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Inspection visit

complaint

LEGACY SENIOR CARELicense 3459200631 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Allegation: Staff left residents unattended at the facility Interviews conducted revealed that on 11/18/2024, S1 left the facility leaving no staff on the premises to care for the residents. S1 had left the facility sometime throughout the night. During interview, R1 stated that S1 had come into their room sometime throughout the night and stated that they will be leaving. R1 stated they went back to sleep and thought it was just a dream. When R1 and the other residents woke up in the morning of 11/18/2024, they found no staff present in the facility and attempted to make their own breakfast noting they were hungry. Interviews indicated R1 called their family in the morning of 11/18/2024 to notify that there were no staff present in the facility. Administrator stated they were unaware residents were left unattended until a R1's family member called and stated that there was no care staff at the facility. Administrator stated that they were notified around 9:30 a.m. and showed up to the facility at 10 a.m. An interview with S1 confirmed that S1 did leave the facility stating they were not feeling well and needed medical attention. When asked if S1 contacted Administrator, S1 stated they called and left a voicemail message. Administrator additionally stated that the staff has not been back at the facility since the incident. Based on interviews conducted by the department, the preponderance of evidence standards has been met. Therefore, the above allegation is found to be SUBSTANTIATED. Per California Code of Regulations, Title 22 Division 6, Chapter 8, a deficiency is cited on the attached 9099-D page. As a result of resident's being left without supervision, civil penalties are assessed in the amount of $500. Exit interview conducted and a copy of the report and appeal rights provided.

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.

  • 87211(2)Type B

    87211 Reporting Requirements(2)Occurrences, such as epidemic outbreaks, poisonings, catastrophes or major accidents which threaten the welfare, safety or health of residents, personnel or visitors, shall be reported within 24 hours either by telephone or facsimile to the licensing agency and to the local health officer when appropriate. This requirement is not met as evidenced by:Based on interviews, the licensee did not comply with the section cited above due to Administrator not reporting to Community Care Licensing (CCL) when the facility heater was out for two (2) days.

  • 87309(a)Type A

    87309 Storage Space and Access(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients.This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above due facility laundry room door being unlocked and open making chemicals assessable to residents in care.

  • 87355(e)(2)Type A

    87355 Criminal Record Clearance(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c) or This requirement is not met as evidenced by:Based on record review, the licensee did not comply with the section cited above due to caregiver not being associated with the facility which poses an immediate health and safety risk to persons in care.

  • 87411(a)Type B

    87411(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. This requirement is not met as evidenced by:Based on interviews and records, the licensee did not comply with the section cited above as it has been identified that resident’s require additional staff during waking hours.

    Read full inspector narrative
  • 87506(a)Type B

    87506 Resident Records(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff.This requirement is not met as evidenced by: Based on record review the licensee did not comply with the section cited above due two (2) out of six (6) residents files being incomplete with signatures.

  • 87468.2(a)(4)Type A

    87468.2 Additional Personal Rights of Residents in Privately Operated Facilities(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidenced by:Based on interviews the licensee did not comply with the section cited above as staff had left the facility and residents were left unattended.

FAQ · About this visit

Common questions about this visit

What happened during the February 19, 2025 inspection of LEGACY SENIOR CARE?

This was a complaint inspection of LEGACY SENIOR CARE on February 19, 2025. 1 citation were issued: 1 Type A (serious).

Were any citations issued to LEGACY SENIOR CARE on February 19, 2025?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87211 Reporting Requirements(2)Occurrences, such as epidemic outbreaks, poisonings, catastrophes or major accidents whic..."

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 CCLDView original report

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