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Inspection visit

Complaint

HEIRLOOM ROSE GARDENLicense 4156010491 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

According to the Administrator, R1 was to be discharged from the hospital on 1/6/23, but the Co-administrator wanted R1 to remain at the hospital because there were 2 clients that were COVID positive at the facility. In addition, the Co-administrator acknowledged, she wanted to have R1 remain at the hospital because the facility was experiencing staffing challenges and was unable to provide for R1 and the other residents at the home until 1/7/2023. Nevertheless, although R1 returned back to the facility on 1/9/2023, the facility did not want to accept R1 back due to staffing challenges. Based on interviews and record reviews during the investigation, the preponderance of evidence standard has been met. Therefore, this allegation is 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. This report is reviewed and discussed with Co-Administrator and a copy is provided with appeals rights.

Citations

5 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.

  • 87309(a)Type B

    Ensure hazardous items are locked and not unattended

    Based on observations, LPAs observed toxins and chemicals in the garage to be unlocked and accessible to residents which poses/posed a potential health, safety or personal rights risk to persons in care.

  • Notify agency before locking doors or gates

    Based on observations, LPAs observed knives drawers to be unlocked and scissors to be in another drawer to be unlocked which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87705(j)Type B

    Based on observation, the licensee did not comply with the section cited above as door alarm for bedroom #3 (dementia resident's room) and office room was observed to not be in working condition which poses/posed a potential health, safety or personal rights risk to persons in care.

  • Report specified resident events within seven days

    87211 Reporting Requirements:(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below...Violation of this regulation is evidenced by: Based on interviews conducted, the Co-Adminstrator indicated that an incident report was not submitted to CCL when Resident 1 (R1) was admitted to the hospital on December 9, 2022.

  • Right to protection from involuntary transfer or discharge

    87468.2 Additional Personal Rights of Residents in Privately Operated Facilities: (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (20) To be protected from involuntary transfers, discharges, and evictions. A licensee shall not involuntarily transfer or evict residents for reasons other than those permitted by state law or regulations and shall comply with all eviction and relocation protections for residents....Violation of this regulation is evidenced by: Based on interviews conducted and information collected, the Co-administrator acknowledged, she wanted to have R1 remain at the hospital because the facility was experiencing staffing challenges and was unable to provide for R1 and the other residents at the home until 1/7/2023.

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FAQ · About this visit

Common questions about this visit

What happened during the April 21, 2023 inspection of HEIRLOOM ROSE GARDEN?

This was a complaint inspection of HEIRLOOM ROSE GARDEN on April 21, 2023. 1 citation were issued: 1 Type B.

Were any citations issued to HEIRLOOM ROSE GARDEN on April 21, 2023?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Based on observations, LPAs observed toxins and chemicals in the garage to be unlocked and accessible to residents which..."

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.