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Inspection visit

complaint

MESAVIEW SENIOR ASSISTED LIVINGLicense 3746040631 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Continued from LIC9099 On April 18, 2024 LPA Domingo interviewed Staff 1 (S1) and S1 stated that S1 does not recall the gait belt wrapping around R1's wheelchair including R1's body.  S1 stated that the gait belt is used to help reposition and transfer R1 and is sometimes left on R1's waist because R1 has a history of bending down to remove anything on his feet (Socks, shoes, and slippers). S1 verified that S1 did participate in the care plan meeting on April 12, 2024. On May 6, 2024 LPA Domingo interviewed Outside Source 2 (OS2) and OS2 stated that there was not a gait belt wrapped around R1's wheelchair and body the day of the care plan meeting on April 12, 2024. On May 6, 2024 LPA Domingo interviewed Outside Source 3, (OS3) and OS3 stated that OS3 did observe the gait belt wrapped around the wheelchair and waist of R1. OS3 stated that prior to the meetings conclusion OS3 completed a training with the people present at the care plan meeting and reviewed the health and safety reasons to not wrap a gait belt around a person and the wheelchair to prevent the person from falling. On May 7, 2024 LPA Domingo interviewed Outside Source 4 (OS4) and OS4 verified that there was a gait belt wrapped around the wheelchair and waist of R1. OS4 concurred with OS3 that a training with the staff present at the care plan conference to review the health and safety reasons to not use the gait belt as a restraint. LPA Domingo attempted to interview other residents in care, but due to their limited cognitive ability no credible information could be attained. Based on interviews and observations a preponderance of evidence exists to support the allegation that staff restrained a resident. The allegation is therefore substantiate d. A deficiency is cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D). An exit interview was conducted with Administrator Genoveva Guerrero, to whom a copy of this report, LIC 9099-C, LIC 9099-D, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided to Administrator Genoveva Guerrero

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.

  • 87303(i)(1)Type B

    Facilities shall have signal systems...All facilities licensed for 16 or more...shall have a signal system which shall: Operate from each resident's living unit. Transmit a visual and/or auditory signal to a central staffed location...loud enough to summon staff. This requirement was not met as evidenced by: Based on LPA direct observation the licensee did not have a functional signal system for 27 of 28 persons in care which posed a potential health and safety risk to persons in care.

  • 80072(a)(3)Type B

    Personal Rights. Each clients has the right to be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including but not limited to: interference with the daily living functions, including eating, sleeping, or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. This requirement is not met as evidenced by:On 4/12/24 1 out of 29 residents was observed with a gait belt around the wheelchair and body. The gait belt around the wheelchair and body was a restraint and a violation of the resident's personal rights. This poses a potential safety risk to clients in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 8, 2024 inspection of MESAVIEW SENIOR ASSISTED LIVING?

This was a complaint inspection of MESAVIEW SENIOR ASSISTED LIVING on May 8, 2024. 1 citation were issued: 1 Type B.

Were any citations issued to MESAVIEW SENIOR ASSISTED LIVING on May 8, 2024?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Facilities shall have signal systems...All facilities licensed for 16 or more...shall have a signal system which shall: ..."

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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