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Inspection visit

Follow-up on corrections

BROOKDALE KETTLEMAN LANELicense 3970054662 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 10/26/2023 Licensing Program Analyst (LPA) Kesha Lewis arrived unannounced to conduct a case management visit to follow up on an incident report submitted to the Department. LPA was allowed entry into the facility, met with the executive director, and explained the purpose of today’s visit. During the course of the department’s investigation, Interviews were conducted, and records reviewed. Interviews and records review conclude, The Licensee failed to ensure a sufficient provision to aid in fall prevention of R1 after R1 sustained multiple falls over a seven month period which led to injury of R1. On October 19 th, 2023, the Department concluded the investigation and substantiated the findings. The following deficiencies were observed (see LIC 9099D) and cited from the California Code of Regulations, Title 22, and California Health and Safety Code. This incident is currently under review and a future civil penalty may apply based on 1569.49(f) H&S. Failure to correct the deficiencies may also result in civil penalties. Exit interview conducted and appeal rights provided.

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.

  • 1569.312(a)Type A

    Basic Service Requirements. Every facility required to be licensed under this chapter shall provide at least the following basic services: (a) Care and supervision as defined in Section 1569.2. This requirement was not met as evidenced by: Based on record reviews and interviews, R1 sustained multiple falls over a period of seven month time frame without the Licensee ensuring appropriate intervention to aid in R1’s care and supervision resulting in injury. This posed an immediate risk to residents health, safety, and resident rights.

  • 87463(a)(3)Type A

    87463 Reappraisals(a) The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental, and social condition. Significant changes shall include but not be limited to:(3) Any illness, injury, trauma, or change in the health care needs of the resident that results in a circumstance or condition specified in Sections 87455(c) or 87615, Prohibited Health Conditions. Based on records review there was no updated needs and services plane done for R1 after falling multiple times. This posed an immediate risk to residents health, safety, and resident rights.

FAQ · About this visit

Common questions about this visit

What happened during the October 25, 2023 inspection of BROOKDALE KETTLEMAN LANE?

This was a other inspection of BROOKDALE KETTLEMAN LANE on October 25, 2023. 2 citations were issued: 2 Type A (serious).

Were any citations issued to BROOKDALE KETTLEMAN LANE on October 25, 2023?

Yes, 2 citations were issued (2 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.