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Inspection visit

Follow-up on corrections

VALLE VERDELicense 4217004112 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

This Case Management visit was conducted to address deficiencies noted during Complaint Control #29-AS-20210623155841 investigation visit conducted on 6/29/21. The Case Management visit is being conducted to discuss the serious illness/injury reporting requirement as per regulation 87211(a)(1) Reporting Requirements and 87632(d)(2) Hospice Care Waiver Notifications. During today’s visit, LPA reviewed R1’s records and interviewed Administrator. Documents revealed on and 1/9/2021, 1/17/2021, and 6/20/2021, R1 sustained falls resulting in serious injuries. Administrator stated the falls were not reported to CCL. LPA advised Administrator that serious illness/injuries are required to be reported to CCL within seven (7) days of the incident(s) as required by California Code of Regulations. Also during today’s visit, documents review revealed that R1 was placed on hospice on 1/9/2021. LPA determined facility staff did not notify CCL that R1 had been placed on hospice as required by California Code of Regulations. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): Exit interview conducted, today's reports and appeal rights were reviewed. Due to technical issues, a copy of the report has been emailed to Administrator for signature.

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.

  • Report specified resident events within seven days

    Reporting Requirements: …(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…This requirement is not met as evidenced by:*THIS IS AN AMENDED REPORT OF THE ORIGINAL REPORT DATED 6/29/2021. Based on records reviewed and interviews conducted, facility staff did not report falls R1 sustained resulting in serious injuries on 1/9/2021, 1/17/2021 and 6/20/2021 which poses an immediate health and safety risk to residents in care.

  • Notification to department after hospice care starts

    Hospice Care Waiver: The licensee shall notify the Department in writing within five working days of the initiation of hospice care services for any terminally ill resident in the facility...This requirement is not met as evidenced by: Based on records reviewed and interview conducted, facility staff did not notify CCL of R1’s hospice placement on 1/9/2021.

FAQ · About this visit

Common questions about this visit

What happened during the June 29, 2021 inspection of VALLE VERDE?

This was an other inspection of VALLE VERDE on June 29, 2021. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to VALLE VERDE on June 29, 2021?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "Reporting Requirements: …(1) A written report shall be submitted to the licensing agency and to the person responsible f..."

What type of inspection was this?

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

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