Skip to main content

Inspection visit

Complaint

PENINSULA REFLECTIONSLicense 4156009761 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Page 2 - LIC9099C In regards to staffing numbers and staff competency, again the facility indicated that the resident was fairly independent and they assisted and provided the level of care that they were able to meet her everyday needs. There was not an observable lack of competency or staff not being able to meet the resident's needs. LPA could not observe or determine if this allegation is true. In regards to the facility not reporting changes in the residents physical condition to the responsible party or physician, According to staff they reported any changes to them the best of their ability. In regards to a resident's condition change in physical nature, facility acknowledged that the resident did enter the facility with a specific condition and were aware of what signs to observe. They indicated that if there was any change that needed to be reported that they would report as soon as possible. In the case of the resident being swollen, this was reported to the responsible party as acknowledged by the reporting party. LPA could not determine if this allegation is true. In regards to not meeting the resident's hygiene needs, LPA discussed and reviewed documents relating to the needs and services of the resident. LPA could not determine of the hygiene needs were not able to be meet. Facility confirms that there was teeth brushing instructions provided and says they were able to assist when needed. In regards to other hygiene needs not being met, such as hand washing, the facility could not determine if soap was not provided. LPA observed soap dispensers at random through out the facility and soap appeared to be in place. LPA could not determine if this allegation is true. In regards to communications being answered promptly or appropriately by staff, LPA discussed the procedures regarding this and identified that there is a facility phone that families can send text messages to and make calls to that is maintained by staff. Reporting party confirms there had been communications made to her from this number and acknowledged being responded to from this phone. Staff interviewed confirmed that they do respond and message from this phone. Staff are aware that they can report and respond at any time on this phone and do so in a timely manner to the best of their abilities. LPA could not determine if this allegation is true. Based on these observations, the above allegations are UNSUBSTANTIATED. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are unsubstantiated at this time. No citations issued. Report is reviewed with Kathy Nguyen.

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(a)Type A

    Facility personnel sufficiency and competence

    Personnel Requirements – General. Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. This requirement is not met as evidenced by: Based on interviews and review of documents, R1 had sustained a fracture due to a fall happening in the facility. Staff were present during the fall.

    Read full inspector narrative

FAQ · About this visit

Common questions about this visit

What happened during the January 31, 2023 inspection of PENINSULA REFLECTIONS?

This was a complaint inspection of PENINSULA REFLECTIONS on January 31, 2023. 1 citation were issued: 1 Type A (serious).

Were any citations issued to PENINSULA REFLECTIONS on January 31, 2023?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "Personnel Requirements – General. Facility personnel shall at all times be sufficient in numbers, and competent to prov..."

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.

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

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