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Inspection visit

Complaint

IVY PARK AT CATHEDRAL HILLLicense 3856004292 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Regarding the allegation, staff do not answer resident's call button in a timely manner, according to the reporting party, within the last six months, there has been issues with staff not responding to call buttons. In addition, according to the reporting party, R1 pressed his/her call button for help and was left waiting for two hours. During the investigation, LPA reviewed R1’s call records and observed on 11/20/2023, R1 pressed his/her call button at 7:44am, however a staff did not respond to R1’s call button request until 8:52am, 67 minutes after pressing the call button. In addition, on 9/26/23, R1 pressed his/her call button at 7:43am and a staff member did not respond to the call pendant till 8:38am, 55 minutes after pressing the call pendant. In addition to reviewing R1’s record, additional resident records were reviewed. During additional record review, LPA observed Resident 2 (R2) pressed his/her call button on 9/8/23 at 6:46am and staff responded 120 minutes later at 8:52am. Furthermore, R2 pressed his/her call button on 9/7/23 at 11:13am and staff did not respond till 12:33am, 80 minutes after R2 pressed his/her button for assistance. Based on interviews, observations and record review during the investigation, the preponderance of evidence standard has been met. Therefore, the above allegations were determined to be substantiated. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC9099-D. Failure to correct the deficiencies may result in civil penalties. §1569.312 Basic services(a)- A civil penalty of $1,000 is assessed on 12/15/2023 for a repeat violation within 12 months. This violation was cited on 7/5/2023. Report was discussed with Executive Director, Ella Frick and a copy is provided with appeal rights. A copy of civil penalty is provided.

Citations

2 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

    §1569.312 Basic 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.Violation of this regulation is not met as evidenced by: Based on record reviewed, on 11/20/23, R1 pressed his/her call button and a staff member responded 67 minutes later. In addition, on 9/26/23, staff did not respond to R1’s call button in a timely manner as a staff responded to R1’s call 55 minutes after he/she pressed her button. Furthermore, additional record reviewed showed that it took staff 80 minutes on 9/7/23 and 120 minutes on 9/8/23 to respond to R2’s call button.

  • 87465(a)(4)Type A

    Assist residents with self-administered medication

    87465 Incidental Medical and Dental Care: (a) A plan for incidental medical and dental care shall be developed by each facility...The plan shall encourage routine medical and provide for assistance in obtaining such care, by compliance with the following: (4)The licensee shall assist residents with self-administered medications as needed.Violation of this regulation is not met as evidenced by: Based on interviews conducted, a staff member observed another staff member accidentally give R1 one tablet instead of two tablets, however caught the issue and provided R1 with another tablet. Based on record review, there was a discrepancy between a discrepancy between the physician's order and the MAR system being used by the facility, and the prescription bottle that was given by the pharmacy as the MAR system and the physician’s order indicated to provide R1 with one 200mg tablet of Lamotrigine daily, however the prescription bottle from the pharmacy indicated to provide R1 with two 100mg of Lamotrigine tablets daily. Nevertheless, the facility failed to provide R1 with his/her Lamotrigine prescription as prescribed by R1’s physician and follow up with R1's physician and/or the pharmacy for clarification

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FAQ · About this visit

Common questions about this visit

What happened during the December 15, 2023 inspection of IVY PARK AT CATHEDRAL HILL?

This was a complaint inspection of IVY PARK AT CATHEDRAL HILL on December 15, 2023. 2 citations were issued: 2 Type A (serious).

Were any citations issued to IVY PARK AT CATHEDRAL HILL on December 15, 2023?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "§1569.312 Basic services requirements..Every facility required to be licensed under this chapter shall provide at least ..."

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.