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Inspection visit

Complaint

GOLDEN LEGACY ELDERLY CARE IIILicense 3427011752 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

The audio recordings also revealed staff S2 made statements of knowing R1 had soiled themselves in the evening by the smell and did not assist resident R1 until the following morning where S2 can be heard cursing and making inappropriate comments to R1. S2 did not assist resident in a timely manner. LPA has identified the conduct of staff S2 as an immediate risk to residents in care and had them removed from the facility during the inspection and per licensee will not be returning to the facility. During the interviews with S2, they made false statements to LPA when denying the allegation as LPA has recordings if their statements to residents. The Department has determined, based on the preponderance of the evidence obtained during this investigation, that the allegation of Personal Rights is substantiated. 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 home. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. The Department has determined that the allegations of Physical Abuse a re unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There are no deficiencies 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

6 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.

  • Right to freedom from abuse and neglect

    Additional Personal Rights of Residents in Privately Operated Facilities: To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. This requirement was not met as evidenced by statements on audio recordings obtained during the inspection where staff S2 verbally abused resident R1 wich poses an immediate health, safety and personal rights violation to the residents in care.

  • 87211(a)(1)(D)Type A

    Reporting Requirements: A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below...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 unreported incidents including a resident's agressive acts against staff and inapropraite actions by staff inluding verbal abuse wich poses an immediate health, safety and personal rights risk to residents in care.

  • Conformance with applicable laws and regulations

    Administrator - Qualifications and Duties: Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement was not met as evidenced by the number and serious nature of the violations identified during the inspection including personal rights, reporting requirements, staff's conduct inimical to the health safety and well-being of residents in care which poses an immediate health, safety and personal rights risk to residents in care.

  • 87470(a)(3)(B)Type A

    Infection Control Requirements: A syringe and needle shall only be used once per injection on one resident and then properly disposed of in accordance with the California Code of Regulations, Title 8, Section 5193. this requirement was not met as evidenced by LPA observations of syringes disposed of in an unlocked cabinet some in an overflowing syringe container and other syringes just placed in the cabinet which poses an immediate health, safety and personal rights risk to residents in care.

  • 87705(c)(4)(A)Type B

    Care of Persons with Dementia: In addition to requirements specified in Section 87415, Night Supervision, a facility with fewer than 16 residents shall have at least one night staff person awake and on duty if any resident with dementia is determined through a pre-admission appraisal, reappraisal or observation to require awake night supervision. This requirement was not met as evidence by: LPA review of resident files and identified needs for night supervision and the staff schedule with no identified overnight staff which poses a potential health, safety and personal rights risk to residents in care.

  • Maintain cleanliness and prevent incontinence odors

    Managed Incontinence: Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. this requirement was not met as evidenced by audio recordings in which staff S2 is overheard making statements that she smelled R1 had soiled self the prior evening and did not assist resident until the following morning which poses an immediate health, safety and personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the November 14, 2024 inspection of GOLDEN LEGACY ELDERLY CARE III?

This was a complaint inspection of GOLDEN LEGACY ELDERLY CARE III on November 14, 2024. 2 citations were issued: 2 Type A (serious).

Were any citations issued to GOLDEN LEGACY ELDERLY CARE III on November 14, 2024?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "Additional Personal Rights of Residents in Privately Operated Facilities: To be free from neglect, financial exploitatio..."

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.

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