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Inspection visit

Follow-up

ASPIRE RESIDENTIAL CARE, LLCLicense 3927007463 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

On 9-26-23, LPA Michael Bilger arrived unannounced to conduct a case management visit regarding medication documentation and caregiving practices. LPA met with lead caregiver Maria Hinautan and explained the purpose of the visit. LPAs Bilger and Villanueva reviewed medication log sheets for August 2023 as part of a record review for complaint # 27-AS-20230816132021 . LPAs also conducted interviews with four staff members and reviewed needs and service plans and appraisals for resident1 (R1), R2, R3, and R4. Based on interviews and record reviews, it was determined that a physician’s order for resident2 (R2) is written as Trazodone HCL 150 milligrams (mg) to be taken at 8:00pm daily. LPAs review of medication log sheets indicate this medication was not administered on 8-19-23 as staffing initials were not present to indicate such. Additionally, LPA Bilger conducted a facility observation on 9-21-23 related to complaint # 27-AS-20230816132021. LPA also conducted interview with caregiver on duty. Based on observations, interviews, and record reviews it was determined that R1 and R3 require one on one (1:1) monitoring all or most of the time. Additionally, it was determined through record review that R2 requires 2-person assist with bathing and toileting. Interviews and observations revealed only 1 caregiver is on duty per shift including 9-21-23 during LPA’s visit. Furthermore, it was revealed during interview, that R2 has been told to eliminate self in R2’s diaper due to 1 staff on duty and wait until the relief staff for the next shift comes on duty to assist. As a result of today’s case management, citations are issued under Title 22, Division 6 and indicated on LIC 809D. An exit interview was conducted with Maria Hinautan and a copy of this report was left with Maria. LIC 811 and 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 other inspection of ASPIRE RESIDENTIAL CARE, LLC on September 26, 2023. 3 citations were issued: 2 Type A (serious) and 1 Type B.

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

Yes, 3 citations were issued (2 Type A, 1 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 other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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.