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Inspection visit

Incident investigation

LINCOLN GLEN ASSISTED LIVING CENTERLicense 4352009412 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced case management visit in regards to an incident report the department received on 8/24/2023. LPA met with Administrator (ADM) Diane Eldridge and explained the purpose of the visit. On 08/24/2023, the department received an incident report stating the resident R1 had eloped from the facility. The incident report stated the following; the elopement occurred on 08/23/2023. The search initiated immediately. Staff searched all the rooms, other building, and the surrounding area but could not find R1. Facility staff notified the police. A citizen had found the resident and notified the police. The police then notified the facility and a staff member picked up R1. The form also states an urgent work order was placed that morning to fix the alarm so it transmits to the radios the aids carry. The form also states the resident has not wandered before and is now on 15 minute checks and has been added to the elopement risk list. Based on a review of R1's physicians report, R1 has dementia and cannot leave the facility unassisted. Based on an interview with staff, S1. R1 had left the facility around 7:30pm. S1 stated the staff check the surrounding shopping centers but were unable to locate R1, so they contacted the police. Based on record review, on 08/23/2023, at approximately 8:35pm, R1 was found by a citizen. Deficiencies were cited from California Code of Regulations, Title 22 during today’s visit, see LIC 809-D. This report was reviewed with Administrator Diane Elbridge and a copy of the report was provided. Appeal Rights was provided.

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.

  • 87705(c)(5)Type B

    Based on record review and interview, the ADM did not comply with the section cited above. R1's physicians report is dated 07/06/2022. ADM stated his/her next doctors appointment is next month. This poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87705(c)(6)Type B

    Based on record review and interview, the ADM did not comply with the section cited above. ADM stated R1 recently had a change in care, 15 minute checks and being added to elopement risk list. This change in care was not reflected on R1's needs and services plan, dated 10/18/2022. This poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87303(a)Type B

    Maintain facility in clean, safe, sanitary condition

    87303 Maintenance and Operation (a) The facility shall be... in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents...This requirement was not met as evidenced by; Based on record review and interview, the ADM did not ensure the delay egress alarm was functioning and in good repair at all times. This poses a potential health and safety risk to persons in care.

  • 87705(k)(4)Type A

    (k) The following initial and continuing requirements must be met for the licensee to utilize delayed egress devices ... (4)Without violating Section 87468, Personal Rights, facility staff shall attempt to redirect a resident who attempts to leave the facility.This requirement is not met as evidence by: Based on interview and record review, the ADM did not ensure facility staff attempted to redirect resident (R1) from leaving the facility unassisted which poses an immediate Health and Safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 22, 2023 inspection of LINCOLN GLEN ASSISTED LIVING CENTER?

This was an other inspection of LINCOLN GLEN ASSISTED LIVING CENTER on September 22, 2023. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to LINCOLN GLEN ASSISTED LIVING CENTER on September 22, 2023?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "Based on record review and interview, the ADM did not comply with the section cited above. R1's physicians report is dat..."

What type of inspection was this?

This was an 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.