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Inspection visit

Complaint

ATRIA AT FOSTER SQUARELicense 4156009802 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

The allegation that facility staff fails to communicate with resident’s authorized representative refers to the facility failing to report R1’s hospitalization to designated R1’s responsible party. According to the administrator, R1 had a change of condition during the night of 8/30/2021 and early hours of 8/31/2021. Staff #1 (S1) on the night shift was not familiar with the local responsible party listed in the contact list, and instead called one of the emergency contacts who lives in Florida, and who was unable to readily attend to R1’s emergency. Since this incident, the administrator reported that the facility has revised R1's contact sheet and added R1's responsible party under emergency contact. Section 87468.1 (a) (8) Personal Rights of Residents in All Facilities states that residents in all residential care facilities for the elderly shall have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs. By failing to maintain an accurate record, the facility failed to notify the responsible party when R1 was transferred to the hospital. Therefore, based on the above information, interviews and record review, this allegation is substantiated Based on interviews, observations and record reviews during the investigation, the preponderance of evidence standard has been met. Therefore, these allegations were determined to be substantiated. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC9099-D. Failure to correct the deficiencies may result in civil penalties. Report was discussed with Administrator, and Appeal Rights provided. A copy of is provided. The sequence of events indicates that late on 8/30/2021, the resident had an anxiety attack. The facility called emergency services early on 8/31/2021. There was a caregiver (S1) with the resident when paramedics arrived. The resident was then transported to the hospital. EMS records did not note any incidents during transfer or at the hospital. However, once at the hospital it was discovered that the resident had a right shoulder fracture, spleen laceration, and left buttocks bruising consistent with traumatic injuries. The injuries could had been caused by a fall, or cardio embolic source, but medical personnel were unable to rule any possibility out. The Department has been unable to interview the caregiver (S1) who was with the resident until the EMS arrived, and who could provide information on about what could had happened. The Administrator has also proven uncooperative. Base on record review and interviews during the course of investigation, this allegation is unsubstantiated. Although the above investigations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted with the facility's Administrator. A copy is provided.

Citations

6 citations 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.

  • 87405(d)(2)Type B

    Conformance with applicable laws and regulations

    87405 Administrator - Qualifications and Duties(d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7)..(2)Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement is not met as evidenced by the administrator failed to provide the camera footage as requested by the Department and the administrator failed to ensure staff is corporative with investigation process which posed potential health and safety risks to resident in care.

  • 87411aType B

    87411 Personnel Requirements - General(a)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.... the requirement is not met as evidence by: The facility failed to conduct a reappraisal prior to readmitting R1 from the hospital with health conditions and needs that were not previously required. Therefore, the facility failed to enure sufficient support staff were equipped to provide care to R1 which posed a potential health and safety risks to resident in care.

  • 87755(b)Type B

    87755 Inspection Authority of the Licensing Agency (b)The licensee shall ensure that provisions are made for private interviews with any resident or any staff member; and for the examination of all records relating to the operation of the facility. This requirement is not met as evidence by: During the couse of investigating the allegation, there was a caregiver identifed as S1 who was present with R1 right before R1 was transferred to the hospital but S1 was not coorporative with providing any inforamtion to assist with the investigation despite many attempts made by LPA including requesting the administrator to have S1 contact LPA which posed a potential health and safety risks to resident in care.

  • 87755(c)Type B

    Authority to audit and copy facility records

    87755 Inspection Authority of the Licensing Agency(c)The licensing agency shall have the authority to inspect, audit, and copy resident or facility records upon demand during normal business hours. This requirment is not met as evidency by: The administrator has failed to provide the camera footage to the Department as requested which posed a potential health and safety risks to resident in care.

  • 87224(a)(4)Type A

    Reappraisal identifies facility is not appropriate

    87224 Eviction Procedures(a) The licensee may evict a resident..Thirty (30) days written notice to the resident is required..(4) If, after admission, it is determined that the resident has a need not previously identified and a reappraisal has been conducted..This requirement was not met as evidenced by: On the day of R1's readmission to the facility from the hospital with health needs that were not previously identified. The administrator offered R1's responsible party to either hire a personal skill professional to care for the resident or to have R1 transfer back to the hospital. The facility failed to perform a reappraisal and issue a 30-day evict notice which posed immediate health and safety risks to resident in care.

  • 87468.1(a)(8)Type B

    Regular representative updates on care

    87468.1Personal Rights of Residents in All Facilities (a)Residents in all residential care facilities..shall have.(8) To have their representatives regularly informed by the licensee of activities related to care...This requirement was not met as evidence by: When R1 was transferred to the hospital, the facility failed to contact the local responsible party listed in the contact list, and instead called one of the emergency contacts who lives in Florida, and who was unable to readily attend to R1’s emergency which posed potential health and safety risks to resident in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 29, 2022 inspection of ATRIA AT FOSTER SQUARE?

This was a complaint inspection of ATRIA AT FOSTER SQUARE on March 29, 2022. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to ATRIA AT FOSTER SQUARE on March 29, 2022?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "87405 Administrator - Qualifications and Duties(d) The administrator shall have the qualifications specified in Sections..."

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.

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.