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Inspection visit

complaint

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

Inspector’s narrative

What the inspector wrote

Allegation 3: Staff did not administer medication as prescribed. Staff interviews confirmed that medication is administered during usual meal times. Staff further state that medication is popped from their bubble pack before medication is given to the resident. 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 facility representative. Allegation 3: Facility is in disrepair. On 4/7/22, LPA Bueno observed the facility front double doors with a broken left door and observed maintenance staff repair the door. LPA observed the same facility door permanently secured with a sign posted to "use other door", the right one, during a subsequent visit on 5/6/22. During today's visit, LPA Bueno reviewed documents showing that the memory care unit lock was broken as of 5/17/22 and was repaired on 6/11/22 by the same company providing security services for the memory care unit. Based on interviews and records review, the above allegations are therefore SUBSTANTIATED. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. These pose health and safety risks to residents in care. Refer to LIC 9099D for deficiency cited. An exit interview was conducted with Mrs. Soto and a copy of this report, LIC 9099D, and appeal rights were provided.

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.

  • 87307(d)(2)Type B

    The following space & safety provisions shall apply to all facilities: (2) The premises shall be maintained in a state of good repair & shall provide a safe & healthful environment.This requirement was not met as evidenced by: LPA observed a broken front door and LPA received a recorded video of the facility common room ceiling leaking heavily. This poses an immediate health, safety, and personal rights risk to residents in care.

  • 87555(b)(8)Type B

    The following food service requirements shall apply: All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. This requirement was not met as evidenced by:Witness interviews confirm that expired food items and milk were stored and sometimes served to residents in care. This poses an immediate health, safety, and personal rights risk to residents in care.

  • 87355(e)(1)Type A

    (e) All individuals subject to a criminal record review pursuant to HSC Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a CA clearance or a criminal record exemption as required by the Department... This requirement was not met as evidenced by:Records review and staff interview confirm that S1 was working prior to receiving their background clearance. This poses an immediate safety and personal rights risk to residents in care.

  • 87411(c)(3)(D)Type B

    Policies and procedures regarding medications, including knowledge in Section 87411(d)(4). Any on-the-job training provided for the requirements in Section 87411(d)(4) may also count towards the requirement in this subsection. This requirement was not met as evidenced by:Staff interview revealed that S2 has not completed their initial medication training and the facility is unable to provide proof that S2 had received such training. This poses an immediate health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the December 7, 2022 inspection of MONTCLAIR ROYALE SENIOR LIVING?

This was a complaint inspection of MONTCLAIR ROYALE SENIOR LIVING on December 7, 2022. 2 citations were issued: 2 Type B.

Were any citations issued to MONTCLAIR ROYALE SENIOR LIVING on December 7, 2022?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "The following space & safety provisions shall apply to all facilities: (2) The premises shall be maintained in a state o..."

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.