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Inspection visit

Complaint

EXCELSIOR HEALTHCARE CENTERLicense 4352027582 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Based on an interview conducted with the facility designated Administrator, Benellet Taa, it was learned that she did not know about the ongoing relationship that was taking place between R1 and S1. It was learned that she did not know about the marriage between R1 and S1 until it was announced to all facility personnel and residents by R1 that a decision had been made and that R1 had decided to move out with S1 back in July 2024. Based on an interview conducted with the facility designated Administrator, Benellet Taa, it was learned and admitted in her statements that she felt responsible for the relationship taking place and should have been more diligent in monitoring her staff and residents. It was learned that she admitted that the relationship should never have gained traction and that if she was more proactive in the day to day operations of this facility she might have been able to make some impact and could have possibly changed the outcome of this relationship in the end. It was learned that she admitted that the relationship should not have taken place and accepted responsibility that one of her staff members engaged in a relationship with a facility resident who was vulnerable and susceptible to not making the best decisions and could have been taken advantage of as a result. As a result of this investigation, this LPA found the allegation to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegation was valid because the preponderance of the evidence standard had been met. The following deficiencies were observed and cited on the following LIC 9099-D pursuant to Title 22 Rules and Regulations, Division 6 and Health and Safety Codes. Appeal rights were printed and a copy was given to the facility designated Administrator at this time. Exit Interview

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.

  • 87405(a)Type A

    Certified administrator requirements and substitute coverage

    All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be one and the same person. The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficientnumber of hours to permit adequate attention to the management and administration of the facility as specified in this section. When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications adequate to be responsible and accountable for management and administration of the facility as specified in this section. The Department may require that the administrator devote additional hours in the facility to fulfill his/her responsibilities when the need for such additional hours is substantiated by written documentation.This facility was found to be deficient as evidenced by this facility designated Administrator not being aware of a relationship developing between a facility resident and staff person which resulted in a marriage and eventual move out which posed an immediate threat to the Health, Safety, and Personal Rights to the residents in care.

    Read full inspector narrative
  • 87411(c)(3)(E)Type A

    All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69The training shall include, but not be limited to, the following: Psychosocial needs of the elderly, such as recreation, companionship, independence, etc.This facility was found to be deficient as evidenced by the allowance of a facility staff person engaging in a relationship with a facility resident requiring care and supervision which posed an immediate threat to the Health, Safety, and Personal Rights of all residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 8, 2025 inspection of EXCELSIOR HEALTHCARE CENTER?

This was a complaint inspection of EXCELSIOR HEALTHCARE CENTER on March 8, 2025. 2 citations were issued: 2 Type A (serious).

Were any citations issued to EXCELSIOR HEALTHCARE CENTER on March 8, 2025?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be o..."

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.

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.