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Inspection visit

Routine inspection (multi-day)

AUTUMN VILLAS ON HONORS DRIVE, LLCLicense 3746045243 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Case Management-Annual Contnuation visit. The LPA introduced himself and disclosed the purpose of the visit with Caregiver Danielle Thurman. Administrator's Assistant Meredith Pritchardmalo arrived during the visit and assisted the LPA. The facility was licensed for a capacity of six (6) non-ambulatory residents, with one being able to be bedridden in room # 3. During the Annual visits, the LPA, accompanied by caregiver, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. The facility had sufficient space and equipment to facilitate dining, visitation, meetings, and resident activities. There was at least 2 days of perishable food, and at least 7 days non-perishable food present. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to residents. Medications were labeled, and stored in locked areas. No pools, nor bodies of water were observed on the premises. Per staff, no firearms, nor ammunition were kept at the facility. Carbon monoxide , and facility telephone were operational. A fire extinguisher and first aid kit were readily accessible. Required licensing postings were observed in visible areas of the facility. The LPA interviewed staff and reviewed multiple staff and client records/files. Deficiencies were cited in an LIC 809D, and a plan of correction was jointly formulated with Pritchardmalo. An exit interview was conducted with Pritchardmalo, to whom a copy of this report, LIC 809D, LIC 811, and Applicant/ Licensee Rights (LIC 9058), were provided.

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.

  • 87411(c)(1)Type B

    First aid training requirements

    87411 Personnel Requirements - General (c)All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 (1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This was not met as evidenced by: Based on review of records, the Licensee did not ensure staff (S2,S3, and S4) had 1st aid training, which posed a potential health, safety, and personal rights risk to 6 of 6 residents in care.

  • 87411(f)Type B

    Health screening and fitness requirements

    87411 Personnel Requirements-General(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health. Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement was not met as evidenced by: Based review of records, the Licensee did not ensure staff (S1,S2,S3, and S4) had a health screening, which posed a health, safety, and personal rights risk to 6 of 6 persons in care.

    Read full inspector narrative
  • 87705(c)(5)Type B

    87705 Care of Persons with Dementia(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following:(5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs. This requirement was not met as evidenced by: Based on review of records, the Licensee did not ensure resident (R5) had annual medical assessment, which posed a health, safety, and personal rights risk to 1 of 6 residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 29, 2024 inspection of AUTUMN VILLAS ON HONORS DRIVE, LLC?

This was an other inspection of AUTUMN VILLAS ON HONORS DRIVE, LLC on January 29, 2024. 3 citations were issued: 3 Type B.

Were any citations issued to AUTUMN VILLAS ON HONORS DRIVE, LLC on January 29, 2024?

Yes, 3 citations were issued (0 Type A, 3 Type B). The first citation was for: "87411 Personnel Requirements - General (c)All RCFE staff who assist residents with personal activities of daily living s..."

What type of inspection was this?

This was an 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.