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Inspection visit

complaint

JASMIN TERRACE AT YUCCA VALLEYLicense 3618808011 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Approximately 20 minutes later, S2 returned to the Memory Care Unit and heard R1 yelling from bedroom. S2 went to the room and observed R2 hitting R1 with a medical walking boot. S2 took the boot away from R2 and told R2 to leave the room. During S2 time away from the Memory Care Unit, there was no staff to provide care and supervision to residents in the unit. Law enforcement and medical assistance was called for R1. According to medical records, R1 sustained a fractured nasal bone and one (1) cm laceration on the right side of forehead. According to facility records and staff interviews, R2 was known to exhibit aggressive behaviors at times. This was known to occur when R2 is being administered medication or during incontinent care. According to staff, R2 would push, hit and punch staff. On same day of incident on January 9, 2022, staff reported that R2 was in another resident room grabbing a resident and pushing resident against the wall. On or around 06/03/2020, R2 was reported to have choked another resident. Staff did not report if injuries resulted in either of these cases. In addition, R2 was reported to have been confused and aggressive on 12/14/2019 and 12/15/2019, and staff reported on 11/10/2019 that R2 made threatening statement to harm those at the facility. Following staff knowledge of R2 behaviors, there was no evidence to support that there was a reappraisal conducted for R2 nor that adequate supervision or assistance was provided to R2. The Department has determined that this neglect resulted in R1 being injured by R2. Complaint allegation is SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation(s) is valid because the preponderance of the evidence standard has been met. This posed an immediate Health, Safety and Personal Rights risk to residents in care. An immediate Civil Penalty of $500.00 is being assessed. Licensee Garcia and Administrator Garcia were informed that a civil penalty may be assessed based on Health and Safety Code 1569.49 (c)(1). Please see LIC 9099D for deficiencies cited. An exit interview was conducted where this report (LIC 9099), LIC9099D, LIC421IM and Appeal Rights were discussed, and a copy was provided to Licensee Virginia Garcia and Administrator Michael Garcia at the conclusion of the visit.

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.

  • 87355(e)(1)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...(1) Obtain a California 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 allowing Staff #5 to work at the facility without criminal background clearance since 06/07/2021 which pose immediate health, safety and personal rights risk to resident in care.

  • 87468.1(a)(3)Type A

    87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the...(3) To be free from punishment, humiliation, intimidation, abuse...This requirement is not met as evidenced by: Based on interview and records review, the Licensee did not comply with the section cited above due to facility staff neglect to ensure R1 is free from abuse from R2 and resulted to R1’s injury which pose immediate health, safety and personal rights risk to 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...(2) Request a transfer of a criminal record clearance as specified... 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 failure to associate Staff # 4 to the facility which pose immediate health, safety and personal rights risk to resident in care.

  • 87705(c)(5)Type A

    87705 Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall... (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually...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 failure to ensure that R2 have annual medical assessment and reappraisal done annually which pose immediate health, safety and personal rights risk to resident in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 12, 2023 inspection of JASMIN TERRACE AT YUCCA VALLEY?

This was a complaint inspection of JASMIN TERRACE AT YUCCA VALLEY on January 12, 2023. 1 citation were issued: 1 Type A (serious).

Were any citations issued to JASMIN TERRACE AT YUCCA VALLEY on January 12, 2023?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87355 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Co..."

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.