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Inspection visit

Incident investigation

DELIA'S RETIREMENT HOME, INCLicense 4156009121 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 8/13/24, Licensing Program Analyst (LPA) Grace Donato conducted a case management visit concerning a report received. LPA met with Administrator Delia Chua. LPA explained the purpose of today's visit. LPA received a report from facility on 8/01/24 that on July 30, 2024 at 8:30am, in the bathroom, R1 stood up from the commode to transfer the wheelchair. R1 was off balance so instead of falling to the floor. Staff pulled R1 up to stand up but accidentally bang his left eye to the wall and got cut on the edge of his eye. LPA interviewed R1 and it was mentioned that R1 is happy and has no complaints here in the facility. LPA observed the resident to be watching tv and eating popcorn. During the visit, it was found out that a caregiver did not report to Licensee that there was another incident that happened last June 2024 but was not reported to licensing. Although it was not reported to Licensing, staff still called 911 and R1 was sent to hospital. Staff also called the responsible party. Deficiency is cited today as the Licensee did not report an incident that happened to R1 on June 2024. Deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. Report was discussed and copy of this report and the Appeal Rights are provided.

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.

  • 87211(a)(1)(D)Type A

    87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports...(1)A written report shall be submitted ... (D) Any incident which threatens the welfare, safety or health of any resident... This was not met as evidenced by: Based on interview and records review, caregiver did not report to Licensee an incident that happened to R1 on June 2024, and Licensee was not able to report to Licensing, which poses an immediate health, safety, or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 13, 2024 inspection of DELIA'S RETIREMENT HOME, INC?

This was an other inspection of DELIA'S RETIREMENT HOME, INC on August 13, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to DELIA'S RETIREMENT HOME, INC on August 13, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports...(1)A written report ..."

What type of inspection was this?

This was an 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.