not met as evidenced by: Based on interviews and record reviews, the licensee did not ensure to provide adequately, and timely care and monitoring of R4’s pressure wound while in care at the facility, which resulted in the escalation of R4’s pressure wound to stage 3. This poses an immediate health and safety risks to persons in care.

  • 87615(a)(1)Type B

    87615 (a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: (1) Stage 3 and 4 pressure injuries.This was not met as evidenced by: Based on interviews and record reviews, the licensee retained a resident with a stage 3 pressure wound without obtaining an exception from the Department. This posed a potential health and safety risk to the resident in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 25, 2023 inspection of CITY CREEK ASSISTED LIVING?

This was a other inspection of CITY CREEK ASSISTED LIVING on October 25, 2023. 1 citation were issued: 1 Type B.

Were any citations issued to CITY CREEK ASSISTED LIVING on October 25, 2023?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87465(a)(4) The licensee shall assist residents with self-administered medication as needed.This was not met as evidence..."

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.