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Inspection visit

Follow-up on corrections

VALLEY PINESLicense 4307023522 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct an unannounced case management – deficiencies. LPA met with Licensees Carolyn and James Heinan. On 09/16/2024, LPA Dolores arrived to the facility to open the initial complaint investigations for complaint control numbers 26-AS-20240910121029 and 26-AS-20240912155005. During the complaint investigations, Title 22 violations were observed. On 09/16/2024, LPA Dolores was informed of a resident (R1) who passed away in March 2024. LPA Dolores reviewed the facility’s file and did not observe an incident report and death report was received by the licensing department. Licensee produced the incident report from R1's file from March 2024 stating R1 was sent to the hospital. Licensee was unable to produce documentation to show the incident report or death report was submitted to the licensing department. On 09/16/2024, LPA Dolores obtained records for 2 complaint investigations. Based on interview, the Licensee's observed resident (R2) had a change of condition from ambulatory to bedridden. It was stated that the resident also required a two-person assist during transfers. The review of R2’s records show the physician’s report was last updated on 09/16/2022, which does not indicate the change of condition and updated ambulatory status. R2’s appraisal/needs and services plan was last developed during admission on 09/18/2022. PAGE 1 OF 2. The Licensee updated R2's appraisal/needs and services plan on 09/10/2024 stating the resident is bedridden, but the appraisal/needs and services plan was not reviewed and acknowledged by R2 and/or R2's responsible party. There was also no indication that R2 required a two-person assist. Deficiencies are being cited per California Code of Regulations, Title 22. See LIC809D. This report was reviewed with Licensees Carolyn and James Heinan and a copy of the report and appeal rights were provided. PAGE 2 OF 2.

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.

  • 87505Type B

    Each facility shall document in writing the findings of the pre-admission appraisal and any reappraisal or assessment which was necessary in accordance with Sections 87457, Pre-admission Appraisal, and 87463, Reappraisals. If supporting documentation from a physician is required, this input shall also be obtained and may be the same assessment as required in Section 87458, Medical Assessment. This requirement is not met as evidenced by: Based on interview, record review and observation the licensee did not ensure to update R2's reappraisal and physician's report upon a change on condition based on the licensee's observations which poses a potential health, safety and personal rights risk to persons in care.

  • 87211(a)Type B

    (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. This requirement is not met as evidenced by: Based on interview, record review, and observation the licensee did not ensure to submit a written incident report and death report to the licensing Department for R1 during an incident that occurred in March 2024 which poses a potential health, safety and personal rights risk to persons in care.

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FAQ · About this visit

Common questions about this visit

What happened during the September 24, 2024 inspection of VALLEY PINES?

This was a other inspection of VALLEY PINES on September 24, 2024. 2 citations were issued: 2 Type B.

Were any citations issued to VALLEY PINES on September 24, 2024?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "Each facility shall document in writing the findings of the pre-admission appraisal and any reappraisal or assessment wh..."

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.