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Inspection visit

Incident investigation

BROOKDALE KETTLEMAN LANELicense 3970054662 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 01/17/23, Licensed Program Analysts (LPA'S) Kesha Lewis and Albert Johnson arrived at Brookdale Kettlemen at approximately 12:50 pm to conduct a case management visit regarding an incident submitted to CCLD on 11/25/22, 11/ 27/22, 12/ 07/22. LPA'S spoke with administer and explained the purpose of the visit. Based on incident report received 11/25/2022, R1 was found in their room with a white substance on their lips it was later determined that the white was sunscreen, resident was unable to say whether the substance was ingested. Based on R1's 602 it was determined that they would be at risk if allowed direct access to personal grooming products. Based on incident report on 11/23/22, R2 was breathing heavily and clearing their throat, they were sent to the ER and released later. Based on R2's 602 it was determined that she would be at risk if allowed direct access to personal grooming products. Based on incident report received 12/07/2022 R3 was complaining of severe pain in their right hip after a fall that occurred on 12/06/22. Based on R3'S needs and service plan they are at higher rick for fall. During records review it was found that R4 had a fall with injury. The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiency may result in civil penalties. Exit interview with Executive Director. Appeal rights and a copy of report was given.

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.

  • 87457(c)(1)Type B

    (c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of his/her individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations. (1) The appraisal shall include, at a minimum, an evaluation of the prospective resident's functional capabilities, mental condition and an evaluation of social factors as specified in Sections 87459, Functional Capabilities and 87462 Social Factors. This requirement is not met as evidenced by: Based on records review R3 and R4 had missing pre appraisal which did not allow facility or LPA'S to determine residents needs upon arrival. This poses an potential health and safety risk to residents in care.

  • 87705(g)(1)Type A

    87705(g)(1) Care of Persons with Dementia. (g) As required by Section 87468(a)(12), residents with dementia shall be allowed to keep personal grooming and hygiene items in their own possession, unless there is evidence to substantiate that the resident cannot safely manage the items. (1)Evidence means documentation from the resident’s physician that the resident is at risk if allowed direct access to personal grooming and hygiene items. This requirement is not met as evidenced by: Based on records review The licensee did not ensure that staff met the care and supervision needs of R1 and R2 who had access to toxins in the facility when their 602 stated they would be at risk if allowed direct access to personal grooming products. This poses an immediate health and safety risk to residents in care.

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FAQ · About this visit

Common questions about this visit

What happened during the January 17, 2023 inspection of BROOKDALE KETTLEMAN LANE?

This was a other inspection of BROOKDALE KETTLEMAN LANE on January 17, 2023. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to BROOKDALE KETTLEMAN LANE on January 17, 2023?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "(c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and sh..."

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.