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Inspection visit

Health check

IVY PARK AT CATHEDRAL HILLLicense 3856004293 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

On 8/10/2022, Licensing Program Analyst (LPA), Murial Han conducted an unannounced Health and Welfare check to observe if facility is following COVID-19 management procedures. LPA met with the acting administrator and explained the purpose of today's visit. At 9:40 AM, LPA was provided a tour of the memory care unit by the acting administrator, regional nurse and memory care specialist. During the tour, LPA observed 2 out of 8 residents who tested positive for COVID-19 were participating in activities with the non-affected residents without face covering. Staff members reported that they were not aware that these residents tested positive. According to the acting administrator and the memory care specialist, the facility conducts a daily morning huddle with facility staff to discuss COVID-19 status in the unit. However, there was no documentation of the huddle meetings. These findings will be cited on LIC809 under Personal Rights of All Residents In Facilities as the facility did not provide a safe and comfortable environment for residents in care and Administrator Qualification and Duties as the facility did not communicate to staff of COVID-19 status. In addition, during the facility tour, LPA observed residents who tested positive for COVID-19 were not reported to CCL and other positive cases were not reported to CCL within 24 hours as per Title 22 Division 6 Chapter 8 Reporting Requirement. Based on observation, record review and interviews, deficient is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is discussed with the administrator. A copy of this report and the Appeal Rights are 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 an other inspection of IVY PARK AT CATHEDRAL HILL on August 10, 2022. 3 citations were issued: 2 Type A (serious) and 1 Type B.

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

Yes, 3 citations were issued (2 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 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.