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Inspection visit

Follow-up

VICTORIAN MANORLicense 3856003601 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

As a follow up to case management visit on 10/2/23, LPA Jeung met with administrator to discuss citations issued on that day, and subsequent communications with regional office staff regarding client #1, referenced on LIC811 of 10/2/23. Ms. Pacheco advised that deficiencies were appealed, and are pending with CCLD. Based on Needs and Services Plan for client #1 dated 2/15/23--observed at facility on 10/2/23 as well as submitted to CCLD--Plan was not signed and acknowledged by client or his/her responsible party. Deficiency of the California Code of Regulations, Title 22, is cited on a following page.

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.

  • 87467(a)(3)Type B

    Review and revise record after changes

    RESIDENT PARTICIPATION IN DECISIONMAKING...the licensee shall arrange ... to prepare a written record of the care the resident will receive in the facility....review and revise the written record as specified, when there is a significant change in the resident's condition, or once every 12 months, whichever occurs first. This requirement was not met, based on review of Needs and Services Plan for client #1. Licensee failed to ensure that the written record was acknowledged and signed by resident or his representative, which posed a potential health, safety or personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the December 11, 2023 inspection of VICTORIAN MANOR?

This was an other inspection of VICTORIAN MANOR on December 11, 2023. 1 citation were issued: 1 Type B.

Were any citations issued to VICTORIAN MANOR on December 11, 2023?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "RESIDENT PARTICIPATION IN DECISIONMAKING...the licensee shall arrange ... to prepare a written record of the care the re..."

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.