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Inspection visit

Follow-up on corrections

WESTMONT OF SANTA BARBARALicense 4258021063 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Toan Luong conducted a Case Management - Deficiencies visit in conjunction with a complaint visit (Complaint Control #29-AS-20210830163115). LPA Luong met with Business Administrator Denay Ramirez. The purpose of the visit is to issue a citation for a deficiency observed during the complaint investigation. During the complaint investigation of complaint #29-AS-20210830163115, Investigator Santana observed the following deficiencies: R1’s Service Plan dated 07/24/2021, was not updated until 09/01/2021, even though a reassessment should have been completed after the fall incidents, the last fall being on 08/16/2021. R1 had a fall on 08/07/2021 and 08/16/2021 sustaining injuries which required hospitalization. There is no record the Regional Office received any Unusual Incident Reports (UIRs) for the 08/07/2021 and 08/16/2021 incidents. The Director stated she must have mistakenly “shredded” the coversheets for the 8/7/2021 and 8/16/2021 UIRs and could provide no proof of submission . In addition, the Facility Resident Services Director maintained that she faxed the 08/07/2021 incident report to the Regional Office on 08/11/2021, even though the Director was not working at the facility on 8/10/2021 or 8/11/2021, and a substitute nurse filled in for the Director on those dates. LPA issued citation, conducted exit interview, and emailed appeal rights and report to Business Administrator.

Citations

4 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.

  • 87207Type A

    87207 False Claims. No...employee of a licensee shall make or disseminate any false or misleading statement...This requirement is not met as evidenced by: Based on record review and interviews, the licensee did not comply with the section cited above.The Facility Resident Services Director stated she faxed incident report to the Regional Office on 08/11/2021, however, the Investigator learned that a substitute nurse filled in for the Director at the facility on 08/10/2021 and 08/11/2021, which posed an immediate health and safety risk to residents in care.

  • 87211(a)(1)(B)Type B

    87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports...(1)(B) Any serious injury...occurring while the resident is under facility supervision.This requirement is not met as evidenced by: Based on records review, the licensee did not comply with the section cited above. R1 had a fall on 08/07/2021 and 08/16/2021 sustaining injuries which required hospitalization, no incident reports were received for the incidents, which posed a potential health and safety risk to residents in care.

  • 87463(a)Type A

    87463 Reappraisals (a) The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate...This requirement is not met as evidenced by: Based on records review and interviews, the licensee did not comply with the section cited above. R1’s Services Plan dated 07/24/2021 was not updated after R1 sustained multiple falls requiring hospitalization, which posed an immediate health and safety risk to residents in care.

  • 87464(f)(1)Type A

    87464(f)(1) Basic Services. (f) Basic services shall at a minimum include: (1) Care and supervision...This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above. (R1) was not provided the proper supervision to ensure R1’s safety. R1 had a history of falls, which led to multiple falls causing R1 to sustain injuries requiring hospitalization, which posed an immediate health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 30, 2022 inspection of WESTMONT OF SANTA BARBARA?

This was a other inspection of WESTMONT OF SANTA BARBARA on March 30, 2022. 3 citations were issued: 2 Type A (serious) and 1 Type B.

Were any citations issued to WESTMONT OF SANTA BARBARA on March 30, 2022?

Yes, 3 citations were issued (2 Type A, 1 Type B). The first citation was for: "87207 False Claims. No...employee of a licensee shall make or disseminate any false or misleading statement...This requi..."

What type of inspection was this?

This was a 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.