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Inspection visit

Follow-up

CARLTON PLAZA OF ELK GROVELicense 347005464
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to conduct a case management visit. LPA Moleski met with facility administrator Jennell Revera and explained the purpose of the visit. LPA Moleski reviewed death reports for two residents (R1-R2) dated 12/27/24 and 11/14/24, respectively. LPA Moleski reviewed R1's and R2's resident records. LPA Moleski interviewed Revera and a staff member (S1) regarding these reports. No deficiencies were cited during this visit. An exit interview was held and a copy of this report was left with Revera.

Citations

3 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.

  • 87303(a)Type A

    “(a) The facility shall be clean, safe, sanitary and in good repair at all times…” This requirement was not met as evidenced by: Based on interviews and record review, a resident’s room was not safe or sanitary, which poses an immediate health and safety risk.

  • 87211(a)(1)(D)Type B

    “Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: … A 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 … Any incident which threatens the welfare, safety or health of any resident…” This requirement was not met as evidenced by: Based on record review, an incident report was not sent to LPA Moleski regarding R1’s hospitalization on 8/8/24, which poses a potential health, safety, and/or personal rights risk.

  • 87466Type A

    “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 was not met as evidenced by: Based on interviews and record review, appropriate assistance was not provided to R1 during their quarantine period, which poses an immediate health, safety, and/or personal rights risk.

FAQ · About this visit

Common questions about this visit

What happened during the December 30, 2024 inspection of CARLTON PLAZA OF ELK GROVE?

This was a other inspection of CARLTON PLAZA OF ELK GROVE on December 30, 2024. The inspection found no deficiencies and no citations were issued.

Were any citations issued to CARLTON PLAZA OF ELK GROVE on December 30, 2024?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was a 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.