Skip to main content
ReadyRule homepageReadyRule

Inspection visit

Complaint

SANDHILL ASSISTED LIVING LLCLicense 4156011375 citations on this visit
5 citations recorded

Inspector’s narrative

What the inspector wrote

Regarding the allegation that staff interfered with administration of medications prescribed by medical doctor, RP stated that the resident (R1) was over medicated and was provided an increase dosage of Zoloft for two days. Based on record reviews, according to the R1s centrally stored medication record, Zoloft is to be administered one tablet a day with 25mg dosage. On the medication administration record (MAR) for the month of September 2022 there was one day where R1 was given twice the dosage of the medication. No other documentation stating that it was approved by R1s physician. Regarding the allegation of staffing is inadequate to meet residents' care needs, RP stated that there are not enough staff to meet clients’ needs and to supervise them. There is only one caregiver during the day hours between 8:30 am to 9pm. LPA Jeung interviewed two staff members and one staff member (S3) mentioned that when R1 fell he/she was not able to assist right away as there is another resident being helped in the bathroom. Based on records review, the LIC 500 or Personnel report schedule, dated October 19, 2022, only stated the number of days and time that a staff member works. No specific days are stated. Regarding the allegation of meals are not prepared on site,RP stated that meals are not prepared on site. According to an interview with a staff member (S3), breakfast and dinner are prepared on site. However, lunch is made in the other facility, Sandhill in Middle Ave, two to three times a week. The food is contained in plastic containers and just delivered by another staff member (S4) to the facility by car. Regarding the allegation of resident's weight loss was not documented nor reported to medical doctor and responsible party accurately, RP states that R1 has lost significant amount of weight in 2-3 months. From 115lbs to 87lbs. LPA Donato asked the facility for weight loss records but was not able to produce said documentation. Therefore, based on the interviews conducted and information collected, the above allegations are 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. Regarding the allegation of resident's hygiene needs are not being met, (RP) mentioned that staff do not change the (R1) and is left in pajamas. RP also stated that when he/she went to visit, R1 was still in pajamas and had not been cleaned up as R1s face was oily from the night and glasses were dirty. Based on interviews, three out of four family members mentioned that they don’t have concerns about grooming and dressing for the residents. A family member (F3) of R1, stated that resident was always dressed and doesn’t care if he/she has pajamas on. Another family member (F4) also mentioned that they don’t have concerns about the residents (R2) personal care. Based on interviews, the department has determined that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. No citations for today. Report is reviewed and copy is provided. For the allegation of facility meals doesn’t meet dietary requirements, RP stated that facility is not serving quality food. RP was interviewed and mentioned that R1 is a picky eater. It was also mentioned that R1 said that the meals are unappetizing. According to records review, facility provides family member a copy of the menu that are being served to the residents. One family member (F1) mentioned during an interview that R2 doesn't like the food, so they bring cooked food. Another family member, F2, stated that the resident R3 likes the food; there are lots of fruits, vegetables, and salads, and they don't serve processed foods from cans. F4 also stated that R4 likes the food and that fruits are available. LPA Donato also observed during several visits that the facility does provide food. Dishes come with protein, soup and fruits. Facility also provides snacks as scheduled and when residents ask for it. Regarding the allegation of planned activities are not sufficient, RP stated that there are no activities available to residents. During RPs interview, it was mentioned that there is an exercise activity that is performed in the morning but nothing else is offered to any of the residents in the community. LPA Jeung also interviewed family members and three out of four said that the residents are not interested or prefers to do something else. F4 mentioned that R4 prefers to read and watch TV. The other two residents, R1 and R3 are not interested. F1 mentioned that there are no activities. Staff members were also interviewed and S3 stated that no activities are facilitated because residents don’t want to do it. Sometimes, S3 takes residents for a walk in the yard or turns on "Sit and be Fit" on the television so clients can participate. Based on records review, the facility has a list of activities that can be facilitated every day. Based on interviews, the department has determined that that the allegations were false, could not have happened and/or is without a reasonable basis, therefore the allegations are UNFOUNDED. No citations for today. Report is reviewed and copy is provided.

Citations

10 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.

  • 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... Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. ... This requirement is not met as evidenced by: Based on interviews and records review S3 was not able to help R1 due to another resident being assisted and the personnel report schedule have no specific days on when staff is scheduled, which poses an immediate health, safety, and personal rights risk to persons in care.

  • 87411(d)Type A

    On-the-job training requirements

    87411 Personnel Requirements –General(d)All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance. This requirement is not met as evidenced by: Based on interviews from witnesses, there are staff that are not qualified and not trained, which poses an immediate health, safety, and personal rights risk to persons in care.

  • 87465(a)(4)Type A

    Assist residents with self-administered medication

    87465 Incidental Medical and Dental Care (a)A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance... (4)The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on records review, there was one day where R1 was given twice the dosage of the medication and no other documentation stating that it was approved by R1s physician, which poses an immediate health, safety, and personal rights risk to persons in care.

  • 87466Type A

    Regular observation and documentation of resident changes

    87466 Observation of the ResidentThe licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses... This requirement is not met as evidenced by: Based on interviews, the facility is not able to provide any records regarding R1s weight loss, which poses an immediate health, safety, and personal rights risk to persons in care.

  • 87555(b)(14)Type A

    87555 General Food Service Requirements (b)The following food service requirements shall apply (14) If food is prepared off the facility premises, the preparation source shall meet all applicable requirements for commercial services... This requirement is not met as evidenced by: Based on interviews, lunch is prepared in a different facility and placed in plastic containers and transported by another staff member by car, which poses an immediate health, safety, and personal rights risk to persons in care.

  • 87405(d)(1)Type A

    Knowledge of care and supervision requirements

    87405 Administrator - Qualifications and Duties (d)The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7)...(1) Knowledge of the requirements for providing care and supervision appropriate to the residents. This requirement is not met as evidenced by: Based on records review, R1 moved in and caregivers were not given any information regarding the resident, which poses an immediate health, safety, and personal rights risk to persons in care.

  • 87465(a)(6)Type A

    Maintain records of centrally stored medication dosages

    87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility...(6)When requested by the prescribing physician or the Department, a record of dosages ... This requirement is not met as evidenced by:Based on records review, R1 does not have a Medication Administration Records (MAR) log, which poses an immediate health, safety, and personal rights risk to persons in care.

  • 87555(b)(26)Type A

    Onsite food stock levels for nonperishables and perishables

    87555 General Food Service Requirements (b) The following food service requirements shall apply: (26)S upplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirement is not met as evidenced by: Based on observation, there was not enough supply of canned good and 7-day non-perishable foods, which poses an immediate health, safety, and personal rights risk to persons in care.

  • 87411(c)Type A

    Staff training in personal care activities

    87411 Personnel Requirements - General(c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 This requirement is not met as evidenced by: Based on interview, S1 stated that there were no logs for activities of daily living, which poses an immediate health, safety, and personal rights risk to persons in care.

  • 87465(d)(2)Type A

    87465 Incidental Medical and Dental Care(d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication...(2) The date and time of each contact with the physician, and the physician's directions... This requirement is not met as evidenced by: Based on records review, two medications, Lasix & Tylenol, were given to R1 with no proper documentation that it was requested from the doctor, which poses an immediate health, safety, and personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the February 22, 2024 inspection of SANDHILL ASSISTED LIVING LLC?

This was a complaint inspection of SANDHILL ASSISTED LIVING LLC on February 22, 2024. 5 citations were issued: 5 Type A (serious).

Were any citations issued to SANDHILL ASSISTED LIVING LLC on February 22, 2024?

Yes, 5 citations were issued (5 Type A, 0 Type B). The first citation was for: "87411 Personnel Requirements – General(a)Facility personnel shall at all times be sufficient in numbers, and competent t..."

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.

SourceView on CCLDView original report

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.