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Inspection visit

complaint

SUMMERSET ASSISTED LIVINGLicense 3470053611 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Based on conversations with 5 staff members (S1-S5), there was a process in place for mail for the memory care residents as they did not have mailboxes on the main level. This LPA was told that their mail was dropped off at the reception desk where it was sorted and then the medication technicians (MedTechs) on the send floor were notified to pick it up. They would then deliver the mail to the individual residents in the memory care community. If the resident had a conservator, there was a special area in the locked medication room where this mail was labeled and stored. The MedTechs would then call the conservator to alert them that mail had arrived for the resident and then the conservator would be asked to come and pick it up. If there was no response to their call or messages, the MedTech would text the conservator, and then document with post it notes the dates when their contact attempts were made. LPA asked the Director of Care what process was in place if they could not reach a conservator in a timely manner. LPA was told that there was a number they could call that for the Conservator of the Day that would assist them. In this particular case, this LPA learned through personal observations, that residents' mail, not just the items that were the responsibility of the conservator (i.e. medical and/or financial) were stored in the medication room. LPA observed personal letters and cards from April 2025, in a sorting container on top of a cabinet. The sorter was labeled, "Residents Mail for POA." Through interviews, this LPA learned that staff (S3) had withheld all mail because they thought that legally they had to give it directly to the conservator. LPA explained to S3 that was a violation of the resident's personal rights and that their personal mail should have been delivered to them directly. The allegation: Facility not allowing residents to get mail, was SUBSTANTIATED and this deficiency was cited on the LIC 9099D page. According to the California Code of Regulations, Title 22, no other deficiencies were observed or cited during today's visit. ED stated that a training has been scheduled for the medication technicians in memory care next week on what mail to deliver, and what to hold for a residents' responsible parties. A copy of this report was provided along with APPEAL RIGHTS and an exit interview was conducted.

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.

  • 87468.2Type B

    Additional Personal Rights of Residents in Privately Operated Facilities(a) In addition to 87468.1, ...the elderly shall have all of the following personal rights:(1) To have ...in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations... The licensee did not ensure that the above regulation was met when: Based on personal observations and interviews, mail for residents in memory care was being held until conservators could pick it up. This posed a potential threat to the health safety and personal rights of residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 16, 2025 inspection of SUMMERSET ASSISTED LIVING?

This was a complaint inspection of SUMMERSET ASSISTED LIVING on May 16, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to SUMMERSET ASSISTED LIVING on May 16, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Additional Personal Rights of Residents in Privately Operated Facilities(a) In addition to 87468.1, ...the elderly shall..."

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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