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Inspection visit

Incident investigation

TERRACES OF LOS GATOS, THELicense 4307088176 citations on this visit
6 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Simi Rai and Licensing Program Manager (LPM) Romeo Manzano conducted a case management visit due to additional information received regarding a complaint the Department received 4/4/2023. During today's visit, LPA and LPMs met with R1 at his/her apartment in the Independent Living Unit. R1 was interviewed and also observed. R1 is dependent on all aspects of his/her daily living except making decision and still able to fed himself/herself. R1 has mild neurocognitve disorder. LPA and LPM obtained R1's records to include Physician Reports, Appraisal/ Needs and Services Plan. LPA and LPM obtained PC 1 and PC2's records available at the facility. R1 hired a private caregivers 24/7 who provide bath, prepare his/her breakfast, laundry and housekeeping. R1 is not conserved but his/her son has a power of attorney when R1s become incapacitated. Facility will obtain criminal record clearance and additional paperwork for private caregivers working with R1. Deficiencies are being cited. See LIC 809-D. A civil penalty is being assessed for the amount of $500 ($100 per day x 5 days = $500) for staff (S1), $500 ($100 per day x 5 days = $500) for staff (S2), $500 ($100 per day x 5 days = $500) for staff (S3) working at the facility without criminal record clearance, for a total of $1500. Please see LIC 421BG. Exit interview conducted with Director of Resident Services, Sandra Mirasol. This report was reviewed with and a signed copy was provided. Appeal Rights was provided.

Citations

6 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.

  • 1569.17(b)(2)(D)Type A

    (D) A third-party contractor or other business professional retained by the client and at the facility at the request or by the permission of that client. These individuals may not be left alone with other clients.This requirement is not met as evidenced by: Based on record review and interview, R1's private caregivers S1, S2, S3 were left alone in R1's room and had access to the facility and left unattended which poses a potential Health, Safety, or Personal Rights risk to persons in care.

  • 87355(e)Type A

    87355 Criminal Record Clearance: (e) All individuals subject to a criminal record review ... shall prior to working, residing or volunteering in a licensed facility. (1) Obtain a California clearance or a criminal record exception....This requirement is not met as evidenced by: Based on interview and observation, S1, S2, and S3 worked for R1 and reside at R1's apartment without a criminal background clearance which poses a potential Health, Safety, or Personal Rights risk to persons in care.

  • 87405(b)Type A

    (b)The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply.This requirement is not met as evidenced by: Based on interview with Wellness Director and Independent Living Director of Resident Services failed to do any detailed followup on the financial abuse and completed an assessment on R1 which poses an immediate Health, Safety, or Personal Rights risk to persons in care

  • 87466Type A

    Observation of the resident: The licensee shall ensure that residents are regularly observed for changes ...and that appropriate assistance is provided when such observation reveals unmet needs. This requirement is not met as evidenced by: Based on record review and interview, R1 is bedridden with contractures, incontinent (bowel and bladder), unabe to care for self including medication management due to neurocognitve disorder which requiring needs care and supervision which poses an immediate Health, Safety, or Personal Rights risk to persons in care.

  • 87606(c)Type A

    87606 Care of Bedridden Residents: (c) To accept or retain a bedridden person, other than for a temporary illness or recovery from surgery, a facility shall obtain and maintain an appropriate fire clearance as specified in Section 87202(a). This requirement is not met as evidenced by: Based on interview, observation and record review, R1 is bedridden per physician's report and the room in whcih resident currently resides in does not have a bedridden clearance from Fire Department poses an immediate Health, Safety, or Personal Rights risk to persons in care

  • 87616(a)Type B

    Exception for Health Conditions: (a) ...the licensee may submit a written exception request if he/she agrees that the resident has a prohibited and/or restrictive health condition but believes that the intent of the law can be met through alternative means. This requirement is not met as evidenced by: Based on observation and record review, the IL director did not submit an exception request for R1’s suprapubic catheter which poses a potential Health, Safety, or Personal Rights risk to persons in care

FAQ · About this visit

Common questions about this visit

What happened during the July 11, 2023 inspection of TERRACES OF LOS GATOS, THE?

This was a other inspection of TERRACES OF LOS GATOS, THE on July 11, 2023. 6 citations were issued: 5 Type A (serious) and 1 Type B.

Were any citations issued to TERRACES OF LOS GATOS, THE on July 11, 2023?

Yes, 6 citations were issued (5 Type A, 1 Type B). The first citation was for: "(D) A third-party contractor or other business professional retained by the client and at the facility at the request or..."

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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