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Inspection visit

Incident investigation

LYTTON GARDENS COMMUNITY CARELicense 4307018642 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Case Management visit and met with Administrator (ADM) Anahi McKane. The purpose of the visit was to cite the facility for deficiencies related to an incident that occurred on 06/30/2024 around 8 PM and that the facility reported to the Department via SOC341 Suspected Adult/Elderly Abuse Form on 07/02/2024. On Sunday 06/30/2024 at 8 PM, staff S1 heard sounds coming from the living unit of resident R1 that sounded like R1's Private Duty Care Giver (PDCG1) was verbally abusing R1 and throwing around objects in R1's living unit. Staff S1 stood outside of R1's living unit and made video recordings that captured the sounds of PDCG1's voice while PDCG1 was verbally abusing R1 and the sounds of objects being thrown around in the living unit. The SOC341 stated that R1 reported to facility staff that PDCG1 hit R1 in the lower right leg. During visit on 07/22/2024, LPA Marrufo reviewed three video recordings that Administrator Anahi McKane stated R1 took while standing outside of R1's living unit while PDCG1 was inside. LPA Marrufo could hear the sound of someone yelling and cursing from inside R1's living unit. LPA Marrufo interviewed R1 during visit. R1 stated during interview that PDCG1 was yelling and cursing at R1 and hit R1 in the lower right leg. R1 stated that staff did not come into R1's living unit to stop PDCG1 from yelling at R1. During interview on 07/22/2024, Administrator (ADM) Anahi McKane stated that on 06/30/2024, R1 called ADM and reported the incident of PDCG1 verbally abusing R1 and of loud sounds coming from R1's living unit. ADM stated that R1 reported to ADM that after 8 PM, PDCG1 went on a work break. ADM stated that PDCG1 returned to R1's living unit after PDCG1's break and continued to provide care to R1 until 3PM on 08/01/2024. ADM stated on 07/22/2024 and stated to have not yet submitted an LIC624 Unusual Incident/Injury Report to the Department. Deficiencies were cited as per California Code of Regulations Title 22. See LIC809-D for more information.This report was reviewed with ADM Anahi McKane and a copy of this report and appeal rights were 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.

  • 87211(a)(1)(D)Type B

    87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (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 of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidenced by: Licensee did not ensure that a LIC624 Unusual Incident/Injury Report was submitted to CCL with 7 days of the incident involving resident R1's private duty care giver verbally and physically abusing R1 on 06/30/2024, which poses a potential safety risk to residents in care.

    Read full inspector narrative
  • 87468.1(a)(3)Type A

    87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement was not met as evidenced by: Licensee did not ensure that resident R1 was free from abuse and initimidation from R1's Private Duty Care Giver, which poses an immediate safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the July 29, 2024 inspection of LYTTON GARDENS COMMUNITY CARE?

This was a other inspection of LYTTON GARDENS COMMUNITY CARE on July 29, 2024. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to LYTTON GARDENS COMMUNITY CARE on July 29, 2024?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may ..."

What type of inspection was this?

This was a 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.