Inspection visit

complaintMay 23, 2024

LITTLE BROOK CARE HOMELicense 3450030042 citations on this visit

2 citations recorded

Inspector’s narrative

What the inspector wrote

Allegation: Staff did not provide a proper eviction notice to resident or resident’s authorized representative. On 12/30/23, resident (R1) and their responsible party received an unlawful eviction notice from the facility. The eviction notice did not provide a list of referral agencies or alternative housing options, as well as information about the resident’s right to file a complaint with the Department with the name, address, and telephone number of the nearest office of community care licensing and the State Ombudsman. The Department obtained a copy of the notice on 1/19/24. The Department did not review the eviction notice prior to the facility providing a copy to R1 and their responsible party. Interview with Administrator indicated that they provided a copy to the Ombudsman and not the Department when the notice was issued. LPA advised the Licensee to submit any eviction notices to the Department and provided information on how to create a lawful eviction notice. A lawful eviction notice was created on 1/23/24 and provided to the Department. Based on records reviewed and interviews conducted, the preponderance of evidence standards have been met. Therefore, the above allegation is found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, deficiency is being cited on the attached 9099-D page. Exit interview conducted. A copy of this report and appeal rights were provided. Signature on these forms acknowledges receipt of these documents. Allegation: Staff reported false medical emergency needs for resident in care According to interviews with the Administrator, staff (S1), and resident (R1’s) responsible party, the facility contacted emergency medical services (EMS) for R1 on 12/28/23. Interview with Administrator indicated that EMS was contacted due to R1 having diarrhea 4 times. Administrator indicated that R1’s responsible party suggested sending R1 to the hospital and R1 refused to go with EMS. Interview with R1’s responsible party indicated EMS contacted them indicating that they were contacted due to R1 having chronic diarrhea and not being able to give their own insulin. R1’s responsible party indicated that R1 refused to go with EMS. Interview with S1 indicated that R1 sometimes has diarrhea and has a prescription medication for diarrhea. S1 indicated that they do not recall why EMS was contacted on 12/28/23 but didn’t believe it was for diarrhea. S1 indicated that R1 refused to go with EMS. According to EMS Prehospital Care Report, dated 12/28/23, they were dispatched to the facility due to the owner reporting that R1 was having chronic diarrhea for 3 weeks and new weakness. EMS responders contacted R1’s Power of Attorney (POA) who initially wanted R1 to be transported to the hospital due to R1 being too weak to self-administer insulin. EMS responders spoke with care staff and the facility owner, whom both indicated that R1 did not self-administer insulin that evening. R1’s account corroborated that they did not administer their insulin. Owner refused to give EMS responder’s their name and only stated that they are the Administrator. Administrator claimed that a care staff contacted EMS. Care staff denied this statement indicating that the Administrator contacted EMS. EMS responders then contacted the POA once more and, upon finding that the Administrator contacted EMS, the POA decided against transporting R1 to the hospital. EMS report indicated that R1’s vitals were taken and were within normal limits. EMS ended services with R1. The EMS report did not indicate that R1 refused services or that services were not needed. Based on interviews conducted and documentation obtained, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is UNSUBSTANTIATED. No deficiencies are being cited. Exit interview conducted. A copy of the report was provided.

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.

1569.683(a)Type B
1569.683 Eviction notices; reasons for eviction contents; service (a) In addition to complying with other applicable regulations, a licensee of a residential care facility for the elderly who sends a notice of eviction to a resident shall set forth in the notice to quit the reasons relied upon for the eviction, with specific facts to permit determination of the date, place, witnesses, and circumstances concerning those reasons. In addition, the notice to quit shall include all of the following: (2) Resources available to assist in identifying alternative housing and care options, including public and private referral services and case management organizations. (3) Information about the resident's right to file a complaint with the department regarding the eviction, with the name, address, and telephone number of the nearest office of community care licensing and the State Ombudsman. This requirement is not met as evidenced by:Based on interviews conducted and records reviewed, the facility did not include required information in R1’s eviction notice prior to serving notice, including housing resources and the resident’s rights to file a complaint with contact information of the nearest community care licensing office and the State Ombudsman, which poses a potential health, safety, and personal rights risk to residents in care.
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87224(2)Type B
87224 Eviction Procedures (f) A written report of any eviction shall be sent to the licensing agency within five (5) days.This requirement if not met as evidenced by: Based on interviews conducted and records reviewed, the facility did not provide the Department with a written report of R1’s eviction within five (5) days, which poses a potential health, safety, and personal rights risk to residents in care.
87465(a)(1)Type A
87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents.This requirement is not met as evidenced by: Based on records reviewed and interviews conducted, the facility observed R1’s change in condition and did not seek medical attention timely, which poses an immediate health, safety, and personal rights risk to residents in care.
87465(a)(2)Type A
87465 Incidental Medical and Dental Care (a) A plan for incidental medical(…)shall be developed by each facility. The plan shall encourage routine medical(…)care and provide for assistance in obtaining such care, by compliance with the following: (2) The licensee shall provide assistance in meeting necessary medical(…)needs. This includes transportation which may be limited to the nearest available medical(…)facility which will meet the resident's need. In providing transportation the licensee shall do so directly or make arrangements for this service.This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, the facility did not ensure R1 received transportation services to their dialysis appointment, which poses an immediate health, safety, and personal rights risk to residents in care.
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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 (...) by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed.This requirement is not met as evidenced by: Based on medication count and records reviewed, the facility did not ensure that residents (R1, R2, & R3) were receiving medications as prescribed, which poses an immediate health, safety, and personal rights risk to residents in care.
87468.1(a)(16)Type A
87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (16) To receive or reject medical care or other services.This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, the facility interfered with R1’s right to receive dialysis treatment on their scheduled appointment date, which poses an immediate health, safety, and personal rights risk to residents in care.
87466Type A
87466 Observation of the Resident: The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any.This requirement is not met as evidenced by: Based on records reviewed and interviews conducted, the facility observed changes in R1’s condition and did not document such changes or bring changes to the attention of R1’s physician or responsible party, which poses an immediate health, safety, and personal rights risk to residents in care.
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FAQ · About this visit

Common questions about this visit

What happened during the May 23, 2024 inspection of LITTLE BROOK CARE HOME?

This was a complaint inspection of LITTLE BROOK CARE HOME on May 23, 2024. 2 citations were issued: 2 Type B.

Were any citations issued to LITTLE BROOK CARE HOME on May 23, 2024?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "1569.683 Eviction notices; reasons for eviction contents; service (a) In addition to complying with other applicable reg..."

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.

SourceView on CCLD View original report

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Data from CCLD public records. Last updated May 25, 2026. If you believe any information is inaccurate, report it here.

complaint·May 23, 2024