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Inspection visit

Routine inspection

COLLEGE MANORLicense 4307081504 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

LPA Audrey Jeung toured facility and grounds. There are 6 private client bedroom--2 with private half bathrooms--and 2 full bathrooms, as well as living room, family room, dining room, kitchen and staff room. All client rooms have direct exits to outside. The backyard is level, fenced and paved. Washer and dryer are located in one of two garages; the other garage is used by two live-in staff. No accessible bodies of water or fire safety hazards are observed. PPE supply is adequate. Medications, toxins and sharps are stored appropriately and inaccessible to clients, a comfortable temperature is maintained, and lighting is sufficient for comfort and safety. Soap and paper towels are present in bathrooms and kitchen sink. Toilet and bathing facilities are equipped with grab bars and nonskid flooring material. Hot water temperature tested at 118 degrees. First-aid kit is inspected and complete. A Disaster and Mass Casualty Plan is posted. There are 5 residents present, and 2 staff. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed, as well as valid first-aid training. Dominica Oliva (x 2/26) is a certified RCFE administrator that oversees facility operations. Client records are reviewed, and Centrally Stored Medications Records are maintained for clients' medications. Licensee is requested to submit the following information/forms by 6/4/25: - Designation of Facility Responsibility (LIC308) - Facility Floor Plan (with dimensions, including staff room designations and bathrooms) - Bedridden Plan of Operation - Proof of current Liability Insurance Deficiencies of the RCFE Regulations, California Code of Regulations, Title 22, Division 6, are cited on following pages. See also Technical Violations issued--2 pages.

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.

  • 87465(h)(6)Type A

    INCIDENTAL MEDICAL CARE(h)(6) A record of centrally stored Rx medications for each resident shall be maintained and include names of the resident for whom prescribed, prescribing physician and pharmacist, drug name, strength and quantity, dates filled, started & expiration, prescription number and instructions. This requirement is not met, as medications for client #2 are not recorded on Centrally Stored Medications Record, which poses an immediate health, safety or personal rights risk to clients in care. Licensee failed to ensure that all client medications are logged in CSMR.

  • 87555(b)(26)Type B

    GENERAL FOOD SERVICESupplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises.This requirment is not met, as there is not eough canned fruit and vegetables for 7 day supply. Licensee failed to maintain 7-day supply of canned fruits and vegetables, which poses a potetial health, safety or personal rights risk to clients in care.

  • 87608(a)(3)Type B

    POSTURAL SUPPORTSA written order from a physician indicating the need for the postural support shall be maintained in the resident’s record.This requirement was not met, as there are no MD orders on file for half bed rails for clients #1, #2, #3, #4. Licensee failed to maintain MD orders for half bed rails, which poses a potential health, safety or personal rights risk to clients in care.

  • 87608(a)(5)(B)Type A

    POSTURAL SUPPORTSBed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails.This requirement was not met, as there are 2 full bed rails used for clients #3 and #4, which poses an immediate health, safety or personal rights risk to clients in care. Licensee failed to prohibit the use of full bed rails.

FAQ · About this visit

Common questions about this visit

What happened during the May 21, 2025 inspection of COLLEGE MANOR?

This was a inspection inspection of COLLEGE MANOR on May 21, 2025. 4 citations were issued: 2 Type A (serious) and 2 Type B.

Were any citations issued to COLLEGE MANOR on May 21, 2025?

Yes, 4 citations were issued (2 Type A, 2 Type B). The first citation was for: "INCIDENTAL MEDICAL CARE(h)(6) A record of centrally stored Rx medications for each resident shall be maintained and inc..."

What type of inspection was this?

This was a inspection inspection. 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.