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Inspection visit

Incident investigation

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

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced case management visit to the facility. LPA met with Administrator, Michael Garcia, and provided the following report regarding the Department's investigation of the death of Resident#1 (R1). Investigation included interviews and review of records for R1. Investigation revealed that on December 21, 2022, R1 was observed with an abrasion and open sore on right knee. R1 complained that leg hurt. R1 was sent to the hospital around 2:00 pm and returned to the facility between 6:00-6:30 pm on same day. R1 was observed to be walking with a gait. R1 was then observed to leave the facility by self around 7:00 pm. Around 8:30 pm, local law enforcement came to the facility to inform staff that R1 was struck by a vehicle while attempting to cross the highway. Law enforcement informed staff that R1 was transported to the hospital and died around 10:00 pm. Physician's report dated December 12, 2022, indicated that R1 was ambulatory and was “unable to leave facility unassisted.” In addition, report indicated that R1 “has episodes of forgetting, being distracted.” On December 21, 2022, facility staff allowed R1 to leave facility by self and failed to provide R1 with adequate observation and supervision to meet R1 needs. Soon after leaving the facility, R1 crossed a nearby highway and subsequently was struck and killed by a vehicle. The Licensee is cited per violation of Title 22, California Code of Regulations. In addition, this violation posed an immediate Health and Safety risk to resident(s) in care. An Immediate Civil Penalty of $500 is being assessed. The licensee was also informed that an additional civil penalty may be assessed based on Health and Safety Code § 1569.49. An exit interview was conducted where reports LIC809, LIC 809-D, LIC421IM, and appeal rights were discussed and provided to Administrator Garcia. Signature on this report acknowledges receipt of the appeal rights.

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.

  • 87211(a)(1)(D)Type B

    87211 (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency...within seven days of the occurrence of...(D)Any incident which threatens the welfare, safety or health of any resident...This requirement is not met as evidenced by: The Licensee did not comply with the section cited above by not reporting incidents that threatened the health and safety of R1, R2, R3, R4, and R5; which poses a potential health, safety or personal rights risk to persons in care.

  • 87303(a)Type B

    87303(a) The facility shall be clean, safe, sanitary and in good repair at all times...this requirement is not met as evidenced by: The Licensee did not comply with the section cited above by not maintaining resident's room and facility hallway free of odor; and not maintaining resident's floor clean; which poses a potential health, safety and personal rights risks to persons in care.

  • 1569.269(a)(6)Type A

    H&S:1569.269(a)(6) Enumerated rights; severability: Residents of residential care facilities for the elderly shall have all of the following rights: To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met at evidenced by: The Licensee did not comply with the section cited by facility staff were not competent in meeting R1 needs. Facility staff failed to properly supervise R1. Following R1 leaving facility premises on December 21, 2022, R1 was struck by a vehicle and killed while attempting to cross a highway. This posed 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 October 21, 2024 inspection of JASMIN TERRACE AT YUCCA VALLEY?

This was a other inspection of JASMIN TERRACE AT YUCCA VALLEY on October 21, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to JASMIN TERRACE AT YUCCA VALLEY on October 21, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87211 (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but..."

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.