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Inspection visit

complaint

GRACIOUS LIVINGLicense 361881041
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

(Continued from Page 1) In regards to the allegation that facility neglecting residents in care, it was reported that residents are not getting the care that they need. LPA conducted interviews with Administrator, staff, residents and witness and information obtained from the interviews did not corroborate the allegation of residents not getting the care they need. LPA conducted review of resident’s physician reports, preplacement appraisal information, documentation of visits from hospice agencies did not corroborate neglect in resident’s care. Regarding the allegation facility does not provide well balanced meals, it was reported that Resident #1 (R1) was served a tuna sandwich with a donut and or frozen meals only. Information obtained from Administrator, staff, residents, and witness indicated that residents are provided well balanced meals. It was also reported that each resident is able to request their own meals. LPA observed lunch being cooked for two residents and they chose what foods they wanted to eat. LPA was unable to obtain additional pertinent information regarding the allegation due to inability to interview R1. In regards to the allegation facility did not inform resident’s POA a change in condition, it was reported that R1’s authorized representative was not informed of the resident beginning to wander at night and R1’s physician possibly changing medication. LPA conducted interviews with Administrator, staff, residents and witness and information obtained from the interviews did not corroborate the allegation that a meeting took place between the Administrator, social worker and R1’s PCP and R1’s POA was not informed. LPA conducted review of R1’s physician report, R1’s medication record, hospice records, visitor sign in sheets did not corroborate a change of condition that R1’s POA would not have been informed of. In regards to the allegation that facility did not change resident’s adult brief, it was reported that R1’s adult brief was not changed by caregiver. Information obtained from interviews with staff indicated that residents are changed every 4 hours or more if needed, residents that use adult brief’s are clean and dry at all times. LPA conducted a review of residents hospice of visits from hospice agencies did not contain at any time that a residents were left in soiled briefs did not corroborate the allegation. In regards to the allegation facility requesting resident to be medicated. It was reported the Administrator called R1’s authorized representative inquiring if R1 can be placed on medication due to wandering at night. Information obtained from Administrator denied that the facility requested R1 to be placed on medication. (Continued on Page 3) (Continued from Page 2) Information obtained from staff indicated that R1 would be anxious at night and sometimes combative and R1’s PCP would make changes to R1’s medication. LPA conducted a review of R1’s hospice medication records that R1’s PCP would issue a prescription for a change in medication did not corroborate the allegation. Based on staff interviews, resident interviews, facility records, resident files, the allegations that facility neglecting residents in care, facility does not provide well balanced meals, facility did not inform resident’s POA a change in condition, facility did not change resident’s adult brief, facility requesting resident to be medicated is unsubstantiated. Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted with Leofel Capulong and a copy of this report along with LIC811- Confidential Names list was provided.

Citations

2 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.

  • 87468.2(a)(2)Type B

    87468.2 Additional Personal Rights of Residents in Privately Operated Facilities(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (2) To have their records and personal information remain confidential and to approve their release, except as authorized by law. This requirement was not being met as evidenced by: R2, R3, R4's information was given to R1's representative whom is not a legal repesentative of R2, R3, and R4. This poses a potential health and safety risk.

  • 87211(1)(D)Type B

    87211 Reporting Requirements : (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not being met as evidenced by: Facility did not report to CCLD that 911 was called for R2 and was taken to the hospital. This poses a potential health and safety risk.

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FAQ · About this visit

Common questions about this visit

What happened during the November 13, 2024 inspection of GRACIOUS LIVING?

This was a complaint inspection of GRACIOUS LIVING on November 13, 2024. The inspection found no deficiencies and no citations were issued.

Were any citations issued to GRACIOUS LIVING on November 13, 2024?

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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