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Inspection visit

Follow-up on corrections

MONTCLAIR ROYALE SENIOR LIVINGLicense 3618001472 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analysts (LPAs) Melody Brown and Victoria Chitgian met with Administrator Annamarie Santos-Tabila at Community Care Licensing Division (CCLD) Adult and Senior Care (ASC) Regional Office 10/27/2022 at 10:30 AM to initiate a Case Management Office Visit. LPA Brown explained the purpose of the requested Office Visit. The investigation consisted of observation, interviews and a review of pertinent documentation. During the facility visit last 07/15/2022 at 11:30 AM, LPA Brown reviewed documents and observed that Staff Six (S6) have a current criminal background clearance but S6 is not currently associated to the facility. Staff interviews and records review of Personnel Report (LIC500) and Employee Roster indicated S6 started working at the facility 06/02/2022. Civil Penalty was assessed with the amount of $500.00 during the Office Visit for failure to transfer S6 Criminal Background Clearance to the facility. In addition, LPA Brown reviewed facility's incident reports and LPA Brown did not find any Special Incident Reports (SIRs) that the facility submitted to Community Care Licensing Division (CCLD) to report R1's hospitalization and LPA Brown will issue a citation for not reporting the incident at the facility as this pose potential risk to residents in care. An exit interview was conducted where this report (LIC809), LIC80D, LIC421BG and Appeal Rights were discussed and provided to Administrator Annamarie Santos-Tabila .

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.

  • 87468.1(a)(9)Type B

    87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have ... (9) To have communications to the... This requirement is not met as evidenced by: Based on interview and records review, the Licensee did not comply with the section cited above by not having a staff answer facility telephone calls from the hospital involving R1 the night of 07/11/2022. This poses a potential Health and Safety risk to the resident in care.

  • 87211(a)(1)Type B

    87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require... (1) A written report shall be submitted to the licensing agency... This requirement is not met as evidenced by: Based on interview and records review, the Licensee did not comply with the section cited above by not submitting Special Incident Report (SIR) of R1's hospitalization CCLD ASC. This poses a potential Health and Safety risk to the resident in care.

  • 87355(e)(2)Type A

    87355 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing...(2) Request a transfer of a criminal record clearance... This requirement is not met as evidenced by: Based on interview and records review, the Licensee did not comply with the section cited above by not transferring Staff 6 (S6) Criminal Background Clearance to the facility. This poses a potential Health and Safety risk to the resident in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 27, 2022 inspection of MONTCLAIR ROYALE SENIOR LIVING?

This was a other inspection of MONTCLAIR ROYALE SENIOR LIVING on October 27, 2022. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to MONTCLAIR ROYALE SENIOR LIVING on October 27, 2022?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly..."

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.