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Inspection visit

complaint

MONTCLAIR ROYALE SENIOR LIVINGLicense 361800147
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to the facility to deliver findings on the above allegations. LPA met with Mikaila Tonan, receptionist. The investigation consisted of file review, interviews with relevant parties, and observations of the facility. Allegation 1: Staff is not assisting resident with hygiene needs. Interviews reveal that Resident 1 (R1) is ambulatory and capable of self-care with minimal assistance. Allegation 2: Facility is not safeguarding resident's belongings. Based on observations and interviews, LPA was able to confirm that it is the facility’s policy to have residents label their belongings. Allegation 3: Staff are not ensuring resident has clean clothes. Interviews reveal that R1 always has clean clothes available however R1 may need to change clothes after meals. Allegation 4: Resident's room does not have adequate lighting. LPA was unable to find corroborating evidence relating to this allegation. Allegation 5: Resident's bed does not have appropriate linens. LPA was able to verify that the facility has a supply of clean linen labeled with the facility’s name and residents are also able to use their own linens. Allegation 6: Facility not notifying responsible party about incidents. File reviews and interviews revealed that responsible parties were notified of incidents involving R1. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED at this time. An exit interview was conducted where this report was discussed and provided to Mrs.Tonan.

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.

  • 87224(b)Type A

    The licensee may, upon obtaining prior written approval from licensing agency, evict the resident upon 3 days written notice to quit. The licensing agency may grant approval for eviction upon a finding of good cause. Good cause exists if the resident is engaging in behavior which is a threat to the mental and/or physical health or safety of himself or...others in the facility. This requirement was not met as evidenced by:The Department did not receive eviction notices until complaint #56-AS-20220318083750 was filed and investigated.

  • 87405(a)Type B

    All facilities shall have a qualified & currently certified administrator. The licensee & administrator may be...the same person. The administrator shall have sufficient freedom from other responsibilities & shall be on the premises a sufficient number of hours to permit adequate attention to the management & administration of the facility as specified in this section. When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications adequate to be responsible and accountable for management and administration of the facility as specified in this section. The Department may require that the administrator devote additional hours in the facility to fulfill his/her responsibilities when the need for such additional hours is substantiated by written documentation. This requirement was not met as evidenced by:Based on interviews and observations, facility has not submitted an LIC308, Designation of Facility Responsibility, to the Department since Administrator went on medical leave/full time telework/on-call status on

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  • 87224(f)Type B

    A written report of any eviction shall be sent to the licensing agency within five (5) days.This requirement was not met as evidenced by: The Department did not receive notices of eviction until investigation of complaint #s 18-AS-20220105101235 and 56-AS-20220318083750.

FAQ · About this visit

Common questions about this visit

What happened during the May 6, 2022 inspection of MONTCLAIR ROYALE SENIOR LIVING?

This was a complaint inspection of MONTCLAIR ROYALE SENIOR LIVING on May 6, 2022. The inspection found no deficiencies and no citations were issued.

Were any citations issued to MONTCLAIR ROYALE SENIOR LIVING on May 6, 2022?

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 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.