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Inspection visit

Follow-up

MISSION VILLA SENIOR LIVINGLicense 4156010462 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 05/10/2024, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced case management - other visit in order to make observations regarding facility operations and staffing. LPA met with business office manager Jovy Castro and explained the purpose of today's visit. At this time there is no administrator assigned that sits in the facility providing oversight. This is a two level facility. During today's visit LPA obtained the current staff schedule for this week and next week May 5 through May 11, and May 12 through May 18, and a facility resident roster. The facility is cleared to have 10 hospice residents and there are currently 8 on record under hospice. LPA toured the facility independently and conducted interviews at random. LPA observed dining room staff assisting resident and family members with a meal. LPA observed activities taking place on the ground floor. Per LPAs observations and review of staffing schedule there is only one med-tech on this day assisting residents with medications and care for both floors of the facility when usually there should be one med-tech on each floor. LPA observed 2 caregivers on the schedule on each floor in place. That is 2 caregivers on each floor totalling 4 caregivers for 57 residents in care. PM shift it identifies the addition of one staff member totalling 5 caregivers, if no one calls out, to 57 residents but still 1 med-tech handling medications for both floors which is the same med-tech from the AM shift. LPA conducted interviews at random and discovered a shortage of med-techs at this time resulting in the newly hired memory care director to hand out medications without having earned a med-tech certificate. This staff person is not fully trained at the time of today's visit and has handed out medications prior to the visit for several days. Per additional review and interviews it is discovered that additional med-tech and staffing into the weekend there is only 1 med-tech for AM and PM shifts, 3 caregivers for AM shift and 3 caregivers for PM shift for 57 residents in care for the entire facility. Per LPA observations made on this day and documents reviewed there are staffing and training violations taking place. These violations pose a health and safety risk to residents in care. Citations are being issued on this day on the following LIC809-D. Report is reviewed with business office manager Jovy Castro. A copy of this report is provided on this day.

Citations

2 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.

  • 1569.69(a)(1)Type A

    §1569.69 Employees assisting residents with self-administration of medication; training requirements (a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (1) In facilities licensed to provide care for 16 or more persons, the employee shall complete 24 hours of initial training. This training shall consist of 16 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 8 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first four weeks of employment. This regulation has not been met as evidenced by: Based on file review, the memory care director's file showed that she is not fully trained at this time and has passed out medications to residents as a reulst of the facility not having enough med-tech's on duty or on the schedule. This violation poses a health and safety risk to residents in care.

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  • 87411(a)Type A

    Facility personnel sufficiency and competence

    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 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 regulation has not been met as evidenced by: Based on observations made and interviews conducted, there currently is only one med-tech handling AM and PM medications as well as 4 caregivers assiting residents at LPAs arrival. Per interviews and staffing schedule observed there is also only 1 med-tech for AM and PM for the next day, and 3 caregivers for AM and PM shfit for 57 residents. This violation poses a health and safety risk to residents in care.

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FAQ · About this visit

Common questions about this visit

What happened during the May 10, 2024 inspection of MISSION VILLA SENIOR LIVING?

This was an other inspection of MISSION VILLA SENIOR LIVING on May 10, 2024. 2 citations were issued: 2 Type A (serious).

Were any citations issued to MISSION VILLA SENIOR LIVING on May 10, 2024?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "§1569.69 Employees assisting residents with self-administration of medication; training requirements (a) Each residentia..."

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.