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Inspection visit

Complaint

PORTOLA GARDENSLicense 3856010452 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 04/24/2025, Licensed Program Analyst (LPA) Yi Sam Jian arrived at the facility to deliver conclusionary finding for this complaint received by the Department on 01/24/2025. LPA was greeted by administrator Greg Bogart and explained the purpose of the visit. Regarding the allegation that Resident sustained injury due to lack of supervision, client’s care, supervision and services were not adjusted in December 2024 to prevent harm to other client, despite documented incidents of client exhibiting harm toward staffs in December 2024. Regarding the allegation that facility failed to conduct reappraisal of resident after significant change in resident's physical, mental, cognitive, behavioral, or functional condition, client was not reappraised after documented incidents of exhibiting harm to staffs. Based on interviews and file reviews during the course of the investigation it was determined that the preponderance of evidence standard has been met, therefore the allegations above are found to be SUBSTANTIATED. The deficiency is cited in accordance with California Code of Regulations, Title 22 Division 6, Chapter 8 and is noted on the attached LIC 9099-D.

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.

  • 87463(b)(1)(C)Type A

    Reappraisals requirement: The reappraisal shall document significant changes in…Behavioral expression…that may result in harm to self or others. This requirement was not met, as evidenced by file reviews and interviews, which revealed that the client was not reappraised after documented incidents of exhibiting harm to staffs. This violation poses an immediate health and safety risk to residents in care.

  • 87468(a)(4)Type A

    Personal rights requirement: To care, supervision, and services that meet their individual needsThis requirement was not met, as evidenced by file reviews and interviews revealed that the client’s care, supervision and services were not adjusted to prevent harm to other client, despite documented incidents of client exhibiting harm toward staffs. This violation poses an immediate health and safety risk to residents in care.

  • 87468.1(a)(1)Type A

    Dignity in personal relationships

    Personal Rights requirement: Residents in all residential care facilities for the elderly shall…be accorded dignity in their personal relationships with staff This requirement is not met as evidenced by: Based on video evidence showing two staffs engaging in inappropriate conduct inside the resident’s room. This serious violation poses an immediate health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 24, 2025 inspection of PORTOLA GARDENS?

This was a complaint inspection of PORTOLA GARDENS on April 24, 2025. 2 citations were issued: 2 Type A (serious).

Were any citations issued to PORTOLA GARDENS on April 24, 2025?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "Reappraisals requirement: The reappraisal shall document significant changes in…Behavioral expression…that may result in..."

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.