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Inspection visit

Follow-up on corrections

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

Inspector’s narrative

What the inspector wrote

On July 5, 2023 Licensing Program Analysts (LPA) Murial Han conducted an unannounced case management visit to deliver the findings in reference to complaint # 14-AS-20230425173240. LPA met with administrator and explained the purpose of the visit. During the course of the investigation, Resident 1 (R1) stated that early morning of 4/20/2023 around 5-6AM, R1's roommate resident #2 (R2) fell. R1 pressed the call cords in the room and after a long period of waiting, R1 went outside of the room pleading for assistance, however, no one was available. Therefore, R1 went back to the room and assisted R2 off of the floor, back into bed. According to the documentation provided by the facility, on 4/20/2023, it did not indicate that facility staff provided assistance to R2 after the fall. Based on the complaint investigation, on the day of the fall, it took facility staff 205 minutes and 46 seconds to respond to R1's call cord and no one was available to assist R2 back to bed after fall which resulted R1 assisting R2 off of the floor and back to bed. Deficient is cited under California Health and Safety Code on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. Report was discussed and reviewed with administrator. A copy of this report and the Appeal Rights is 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.

  • 1569.312(a)Type A

    §1569.312Basic services requirements..Every facility required to be licensed under this chapter shall provide at least the following basic services:..(a) Care and supervision as defined in Section 1569.2. This requirement is not met as evidenced by: R1's roommate R2 fell and there was no staff around to provide assistance which resulted R1 assisted R2 off of the floor and back to the bed which posed an immediate health risk for residents in care.

  • Safe, healthful, comfortable accommodations

    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:..(2) To be accorded safe,.. This requirement is not met as evidenced by: it took facility staff 205 minutes and 46 seconds to reset R1's call cord which posed an immediate health risk to residents in care.

  • 87555(d)(7)Type B

    87555 General Food Service Requirements..(7) Modified diets prescribed by a resident's physician as a medical necessity shall be provided. This requirement is not met as evidenced by: R1 has a physician's order for mechanical soft diet, however, facility served R1 raw vegetables and other foods that R1 was not to chew which posed a potential health risk to resident in care.

FAQ · About this visit

Common questions about this visit

What happened during the July 5, 2023 inspection of IVY PARK AT CATHEDRAL HILL?

This was an other inspection of IVY PARK AT CATHEDRAL HILL on July 5, 2023. 1 citation were issued: 1 Type A (serious).

Were any citations issued to IVY PARK AT CATHEDRAL HILL on July 5, 2023?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "§1569.312Basic services requirements..Every facility required to be licensed under this chapter shall provide at least t..."

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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