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Inspection visit

Routine inspection

OAK COTTAGE OF SANTA BARBARA MEMORY CARELicense 425802118
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

Licensing Program Analysts (LPAs) Jeannette Olson and Kristin Kontilis conducted an unannounced on-site one-year infection inspection control visit to the above-named facility. LPAs began the inspection at 2:30 pm. A Mitigation plan has been submitted to CCLD. LPAs met with Jovany Guerra, Generations Program Director. Administrator Andrea Katz was not available at the time of the inspection. LPAs explained the purpose of the visit. The facility is a two-story secured perimeter Residential Care Facility for the Elderly (RCFE). There are currently 43 residents in care with a Dementia diagnosis. Currently, there are eleven (11) residents on hospice. The facility has submitted a Mitigation Plan to the Department. The facility has an entry station at the front door of the facility. Upon entry, staff, visitors, and clients who are returning from an outing are required to sign-in, and have a temperature screening. All documentation is kept in a locked filing cabinet in the Administration office located on the first floor of the facility. Screening documentation is stored in the facility basement. Bulk supplies of PPE gear, hand sanitizer, disinfecting wipes, disinfecting spray, gloves, and masks are kept in the facility basement. A tour of the physical environment and accommodations were assessed, and the following was noted: LPA observed the required posting of the complaint poster, bill of rights and Resident’s Rights. LPA inspected the facility for fire safety, personal accommodations, and food service. The physical environment was checked for cleanliness and condition. Walls, windows, ceilings, floors and floor coverings, and doors were checked. The facility was seen to be in good repair inside and outside. Fire inspection was conducted on 5/10/2021. There are five (5) fire extinguishers. Each resident's room has a dual smoke alarm and carbon monixide detector. First Aid kits are kept in the Medication area of the Nurse's station on Floor 2, the kitchen and reception area on Floor 1. LPA observed the kitchen cabinets, refrigerator, and stove are clean. There is a sufficient amount of 2-days of perishable and 7 days of non-perishable foods. Please continue to 809-C, Pg 2. Residents participate at will in activities such as but not limited to exercise classes, pet therapy, nature walks, puzzles, games, Happy Hour, virtual travel tours, excursions to local eateries, and scenic rides. Residents are assisted with Assisted Daily Living (ADLs) needs such as toileting, bathing, showering, eating, feeding, transferring, laundry tasks, light housekeeping, and medication administration. The front are of the facility consists of a patio for visitation, concrete steps, concrete ramps and concrete walkways. The back patio has a barbeque and outdoor furniture conducive for visitation. The facility has 40 resident rooms. There are 4 shared bedrooms and 7 shared bathrooms. Each bedroom has a bed, nightstand, and lights to provide sufficient lighting. All staff associated with the facility have criminal record clearance. Exit interview conducted. Copy of report emailed. No deficiencies noted.

Citations

7 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.

  • 87307(a)(3)(D)Type B

    General hygiene items required

    87307(a)(3)(D) Personal Accommodations and Services: …The resident may provide the following items; however, if the resident is unable or chooses not to provide them, the licensee shall assure provision of: Hygiene items of general use such as soap and toilet paper. This requirement was not met as evidenced by: Based on interviews, the licensee did not ensure toilet paper was provided to 2 out of 2 residents (R1, R2), which posed a potential health and personal rights risk to residents in care.

  • 87303(a)Type B

    Maintain facility in clean, safe, sanitary condition

    87303(a) Maintenance and Operation: The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirement was not met as evidenced by: Based on interviews, the licensee did not ensure the rooms and bathrooms of R1 and R2 were clean from urine and debris, which posed a potential health and safety risk to residents in care.

  • 87466Type A

    Regular observation and documentation of resident changes

    87466 Observation of the Resident. The licensee shall ensure…residents are regularly observed for changes in physical, mental, emotional…social functioning…appropriate assistance is provided when…observation reveals unmet needs...changes such as...deterioration of...physical health condition are observed, the licensee shall ensure that…changes are documented…brought to the attention of the resident's physician…the resident's responsible person...This requirement was not met as evidenced by: Based on interviews and record review, the licensee did not ensure R1 was observed for changes in condition and R1’s physician was notified timely, which posed an immediate health and safety risk to residents in care.

  • 87468.1(a)(2)Type A

    Safe, healthful, comfortable accommodations

    87468.1(a)(2) Personal Rights of Residents in All Facilities: Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: Based on interviews and record review, the licensee did not ensure R1 was accorded safe, healthful and comfortable accommodations due to the numerous falls and injuries sustained, which posed an immediate health and safety risk to residents in care.

  • 87468.2(a)(4)Type A

    Right to sufficient care and qualified staff

    …Residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement was not met as evidenced by: Based on interviews and record review, the licensee did not ensure R1 received care, supervision, and services to meet R1’s needs, which posed an immediate health and safety risk to residents in care.

  • 87463(a)Type B

    Update reappraisal at required intervals

    87463(a) Reappraisals. 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 was not met as evidenced by: Based on interviews and record review, the facility did not ensure R1’s appraisal was updated to reflect significant changes, which posed a potential health and safety risk to residents in care.

  • 87705(d)Type B

    Auditory exit monitoring for elopement risk

    87705 Care of Persons with Dementia. In addition to requirements specified in Section 87303, Maintenance and Operation, safety modifications shall include, but not be limited to, inaccessibility of ranges, heaters, wood stoves, inserts, and other heating devices to residents with dementia. This requirement was not met as evidenced by: Based on observation, the facility did not ensure residents with dementia did not have access to an electric tea kettle, which posed a potential health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 21, 2022 inspection of OAK COTTAGE OF SANTA BARBARA MEMORY CARE?

This was an inspection of OAK COTTAGE OF SANTA BARBARA MEMORY CARE on April 21, 2022. The inspection found no deficiencies and no citations were issued.

Were any citations issued to OAK COTTAGE OF SANTA BARBARA MEMORY CARE on April 21, 2022?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was an inspection. 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.