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Inspection visit

complaint

HERITAGE GARDENSLicense 3609004551 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

As of today, the facility has not received diapers for R1 from Innovage. The Administrator admitted that the facility supplied R1 with the wrong sized pull-up diapers from May 16, 2022 to June 7, 2022. R1 wears a size 2XL pull-up diaper and the facility provided R1 with size XL pull-up diapers. The Administrator admitted that she was aware that the pull-up diapers were too small and that they were hurting R1. LPA Gardner inquired if the Administrator had contacted a different company to find an alternative solution until Innovage could supply the correct size pull-ups. The Administrator admitted she did not contact another company and did not try to find a solution to get R1 the correct size pull-up diapers. During today’s visit, the Administrator called Innovage and the company delivered eight (8) packs of size 2XL pull-up diapers. Based on interviews conducted and record review the allegation is deemed SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. Based on interviews conducted and record review made during today’s visit, one (1) deficiency was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report was discussed and provided to Administrator Lisa Leak, along with a copy of the appeal rights.

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.

  • 87625(a)(1)(D)Type B

    (a) The licensee shall be permitted to accept or retain a resident who has a manageable bowel and/or bladder incontinence condition under the following circumstances:(1) The condition can be managed with any of the following:(D) The use of incontinent care products. Based on interviews and record review, the licensee did not comply with the section cited above knowingly providing pull-up diapers that did not fit R1, and that were causing R1 pain. The diapers provided were not able to manage incontinent care correctly which poses an immediate health, safety, or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the June 7, 2022 inspection of HERITAGE GARDENS?

This was a complaint inspection of HERITAGE GARDENS on June 7, 2022. 1 citation were issued: 1 Type B.

Were any citations issued to HERITAGE GARDENS on June 7, 2022?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "(a) The licensee shall be permitted to accept or retain a resident who has a manageable bowel and/or bladder incontinenc..."

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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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.