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Inspection visit

Incident investigation

SIERRA LOMA ASSISTED LIVINGLicense 3427012511 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 09/19/2024, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct a case management visit. LPA was met with Facility Designated Administrator (FDA), Alfredo Cruz and explained the purpose of the visit. Current census was 85. A tour of the facility was conducted and a brief interview with FDR Cruz was conducted. The purpose of this visit was to follow up on 22 incident reports that were received by the department via Fax on from 08/18/2024 to 08/19/2024. Of the 22 incident reports, the facility reported 5 COVID positive residents and 17 incident reports regarding various medical conditions. These incidents reported occurred between the dates of 07/26/2024-07/31/2024 and 08/02/2024-08/08/202/24. All incident reports were reported to the department and time stamped on the dates of 08/18/2024 or 08/19/2024 via fax. Based on the information above, the facility did not report these incidents to the department within the seven days of occurrence. The following deficiencies are being cited on the attached 809D during this visit. If any of the cited deficiencies are not corrected by the noted due dates; civil penalties may be assessed. An exit interview was conducted, appeals rights and a copy of the report was given end the of this visit.

Citations

2 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.

  • 1569.312(d)Type A

    1569.312(d)Basic services requirements: Being aware of the resident's general whereabouts, although the resident may travel independently in the community. This requirement was not met as evidence by: Based on file reviews and interviews, the Licensee did not ensure staff were aware of R1 general whereabouts as R1 was last seen on 09/16/2024 and was not found in their room the next morning. R1 was found outside of the facility on 09/18/2024 by Sacramento Sheriff's department and returned R1 to the facility. This posed an immediate health and safety risk to R1.

  • 87211(a)(1)Type A

    Report specified resident events within seven days

    (1) 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. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case.This is not met as evidenced by: Based on observation and record review, the licensee did not ensure that the facility reported 22 incident reports within seven days of occurrence. LPA reviewed incident reports received by the department on 08/18/2024 and 08/19/2024 and found that the incidents occurred between the dates of 07/26/2024-07/31/2024 or 08/02/2024-08/08/2024 and were reported outside of the seven-day required period. This poses an immediate health, safety and personal rights risks to persons in care.

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FAQ · About this visit

Common questions about this visit

What happened during the September 19, 2024 inspection of SIERRA LOMA ASSISTED LIVING?

This was an other inspection of SIERRA LOMA ASSISTED LIVING on September 19, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to SIERRA LOMA ASSISTED LIVING on September 19, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "1569.312(d)Basic services requirements: Being aware of the resident's general whereabouts, although the resident may tra..."

What type of inspection was this?

This was an 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.