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Inspection visit

Complaint

STRATFORD, THELicense 4156006891 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

***********This report is amended 11/20/25************ LPA Jeung discussed incident of 7/22/25 with administrator. CCLD was notified of incident on 7/24/25 and a Report of Suspected Elder Abuse (SOC341) was submitted. An Unusual Incident Report was submitted to CCLD on 7/25/25 with an updated SOC341. Information provided initially states that client and caregiver were left unattended in van for 5 minutes. The later SOC341 states that they were left in van unattended for 28 minutes. Another statement provided by facility reports that after caregiver contacted facility to report that they were trapped alone in the van, staff were sent to client's apartment. The written reports of incident from facility fail to explain how client and caregiver were locked in the van unattended: van driver exited the vehicle without communicating with his passengers. Client is confined to wheelchair, and complained that he had difficulty breathing. LPA interviewed private caregiver of client #1, who was in the van with client on 7/22/25. Resident could not recall the incident. Based on information reported by and obtained from facility staff and witnesses, this allegation is substantiated. The preponderance of evidence standard has been met. Deficiency of the California Code of Regulations, Title 22 is cited on a following page.

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.

  • Care and supervision as defined by statute and rules

    BASIC SERVICESBasic services shall at a minimum include care and supervision as defined in Section 87101(c)(3) and HSC 1569.2(c).This requirement was not met, as staff failed to supervise client #1 on 7/22/25, when facility driver exited van, leaving client and private caregiver inside with no means to exit. In addition, when facility staff were notified that client was trapped inside the van, staff responded by going to client's apartment, instead of searching for the van. Licensee failed to ensure that client was supervised when staff left him in van for 28 minutes, which posed an immediate health, safety or personal rights risk to client in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 5, 2025 inspection of STRATFORD, THE?

This was a complaint inspection of STRATFORD, THE on August 5, 2025. 1 citation were issued: 1 Type A (serious).

Were any citations issued to STRATFORD, THE on August 5, 2025?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "BASIC SERVICESBasic services shall at a minimum include care and supervision as defined in Section 87101(c)(3) and HSC 1..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.