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Inspection visit

Complaint

IVY PARK AT CATHEDRAL HILLLicense 3856004291 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

According to the administrator, R1's responsible party was recently changed and it was updated in R1's electronic medical record. However, the facility did not print a copy of R1's updated face sheet for R1's paper chart as staff contacted the old responsible party who was listed in the old face sheet. Therefore, the facility contacted the wrong responsible party. After investigation, this allegation is substantiated. In addition, the facility failed to ensure R1's current record is maintained in R1's paper chart and this finding will be cited on LIC809. Based on interviews and record reviews during the investigation, the preponderance of evidence standard has been met. Therefore, this allegations were determined to be substantiated. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC9099-D. Report was discussed with Administrator, and Appeal Rights provided. During the interview with R1, LPA observed R1 was able to move around the apartment independently with a walking device. Based on the documents provided, R1 is independent with his/her activities of daily living such as grooming, dressing, toileting, mobility/ambulation, transfers, etc. Based on the interviews, observation, and record review this allegation is deemed unsubstantiated as R1's fall resulting in fracture was an accident and the facility followed their protocols when they discovered R1 was on the floor. Although the above investigations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. This report is reviewed and discussed with the administrator. A copy is provided.

Citations

5 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.

  • 87468.1(a)(8)Type B

    Regular representative updates on care

    87468.1Personal Rights of Residents in All Facilities..(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights..(8) To have their representatives regularly informed by the licensee of activities related to care or services... This requirement is not met as evidenced by resident #1 sustained a change of health condition and the responsible party was not informed by the facility which poses a potential health risk for person in care.

  • 87506(a)(b)(8)Type B

    87506 Resident Records..(a) The licensee shall ensure..current record is maintained for each resident.b)Each resident’s record shall contain..(8)Names, address, and telephone numbers of the resident’s representative This requirement is not met as evidence by facility failed to update R1's responsible party (RP) information in R1's paper chart resulted staff contacting R1's old RP which poses a potential health and safety risk for persons in care.

  • 87211(a)(2)Type B

    Report serious outbreaks and major accidents

    87211 Reporting Requirements..(2) Occurrences, such as epidemic outbreaks..shall be reported within 24 hours either by telephone or facsimile to the licensing agency.. This requirement is not met as evidenced by facility failed and delayed in reporting positive COVID-19 cases to CCL which poses a potential risks to persons in care.

  • 87405(b)Type A

    87405 Administrator - Qualifications and Duties..(b) The administrator of a facility or facilities shall have the responsibility and authority to carry out the policies of the licensee. This requirement is not met as evidenced by the administrator failed to ensure to communicate to facility staff of resident's change of health condition which poses an immediate health and safety risks to persons in care.

  • 87468.1(a)(2)Type A

    Safe, healthful, comfortable accommodations

    87468.1 Personal Rights of Residents in All Facilities..(a) Residents in all residential care facilities for the elderly shall..(2) To be accorded safe, healthful and comfortable.. This requirement is not met as evidenced by 2 residents who tested positive for COVID-19 were observed participating in activities with non affected residents in the activity room which poses an immediate health and safety risks to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 10, 2022 inspection of IVY PARK AT CATHEDRAL HILL?

This was a complaint inspection of IVY PARK AT CATHEDRAL HILL on August 10, 2022. 1 citation were issued: 1 Type B.

Were any citations issued to IVY PARK AT CATHEDRAL HILL on August 10, 2022?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87468.1Personal Rights of Residents in All Facilities..(a) Residents in all residential care facilities for the elderly ..."

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.