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Inspection visit

complaint

TWIN OAKS MANORLicense 3746021551 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

At about 1100 hours S1 entered into Resident’s #1 (R1) bedroom and begun to assault resident by punching R1 multiple times in the face and striking multiple times to R1’s chest and stomach. The licensee had followed S1 into R1’s bedroom where the licensee immediately intervened placing herself between R1 and S1. S1 shoved the licensee and punched her several times in the face and chest area while also knee thrusting the licensee in the abdomen. During this time, Resident #2 (R2) walked into the hallway where R2 was assaulted and slapped in the face several times by S1. S3 attempted to help R2 and was also slapped by S1. S1 walked outside the facility and staff called 911 while also locking the front door to keep S1 from re-entering the facility. Local law enforcement arrived on scene at about 1233 hours and arrested S1 without incident. Staff and residents were attended to by medical professionals. As a result of S1’s behavior, the residents and staff suffered the following injuries: R1 sustained a small cut above the right eye and two black eyes, the licensee complained of pain in her back and head, S3 sustained a scratch on the right forearm. S1 was arrested and charged with three counts of 368 (B) (1) PC- Cause Harm/Death of Elder /Dependent Adult (F), and one count of 243 (A) PC Battery on a person (M). In addition, S1 was provided a no contact notice and was removed from the staff roster. Based on interviews which were conducted and records review, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6 & Chapter 3) is being cited on the attached LIC 9099D). A copy of this report, appeal rights, and 9099D was discussed and provided to the Licensee/ Administrator.

Citations

1 citation 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.

  • 1569.269(a)(1)(10)Type A

    Enumerated Rights; Severability-Residents of residential care facilities for the elderly shall have all of the following rights: To be accorded dignity in their personal relationships with staff, residents, and other persons and to be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. These requirements were not met based upon interviews and a review of records. This was not met as evidenced by - The licensee did not ensure that residents were free from physical abuse on May 5, 2022 S1 hit R1, R2 Licensee and Staff causing several injuries to R1, Licensee and staff. This is an immediate health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 14, 2023 inspection of TWIN OAKS MANOR?

This was a complaint inspection of TWIN OAKS MANOR on April 14, 2023. 1 citation were issued: 1 Type A (serious).

Were any citations issued to TWIN OAKS MANOR on April 14, 2023?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "Enumerated Rights; Severability-Residents of residential care facilities for the elderly shall have all of the following..."

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.