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Inspection visit

Complaint

PENINSULA REFLECTIONSLicense 415600976
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

On this day, Licensing Program Analyst (LPA) Jaime Vado conducted an un-announced complaint investigaton visit to deliver the findings for the allegations listed above. LPA spoke to Wellness Director Kathy Nguyen and explained the purpose of today's visit. During the course of the investigation LPA conducted interviews, reviewed records of R1, and made observations of the resident. It cannot be determined the source of the lice. No other residents or staff had lice before or after R1. There were not many visitors to R1. LPA could not determine the source. In regards to informing the responsible party of changes in resident's condition, and medications mismanagement, LPA could not determine if either are true. Facility says updates and informing of the the responsibily pary did happen at all times. In regards to medications, there was a flow of information issue between doctor and responsible party with the facility that disrupted or caused issues with medication information being shared with the facility. These allegations are unsubstantiated. 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.

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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. The inspection found no deficiencies and no citations were issued.

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

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

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.