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Inspection visit

complaint

ASPIRE RESIDENTIAL CARE, LLCLicense 3927007461 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Based on records reviewed, it was revealed that 2 of 4 residents, resident1 (R1), and R3 were identified as requiring one on one (1:1) monitoring all or most of the time. It was further revealed that R2 requires 2-person assist with bathing and special observation at night due to confusion and forgetfulness. LPAs review of staffing schedule and interviews conducted revealed one staff member is on duty per shift consistently. LPAs observed 1 caregiver on duty during observations during both morning and afternoon shifts. Additionally, based on interviews, it was revealed that toileting and incontinence care for R2 is delayed due to one caregiver on duty per shift. As a result, there is a preponderance of evidence to conclude that staff are not effectively meeting resident needs as identified through record reviews, interviews, and observations, therefore, this allegation is SUBSTANTIATED . Citations are issued under Title 22, division 6 as a result of this investigation and indicated on LIC 9099D. An exit interview was conducted with Maria Hinautan and a copy of this report was provided to Maria including LIC 811. Appeal rights provided. Additionally, based on interviews, there were no substantial corroborated statements to reveal unqualified staff on duty. As a result of this investigation, there is not a preponderance of evidence to conclude unqualified staff are providing care for residents, therefore, this allegation is UNSUBSTANTIATED. Allegation: Staff not qualified to give medications. LPAs conducted interviews with staff, residents, and witnesses as noted above. LPAs also reviewed training records for staff members noted above and conducted facility observations on the dates indicated above. Based on record reviews, it was indicated that 5 of 5 staff members have received medication training per regulatory requirements. Based on interviews and observations it was further revealed that staff demonstrated appropriate knowledge towards general job requirements regarding medication handling. Additional interviews further revealed no substantial corroborated statements of staff unqualified to give medication. As a result of this investigation, there is not a preponderance of evidence to conclude staff are unqualified to give medications, therefore, this allegation is UNSUBSTANTIATED. An exit interview was conducted with Maria Hinautan and a copy of this report was provided to Maria including LIC 811. Appeal rights provided.

Citations

4 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.

  • 87411(a)Type A

    87411(a) Personnel Requirements. (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement is not met as evidenced by: Based on record review, interviews, and observations, Licensee did not ensure appropriate numbers of staff available to meet the identified needs of residents in care. This poses an immediate health, safety, and resident rights risk to residents in care.

  • 87405(h)(5)Type A

    87405(h)(5). Administrator Qualifications and Duties. (h) The administrator shall have the responsibility to: (5) Provide or ensure the provision of services to the residents with appropriate regard for the residents' physical and mental well-being and needs, including those services identified in the residents' Pre-Admission Appraisals, specified in Section 87457, Pre-admission Appraisal, and Reappraisal, as specified in Section 87463. This requirement was not met as evidenced by: Based on interview, record review, and observation, Administrator did not provide appropriate staffing solutions to meet the needs of residents as identified on appraisal and needs and service plans. This poses an immediate health and safety risk to residents in care.

  • 87465(a)(4)Type B

    87465(a)(4). Incidental Medical and Dental Care. (a) A plan for incidental medical and dental care shall be developed by each facility… (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on record review, Licensee did not ensure receive medication as ordered as indicated by lack of staff initials on medication log sheets. This posed a potential health and safety risk to residents in care.

  • 87468.1(a)(3)Type A

    87468.1(a)(3) Personal Rights of Residents in All Facilities. (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions…such as…interfering with daily living functions such as…elimination. This requirement was not met as evidenced by: Based on interview, Licensee is not adhering to resident rights as stated above in that R2 has been told to eliminate self in diaper due to only 1 caregiver on duty to assist. This poses an immediate health, safety, and resident rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 26, 2023 inspection of ASPIRE RESIDENTIAL CARE, LLC?

This was a complaint inspection of ASPIRE RESIDENTIAL CARE, LLC on September 26, 2023. 1 citation were issued: 1 Type A (serious).

Were any citations issued to ASPIRE RESIDENTIAL CARE, LLC on September 26, 2023?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87411(a) Personnel Requirements. (a) Facility personnel shall at all times be sufficient in numbers, and competent to pr..."

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.