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Inspection visit

Incident investigation

OAKS AT NIPOMO, THELicense 4058095471 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) De Leon conducted a Case Management visit to the facility regarding a self reported incident report. LPA was greeted by Administrator Donahue Vanderhider and LPA explained the purpose of the visit. LPA requested the following records: Staff Roster for 06/2019, Resident Roster for 06/2019, copy of Resident 1's (R1) LIC. 602 physicians report, Staff notes on R1 for 06/16/2021, Appraisal Needs and Services plan for R1, Doctor order for 2 person assist or facility documentation of required two person assist, copy of sign posted regarding required 2 person assist. Administrator needed to leave facility and provided LPA with a LIC. 308 Designation of Facility Responsibility designating Rachel Tanaka to complete visit, provide LPA with documentation requested and sign report. LPA reviewed incident report, facility records and R1's resident file. Staff failed to provide a required 2 person assist when transferring resident, resident fell and required an emergency room visit for head injury. Exit interview completed, deficiency cited, copy of report emailed to Administrator.

Citations

1 citation 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(d)(3)Type B

    ...(3)Skill and knowledge required to provide necessary resident care and supervision, including the ability to communicate with residents. This requirement was not met as evidenced by: Based on record review the Licnesee did not comply as staff failed to provide a required 2 person assist and resident fell and went to ER which poses a potential Health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the July 9, 2021 inspection of OAKS AT NIPOMO, THE?

This was a other inspection of OAKS AT NIPOMO, THE on July 9, 2021. 1 citation were issued: 1 Type B.

Were any citations issued to OAKS AT NIPOMO, THE on July 9, 2021?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "...(3)Skill and knowledge required to provide necessary resident care and supervision, including the ability to communic..."

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.