Skip to main content

Inspection visit

Complaint

BURLINGAME SENIOR LIVINGLicense 4156011261 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On July 20, 2023, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced 10-day complaint visit. LPA met with Operations Specialist, Kathleen Calobeer and explained the purpose of the visit. Regarding the allegation that staff did not prevent resident from eloping, according to the reporting party, on July 12, 2023, Resident 1 (R1) left the facility unassisted. The reporting party indicated, that he/she called the facility to confirm that R1 had no restrictions to leaving the facility. According to the concierge, he/she confirmed R1 lives in assisted living and there are no restrictions in R1's file restricting him/her on leaving unassisted. During the investigation, LPA reviewed R1's file and interviewed staff. Based on R1's file, R1 has a secondary diagnosis of dementia and is unable to leave the facility unassisted. According to staff interviewed, R1 leaves the facility after signing out and staff do not accompany or redirect him/her. In addition, it was indicated by staff interviewed that this has not been the first time R1 left the facility unassisted. Furthermore, based on observations, LPA observed a resident service plan binder on the front desk that indicate whether each resident is able to leave the facility unassisted or not. R1's service plan was observed to indicate R1 is unable to leave the facility unassisted. Therefore, the allegation staff did not prevent resident from eloping 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. Report is reviewed with Operations Specialist and a copy is provided with appeal rights.

Citations

3 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.

  • 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 not met as evidenced by: Based on record review and interviews conducted, facility acknowledged to not submitted CCL a incident report for an incident that occurred on July 12, 2023.

  • Submit and maintain current mailing address

    87355 Criminal Record Clearance: (e)All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility:(1) Obtain a California clearance or a criminal record exemption as required by the Department or..Violation of this regulation is not met as evidenced by: Based on observations and record review, LPA observed S1 to not be fingerprint cleared.

  • 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 interviews conducted and files reviewed, R1 has a secondary diagnosis of dementia and is unable to leave the facility unassisted, however on July 12, 2023, R1 left the facility unassisted. In addition, according to staff interviewed R1 has left the facility mulitple times in the past without a staff member accompanying R1. Furthermore, LPA observed R1's service plan in a resident service plan binder on the front desk to indicate R1 is not allowed to leave the facility unassisted.

FAQ · About this visit

Common questions about this visit

What happened during the July 20, 2023 inspection of BURLINGAME SENIOR LIVING?

This was a complaint inspection of BURLINGAME SENIOR LIVING on July 20, 2023. 1 citation were issued: 1 Type A (serious).

Were any citations issued to BURLINGAME SENIOR LIVING on July 20, 2023?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87211 Reporting Requirements: (a) Each licensee shall furnish to the licensing agency such reports as the Department may..."

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.

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

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