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Inspection visit

Routine inspection (multi-day)

FAMILY SENIOR CARE HOME ILicense 4352028762 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Simi Rai arrived unannounced to conduct a continuation of the annual inspection from 1/27/2024. LPA Rai met with Administrator (ADM) Elizabeth Bautista and stated the purpose of today's visit. LPA Rai observed 2 staff, including ADM and 4 residents at the facility. On 1/27/2024, LPA Rai reviewed resident (R1)'s Centrally Stored Medication log and R1's medications. LPA Rai observed discrepancy in R1's medication administration record (MAR) for January 2024. 2 Of 13 medications were not administered to R1 as per physician's orders. LPA Rai and S1 counted medication #5 and 2 tablets were not administered to R1. LPA Rai and S1 counted medication #6 and 0.5 tablet was not administered to R1. Based on R1's MAR, R1 did not refuse medication and R1 was not admitted to the hospital after the medication bottles were opened. During visit, LPA Rai reviewed facility records for 2 staff and 2 residents. During review of 2 of 2 resident files (R1-R2), files did not contain weight log observing resident's weight. ADM stated the facilty is not monitoring resident's weight. Based on record review, R1 has been admitted to the facility for 6 months and did not have any recorded weight log. ADM understood if the resident was not able to use weight machine to record weight, ADM can measure resident's arm and note under observation. Deficiencies were cited from California Code of Regulations, Title 22 during today’s visit, see LIC 809-D. 87411 Personnel Requirements - General is being cited during today's visit. LPA Rai would like to clarify the facility personnel being in sufficient in numbers is not the concern, however the facility personnel's actions and documentation are observed to be not competent to provide the services necessary to meet the resident's needs. Deficiencies were cited per California Code of Regulations, Title 22, please see LIC 809-D. Technical Violation was given. This report was reviewed with Administrator (ADM) Elizabeth Bautista. A copy of the report and Appeal Rights were provided.

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.

  • 87207Type A

    Prohibit false or misleading facility statements

    87207 False Claims No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility.This requirement is not met as evidenced by: Based on record review, interview and observation, R1's MARs noted medications were given to R1 but medication was not administered based on medications counted in bottle which poses an immediate Health, Safety, or Personal Rights risk to persons in care.

  • 87411(a)Type A

    Facility personnel sufficiency and competence

    87411 Personnel Requirements - General(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.This requirement is not met as evidenced by: Based on record review, interview and observation R1's 2 out of 13 meds not administered to R1 as prescribed by the R1's physician which poses an immediate Health, Safety, or Personal Rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 30, 2024 inspection of FAMILY SENIOR CARE HOME I?

This was an other inspection of FAMILY SENIOR CARE HOME I on January 30, 2024. 2 citations were issued: 2 Type A (serious).

Were any citations issued to FAMILY SENIOR CARE HOME I on January 30, 2024?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "87207 False Claims No licensee, officer or employee of a licensee shall make or disseminate any false or misleading stat..."

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.