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Inspection visit

Incident investigation

MOAILicense 3450028591 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 2/23/2024, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced to conduct a case management visit regarding a death report the department received on 2/20/2024. LPA met with Administrator, Craig Fowler, and explained the purpose of the visit. Note: During time of LPA's visit, it was joined by Sacramento Metro Fire for fire clearance inspection. Facility was approved for change of ambulatory status to capacity of three- 2 ambulatory and 1 non-ambulatory. LPA will have license updated and mailed to facility once effective on system. LPA and Administrator discussed that on 2/17/2024, R1 passed away in her sleep. Administrator reported R1 was on hospice services. Based on file review, LPA observed that R1 has a LIC 602 PHYSICIAN'S REPORT FOR RCFE on file that states R1 had non-ambulatory status. Additionally, LPA conducted a file review for R2 and observed R2's LIC 602 on file that states R2 has non-ambulatory status. Facility was originally licensed for three (3) ambulatory. End of visit, facility was cleared for fire clearance of one non-ambulatory. R2 has been relocated to a non-ambulatory approved room. During today's visit, deficiencies was cited. Exit interview and a copy of report and appeal rights provided to Administrator via email.

Citations

1 citation 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.

  • 87204(a)Type A

    Limit operations to licensed capacity

    87204 Limitations - Capacity and Ambulatory Status (a) A licensee shall not operate a facility beyond the conditions and limitations specified on the license... This requirement is not met as evidenced by: Based on file review, Licensee did not comply with the section cited above as R1 and R2 was accepted to the facility when facility was not licensed for non-ambulatory residents, which posed an immediate health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the February 23, 2024 inspection of MOAI?

This was an other inspection of MOAI on February 23, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to MOAI on February 23, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87204 Limitations - Capacity and Ambulatory Status (a) A licensee shall not operate a facility beyond the conditions and..."

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.