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Inspection visit

Incident investigation

SUNSHINE VILLA ASSISTED LIVING AND MEMORY CARELicense 4452027561 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced case management - Incident visit and met with General Manger (GM) Candi Bolin and Health Services Director (HSD) Daris Duong. LPA addressed the purpose of today's visit to GM and HSD. On 10/06/2023, the Department received a notice from the facility that a resident (R1) left the facility without notice on 10/01/2023. R1 was brought back to the facility by the spouse on the same day. LPA interviewed 3 staff (HSD, S1, S2). LPA toured R1's bedroom with HSD, R1 was took out with R1's spouse at 9:30AM today. LPA reviewed documents with HSD. Deficiencies were noted today. LIC809-D was provided. Exit interview was conducted with GM and HSD. The reports were provided to GM and HSD for signature. A copy of the reports was provided to GM and HSD.

Citations

1 citation 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.

  • 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 was not met as evidenced: Based on the interviews and documents reviewed, resident R1 left the facility without notice, and R1 was brought back to the facility after 6:00PM on the same day.

FAQ · About this visit

Common questions about this visit

What happened during the October 24, 2023 inspection of SUNSHINE VILLA ASSISTED LIVING AND MEMORY CARE?

This was an other inspection of SUNSHINE VILLA ASSISTED LIVING AND MEMORY CARE on October 24, 2023. 1 citation were issued: 1 Type A (serious).

Were any citations issued to SUNSHINE VILLA ASSISTED LIVING AND MEMORY CARE on October 24, 2023?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87411 Personnel Requirements - General(a) Facility personnel shall at all times be sufficient in numbers, and competent ..."

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.