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Inspection visit

Follow-up on corrections

L & S LIFECARELicense 3664057151 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, based on deficiencies observed during complaint investigation # 56-AS-20231107154843. LPA Malcore met with Lisa Tolentino, Administrator and discussed the purpose of the visit. The facility currently retains residents with Dementia. LPA observed the front door and back door alarms were not working. The Administrator stated the alarms are working but the back door alarm is turned off during the day because it causes a disturbance to the residents. The Administrator stated that front door alarm is always on. LPA requested the Administrator to open the front door to test the alarm. The Administrator opened the door and no sound was heard. LPA observed the Administrator and another staff moving the alarm switch to different positions until the sound of the front door alarm was heard. Based on LPA observations, a deficiency is being cited during today’s visit. An exit interview was conducted where reports LIC809 and LIC809-D were discussed. Copies of the reports with appeal rights were provided to the Administrator at the conclusion of the visit.

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.

  • 87705(c)(4)(A)Type A

    87705(c)Licensees who accept...residents with dementia shall be responsible for ensuring...(4)There is an adequate number of direct care staff to support.(A)In addition...a facility with fewer than 16 residents shall have at least one night staff person awake..This requirement is not met as evidenced by: Based on LPA observation and interviews, the licensee did not comply with the section cited above by night staff sleeping during the time resident eloped, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87705(j)Type A

    87705 Care of Persons with Dementia(j)The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident. This requirement is not met as evidenced by: based on LPA observations, the licensee did not comply with the section cited above by back and front door alarms were observed not on, which poses an immediate health, safety or personal rights risk to persons in care with wandering behaviors.

FAQ · About this visit

Common questions about this visit

What happened during the November 9, 2023 inspection of L & S LIFECARE?

This was a other inspection of L & S LIFECARE on November 9, 2023. 1 citation were issued: 1 Type A (serious).

Were any citations issued to L & S LIFECARE on November 9, 2023?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87705(c)Licensees who accept...residents with dementia shall be responsible for ensuring...(4)There is an adequate numbe..."

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.