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Inspection visit

Incident investigation

A1 DEL MONTE STOCKTONLicense 3927009931 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 3-24-23 at 4:00pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to conduct a case management visit regarding an incident which occurred on 2-28-23. LPA met with Administrator Anuradha Saini and explained the purpose of the visit. LPA interviewed Administrator and reviewed incident report dated 2-28-23, as well as physician's report for R1. Based on interview and record review, it was determined that on 2-28-23 at approximately 7:15am, resident1 (R1) was sitting outside of the facility. A med tech (S1) encourage R1 to come inside due to cold weather. R1 stated he will come back after his routine walk. At 8:15am, S1 attempted to check on R1 and was unable to locate R1. S1 and other facility staff checked R1's room and surrounding areas of facility as well as areas across the street from facility, but unable to locate R1. At approximately 9:00am, R1 arrived back at facility accompanied by local law enforcement. Based on review of physician's report for R1, R1 is unable to leave building unassisted. Facility staff reported incident within regulatory time frames. Facility staff is currently in process of assessing R1 for placement within secured unit of facility. Due to facility unaware of R1's whereabouts, citation is issued under Health and Safety code 1569.312(d). An immediate civil penalty in the amount of $1000 is issued to facility in addition to citation due to repeat violation within 12 month period. An exit interview was conducted with Anuradha Saini and a copy of this report was left with Anuradha. 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.

  • 1569.312(d)Type A

    Basic Service Requirements. Every facility required to be licensed under this chapter shall provide at least the following basic services: (d) Being aware of the resident's general whereabouts… This requirement was not met as evidenced by: Based on interview and record review, Licensee did not ensure facility’s knowledge of R1’s whereabouts on 2-28-23 leading to an absence of supervision. This posed an immediate health, safety, and resident rights risk to resident in care.

  • 87303(a)Type B

    Maintenance and Operation. (a) The facility shall be clean, safe, sanitary and in good repair at all times...This requirement was not met as evidenced by: Based on observation, licensee did not comply with this regulation in that LPA observed a used adult diaper on the floor of room 107 near the foot of R1's bed. This posed a potential health and safety risk to residents in care.

  • 87468.2(a)(2)Type B

    Additionial Personal rights...(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities...(2) To have their records and personal information remain confidential and to approve their release, except as authorized by law. This requirement was not met as evidenced by: Based on record review and interview, Licensee did not ensure confidential medical information for R2 in that a photograph of medication information was sent to the wrong receipient. This posed a potential health, safety and resident rights risk to residents in care.

  • 87625(b)(3)Type B

    87625(b)(3). Managed Incontinence. (b) ...the licensee shall be responsible for the following: (3) Ensuring that...facility remains free of odors from incontinence. This requirement was not as evidenced by: Based on observation, licensee did not comply with this regulation in that LPA observed a strong urine odor in and around room 107 on 3-24-23. This poses a potential health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 24, 2023 inspection of A1 DEL MONTE STOCKTON?

This was a other inspection of A1 DEL MONTE STOCKTON on March 24, 2023. 1 citation were issued: 1 Type A (serious).

Were any citations issued to A1 DEL MONTE STOCKTON on March 24, 2023?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "Basic Service Requirements. Every facility required to be licensed under this chapter shall provide at least the followi..."

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.