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Inspection visit

Follow-up on corrections

SIEBENTHAL CARE HOMELicense 3470049581 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 1/17/25 Licensing Program Analyst (LPA) Kevin Gould conducted a case management inspection to address reporting of incidents to the department. LPA met with administrator Ermelinda Siebenthal and together discussed the report. LPA conducted an inspection to obtain additional medical records and any related incident reports for a former resident. LPA obtained hospice records and obtained and incident report dated 9/26/24. LPA had no record or receiving this incident report and it was confirmed by a staff member through fax transmission logs and email history that the incident report dated 9/26/24 regarding fall and injury of former resident was not provided to the department in the time frame required by title 22 regulations. Per California Code of Regulations, Title 22, the following deficiency is cited. Exit interview conducted and a copy of this report was left at the home.

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.

  • 87211(a)(1)(B)Type B

    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... Any serious injury as determined by the attending physician and occurring while the resident is under facility supervision. This requirement was not met as evidenced by and incident report obtained from the facility dated 9/26/24 was never submitted to the department as confirmed by facility staff which poses a potential health, safety or personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 17, 2025 inspection of SIEBENTHAL CARE HOME?

This was an other inspection of SIEBENTHAL CARE HOME on January 17, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to SIEBENTHAL CARE HOME on January 17, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "written report shall be submitted to the licensing agency and to the person responsible for the resident within seven da..."

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.