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Inspection visit

complaint

BRASWELLS YUCAIPA LEISURE MANORLicense 3609001004 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

(CONTINUED FROM LIC9099) responsible party failed to adhere to COVID visitation protocols on several occasions even after repeated reminders. As a result, R1 was prohibited from physical in person visits from their responsible party. Interview with R1's responsible party revealed they were aware of the COVID visitation protocols but they did not care and did what they wanted anyway. Regarding the allegation "Staff denied a resident access to medical appointment", it was alleged that ED Woofter did not permit R1 to attend a scheduled medical appointment accompanied by their family. Interview with ED Woofter confirmed the incident did occur as alleged. ED Woofter contended that R1's family were not medical professionals and therefore may not ensure proper COVID protocols would be implemented. As a result, ED Woofter did not permit R1 to leave the facility for the appointment and canceled the appointment. Regarding the allegation "Staff did not properly supervise a resident while in care", it was alleged that on an unknown date, staff failed to complete a bed count which resulted in R1 being left outside overnight. Interview with ED Woofter indicated this incident had not occurred. However, a review of incident reports pertaining to R1 revealed on 2/28/2020, the supervision of R1 had been unverified. The incident report indicated Staff #1 (S1) was on duty at the time of the unverified supervision. S1's employed at the facility ceased in March 2020. Based on LPA’s interviews conducted and records reviewed, the preponderance of evidence standard has been met, therefore the above allegations are found to be substantiated. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099 D. An exit interview was conducted and a copy of this report was provided along with Appeal Rights and LIC811- Confidential Names list.

Citations

4 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(a)(1)(D)Type B

    Reporting Requirements- (a) Each licensee shall furnish...reports...including the following:(1)A written report shall be submitted...to the person responsible for the resident within 7 days of..occurrence of any...events specified...below. (D)...unexplained absence of any resident. This requirement was not met as evidence by: The licensee did not ensure R1's responsible party was notified of an unexplained absence. Based on interviews and records reviewed, ED denied R1 had an unexplained absence yet records reviewed indicated R1 may have been unaccounted for. This poses a potential

  • 87468.1Type A

    Personal Rights of Residents in All Facilities-(a) Residents...shall have all of the following personal rights: (11) To have their visitors...permitted to visit privately during reasonable hours... provided... rights of other residents are not infringed upon. This requirement was not met as evidenced by: The licensee did not ensure the personal rights of all residents were maintained. Based on interviews conducted, ED prohibited in person visits for R1. This poses an immediate personal rights risk to residents in care

  • 87468.2(a)(Type A

    Additional Personal Rights of Residents in Privately Operated Facilities- (a) In addition to...Section 87468.1... residents in...residential care facilities for the elderly shall have...the following personal rights:(4)To care, supervision...by staff ...to meet their needs. This requirement was not met as evidenced by: The licensee did not ensure the personal rights of all residents were maintained. Based record review, the supervision of R1 had been unverified as reported in an incident reported dated 2/28/20. This poses an immediate health, safety, and personal rights risk to residents

  • 87468(a)(16)Type A

    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 was not met as evidenced by: The licensee did not ensure the personal rights of all residents were maintained. Based on interviews, ED confirmed she canceled R1's medical appointment because R1's family was going to accompany them to the appointment. This poses an immediate health, safety and personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the July 31, 2023 inspection of BRASWELLS YUCAIPA LEISURE MANOR?

This was a complaint inspection of BRASWELLS YUCAIPA LEISURE MANOR on July 31, 2023. 4 citations were issued: 3 Type A (serious) and 1 Type B.

Were any citations issued to BRASWELLS YUCAIPA LEISURE MANOR on July 31, 2023?

Yes, 4 citations were issued (3 Type A, 1 Type B). The first citation was for: "Reporting Requirements- (a) Each licensee shall furnish...reports...including the following:(1)A written report shall b..."

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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