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Inspection visit

Incident investigation

SANDHILL ASSISTED LIVING LLCLicense 4156011412 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 9/1/2023, Licensing Program Analyst (LPS) Grace Donato conducted an unannounced case management visit. LPA met with Caregiver, Jonathan Mendoza. LPA explained the purpose of the visit. LPA received an incident report last 8/29/23 regarding a resident (R1) eloping from the facility. The incident happened on 8/27/23, R1 eloped from the facility around 1am and was returned by Police around 2 am with no injuries. Staff (S1) that currently resides on the facility, but not on shift, did not hear the alarm went off around that time. While LPA was in the facility, R1 was currently having lunch in the dining area. LPA observed that all exit points have a loud alarm when door is opened. Facility also has a main gate which is open the whole day and closed during nighttime. It is unknown which gate R1 used to exit the facility premises. LPA spoke with Licensee, Diana Covich on the phone. There was no reassessment done for R1 after the elopement. Licensee has scheduled a reassessment for the resident.There is no night supervision scheduled in the facility. Based on document review, R1 has wandering behavior. Deficiencies are cited today as the facility did not ensure that residents won’t be able to leave the facility without assistance. Facility also didn’t make sure that R1 had a reassessment after the incident, this is to address any additional care that might be needed. Facility is also being cited for not having night supervision available even when there is a resident who have wandering behavior. 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 and a copy of this report and the Appeal Rights are provided.

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.

  • 87705(c)(4)(A)Type A

    87705(c) Licensees who accept and retain residents with dementia...(4)There is an adequate number of direct care staff...(A)In addition to requirements specified in Section 87415, Night Supervision, a facility with fewer than 16 residents... This requirement was not met as evidenced by: Based on record reviews and interviews, the licensee did not comply with the section cited above due to R1 having wandering behaviors but Licensee did not schedule nigh supervision which poses an immediate health, safety or personal rights risk to persons in care.

  • 87705(c)(5)(A)Type A

    87705 (c)Licensees who accept and retain residents with dementia...(5)Each resident with dementia shall have an annual medical assessment... (A) When any medical assessment, appraisal, or observation indicates that the resident’s dementia care needs have changed... This requirement was not met as evidenced by: Based on record reviews and interviews, the licensee did not comply with the section cited above due to R1 not being reassesed after the elopement which poses an immediate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 1, 2023 inspection of SANDHILL ASSISTED LIVING LLC?

This was an other inspection of SANDHILL ASSISTED LIVING LLC on September 1, 2023. 2 citations were issued: 2 Type A (serious).

Were any citations issued to SANDHILL ASSISTED LIVING LLC on September 1, 2023?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "87705(c) Licensees who accept and retain residents with dementia...(4)There is an adequate number of direct care staff....."

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.