Skip to main content
ReadyRule homepageReadyRule

Inspection visit

Incident investigation

PORTOLA GARDENSLicense 3856010452 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On December 15, 2021, Licensing Program Analyst (LPA) Komal Charitra and Audrey Jeung conducted an unannounced Case Management visit regarding an incident that occurred on December 8, 2021 and was not reported to Licensing as required. LPAs were greeted by Director of Resident Care, Ivan Emiliano and Administrator, Jeffrey Dillon joined shortly thereafter. LPAs explained the purpose of the visit. During today's visit, LPAs reviewed R1's file. On December 8, 2021, Resident (R1) left the facility and is still missing. According to the LVN, R1 is independent and able to leave the facility unassisted. However, LPAs received written order from R1's MD, dated 12/1/21 stating that R1 is unable to leave the facility unsupervised. Facility LVN denies knowledge of this order nor receipt. Additional information is required. Deficiency of the Residential Care Elderly California Code of Regulations, Title 22, Division 6 is observed and cited on a LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed with the Administrator; a copy 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.

  • 87211(a)(2)Type B

    Report serious outbreaks and major accidents

    Reporting; Occurrences, such as...or major accidents which threaten the welfare, safety or health of residents...shall be reported within 24 hours... to the licensing agency This requirement was not met as R1 left the facility on 12/8/21 without staff knowledge and Licensee failed to report this to CCLD as required. Incident report was submitted following LPA's reqeust and contact with facility LVN on 12/10/21. This posed a potention health, safety, and personal rights risk to clients care.

  • 87463(a)Type B

    Update reappraisal at required intervals

    Reappraisal: The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental, and social condition. This requirement is not met as Licensee failed to appraise R1 after several unusual incidents; 12/8/21, 9/7/21,11/20/20, and 3/28/20, some of which required medical intervention. Licensee failed to ensure that appraisal and care plan accurately reflects his needs. This poses a potential health and safety risk to client.

FAQ · About this visit

Common questions about this visit

What happened during the December 15, 2021 inspection of PORTOLA GARDENS?

This was an other inspection of PORTOLA GARDENS on December 15, 2021. 2 citations were issued: 2 Type B.

Were any citations issued to PORTOLA GARDENS on December 15, 2021?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "Reporting; Occurrences, such as...or major accidents which threaten the welfare, safety or health of residents...shall b..."

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

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.