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Inspection visit

Incident investigation

A & J ASSISTED LIVING FACILITYLicense 4156010661 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On October 14, 2024, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced case-management visit in relation to an incident that occurred on September 23, 2024. LPA met with Administrator, Paula Madrigal and explained the purpose of the visit. On September 24, 2024, the Licensee reported that on September 23, 2024, Resident 1 (R1) signed out from the facility at 10:15am to go to his/her doctor's appointment. After the doctor's appointment, R1 called 911 due to the foot of his/her wheelchair getting stuck. Facility called 911 and filed missing persons at 11:15pm because R1 was observed not to be at the facility at 9:15pm when med-tech noticed. During the investigation, LPA reviewed documents and interviewed administrator. LPA observed the resident sign-in and sign-out log located in front of the nurse's station. According to the log observed, on 9/23/24, R1 signed out to go to a doctor's appointment at 9:45 am. Based on file reviewed, R1's physician's report dated 5/3/24 indicated R1 has Mild Cognitive Impairment (MCI) and can't leave the facility unassisted. According to the administrator and staff interviewed, R1 has been going in and out of the facility without assistance for months. Based on interviews, it was indicated that on 9/23/24, R1 did not have a staff escort him/her to go out to the doctor's appointment because R1 has been doing it for months without staff accompanying him/her. Facility was unaware where R1 was as he/she did not have a cell phone for staff to reach R1 at. According to the administrator, it was not till 9:15pm when a staff noticed that R1 was not at the facility and not until 11:15pm when staff called the police for a missing person's. Nevertheless, facility failed to check in on R1 after his/her doctor's appointment and ensure R1 was safe as he/she was not back at the facility. In addition, facility failed to call the police right away when staff noticed that R1 was not back at the facility at 9:15pm. Deficiencies are cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. Report was discussed with Administrator. A copy of this report and the Appeal Rights is provided.

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.

  • 87464(f)(1)Type B

    Care and supervision as defined by statute and rules

    87464 Basic Services: (f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c)Violation of this regulation is not met as evidenced by: Based on file reviewed, Based on R1's physician's report, R1 has Mild Cognitive Impairment (MCI) and can't leave the facility unassisted. According to interviewes, on 9/23/24, R1 did not have a staff escort R1 to his/her doctor's appointment. According to the administrator, it was not till 9:15pm when a staff noticed that R1 was not at the facility and not until 11:15pm when staff called the police for a missing person's. Facility failed to ensure required parties were called immediately after noticing R1 was not at the facility.

FAQ · About this visit

Common questions about this visit

What happened during the October 14, 2024 inspection of A & J ASSISTED LIVING FACILITY?

This was an other inspection of A & J ASSISTED LIVING FACILITY on October 14, 2024. 1 citation were issued: 1 Type B.

Were any citations issued to A & J ASSISTED LIVING FACILITY on October 14, 2024?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87464 Basic Services: (f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 8710..."

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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.