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Inspection visit

Complaint

Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

Page 2 of 3. Staff are not ensuring resident’s oral hygiene needs are met. On 2/15/2024, LPA Rai interviewed 3 staff, including staff (S1) who was the primary caregiver for R1. One staff (S3) did not provide direct care to R1. Two out of two staff stated the facility staff provided oral care to resident every morning and R1 did not have any issues, pain or redness related to R1’s mouth, gums, or jaws. Two out of two staff stated R1’s responsible party would make arrangements for dentist appointments. Based on review of R1’s Physician’s Report dated 4/12/2023, R1 does not wear dentures and does not have special diet. R1 is able to feed himself/herself. R1 is not able to groom himself/herself. Based on review of R1’s Progress Note on 2/1/2023, staff did not note any issues related to oral care or resident refusing oral care. Staff are not ensuring resident is repositioned every two hours. On 2/15/2024, LPA Rai interviewed 3 staff, including staff (S1) who was the primary caregiver for R1. One staff (S3) did not have direct care experience with R1. Two out of two staff stated R1 was observed in the morning of 2/3/2024 before going to the hospital and R1 did not have any bruising or wounds on the buttocks. Two out of two staff stated R1 was able to reposition himself/herself and needed assistance to transfer. Two out of two staff stated the facility staff would assist R1 in sitting in the dining room or living room. S1 stated R1 would be repositioned every two hours or even sooner depending on if R1 wanted to go to dining room or living room. Page 3 of 3. Based on review of R1’s Physician’s Report dated 4/12/2023, R1 does not require continuous bed care. R1 does not have a history of skin condition or breakdown. Based on the interviews conducted with clients and staff and based on observation and records review, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the above allegations did or did not occur, therefore the allegations are UNSUBSTANTIATED. No deficiencies cited from California Code of Regulations, Title 22. Exit interview conducted with Lead Caregiver Rosalia (Rose) Calungcagin and a copy of the report was provided.

Citations

7 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.

  • 87202(a)Type A

    Maintain fire clearance before retaining specified persons

    87202 (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal.This requirement is not met as evidenced by: Based on observation, LPAs observed a mattress and S2's medications in the office area. S1 and S2 stated S2 is a live-in staff and uses the office area as a bedroom which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.

  • 87412(a)Type B

    Maintain required personnel records for staff

    87412 Personnel Records(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee.This requirement was not met as evidenced by: Based on record review, 1 out of 2 staff files was incomplete and did not contain Statement of Acknowledging Requirement to Report Suspected Abuse of Dependent Adults and Elders which poses/posed an potential Health, Safety, or Personal Rights risk to persons in care.

  • Store centrally held medications in locked secure place

    87465 (h)(2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Based on observation, LPAs observed R1's medication was placed in small container in a cabinet which did not have locking capability which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.

  • Food quality controls and rejected damaged goods

    87555 (b)(8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. This requirement is not met as evidenced by: Based on observation, Licensee did not ensure food stored at the facility were not expired wherein LPA Rai observed 4 out of 10 canned foods and packaged food were expired which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.

  • 87608(a)(5)(B)Type A

    87608 Postural Supports(a)(5)(B) Bed 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 is not met as evidenced by: Based on observation, LPAs observed resident R2 using a full bed rail and S1 confirmed R2 was not on hospice services which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.

  • Notify agency before locking doors or gates

    87705 Care of Persons with Dementia(f) The following shall be stored inaccessible to residents with dementia:(1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s).This requirement is not met as evidenced by: Based on observation, Licensee did not ensure multiple knives were stored inaccessible to residents which LPAs observed in the kitchen, bathroom, garage and backyard which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.

  • Fire approval and staff access to unlock systems

    87705(f)(2) Over-the-counter medication, nutritional supplements or vitamins, alcohol ... and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants.This requirement is not met as evidenced by: Based on observation, Licensee did not ensure over-the-counter medication, supplements/vitamins, toxic substances, gardening supplies were stored inaccessible to residents with Dementia in staff room, backyard, office and bathroom which poses/posed an immediate Health, Safety,

FAQ · About this visit

Common questions about this visit

What happened during the September 24, 2024 inspection of PRUNERIDGE RESIDENTIAL CARE HOME?

This was a complaint inspection of PRUNERIDGE RESIDENTIAL CARE HOME on September 24, 2024. The inspection found no deficiencies and no citations were issued.

Were any citations issued to PRUNERIDGE RESIDENTIAL CARE HOME on September 24, 2024?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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