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Inspection visit

Correction check

ATRIA AT FOSTER SQUARELicense 4156009801 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 3/29/2022, Licensing Program Analysts (LPA) Murial Han conducted an unannounced plan of correction (POC) visit to verify and to confirm that the facility is in compliance with the citation that was issued on 3/8/2022. LPA Han met and explained the purpose of the visit with the assistant administrator, Siobhan Surracao while the administrator, Freddie Fullon was busy at the moment then the administrator took over and assisted with the rest of the visit. On 3/8/2022, the facility received a citation for not providing medical record to the responsible party as requested and the plan of correction was due on 3/22/2022 that required the facility to provide the following documents to the responsible party and a copy to Community Care Licensing (CCL). - A list of Medication that was administered from 8/30/21- 8/31/21 - Documentation related to the hospital transfer on 8/31/21 - The assessment/service plan that was conducted by the resident service director and the responsible party including the times that R1 would be checked on by staff and the documentation of who and when R1 was checked on. - A list of the times that R1 was checked on as shown on the camera footage from 8/30/21 7PM- 8/31/21. - R1's diagnosis and facility documentation related to the ambulance transportation on 9/9/2021. As of 3/29/2022, the facility has not submitted any proof to CCL that the plan of correction was completed and the responsible party has not received any documents from the facility..Therefore, CCL is reissuing the citation and assessing for civil penalty of $100 per day between 3/23/2022- 3/28/2022 in the amount of $600. Civil penalty will continue at $100 per day starting from 3/29/2022 until the plan of correction is completed. Based on information above, deficiencies of the California Code of Regulations, Title, 22 cited on the LIC809D. Failure to correct the deficiencies will result in additional civil penalties. This report is discussed and reviewed with the 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.

  • 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.

  • 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.

  • 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 an other inspection of ATRIA AT FOSTER SQUARE on March 29, 2022. 1 citation were issued: 1 Type B.

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

Yes, 1 citation was issued (0 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 an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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