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Inspection visit

Incident investigation

HILLTOP SPRINGS SENIOR LIVINGLicense 455002932
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

On September 5, 2024 at approximately 09:00 AM, Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Hilltop Springs Senior Living for the purpose of conducting an Case Management-Incident Inspection. Upon arrival, LPA was greeted outside by Administrator, Keila O'Farrell and was granted access into the facility. During the Case Management-Incident Inspection, pertaining to the incident report dated for July 27, 2024, Administrator reported that Resident #1's Responsible Party was adamant of keeping the resident in Assisted Living instead of Memory Care when the resident moved in to the facility in May 2024. However, the Change of Condition happened when the resident walked passed the supermarket in late July 2024, and that is when the conversation of admitting the resident to Memory Care Unit. Administrator followed-up with the family multiple times and that the main priority was to keep the resident safe. Responsible Party agreed to place the resident in the Memory Care Unit after the elopement. On July 24, 2024, the facility reported that Resident #2 had a hip fracture while on hospice attempting to get up from the chair in the common area. The incident report reflects that the resident was last seen in the common area before the unwitnessed fall. Subsequently, resident got transferred to the hospital after the fall. Facility was conducting more frequent room checks when the resident returned back to the facility. Resident was on comfort care and was on hospice up until the discharge on August 9, 2024. On July 10, 2024, the facility reported that Resident #3 when the fall happened the resident was making the bed when the unwitnessed fall occurred. Resident fell, pressed pendent and was subsequently attended to by a staff member. No deficiencies were observed or cited during today's Case Management-Incident inspection. Exit interview was conducted and a copy of this signed report was given to the Administrator.

Citations

5 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.

  • 87465(a)(4)Type A

    87465(a)(4) Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:(4) The licensee shall assist residents with self-administered medications as needed.This requirement was not met as evidenced by: Based on a record review of a random sample of residents in care, the preponderance of evidence standard has been met regarding the facility mismanaging resident’s medications which presents an immediate health, safety and personal rights risk to the residents in care.

  • 87217(b)Type B

    87217(b) Safeguards for Resident Cash, Personal Property, and Valuables(b) Every facility shall take appropriate measures to safeguard residents’ cash resources, personal property and valuables which have been entrusted to the licensee or facility staff. The licensee shall give the residents receipts for all such articles or cash resources.This requirement was not met as evidenced by: Based on interviews that were conducted on August 7, 2024 with the Administrator, a pair of shoes went missing that could not be found and that the facility had to purchase new shoes for the resident in care which presents a potential health, safety and personal rights risk to the residents in care.

  • 87411(a)Type A

    87411(a) 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. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services.This requirement was not met as evidenced by: Based on record review of incident reports, LPA was able to identify two residents that eloped from the facility in April 22, 2024, which presents an immediate health, safety, and personal rights risk to the residents in care.

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  • 87355(a)Type A

    87355(a) Criminal Record Clearance:(a) The Department shall conduct a criminal record review of all individuals specified in Health and Safety Code section 1569.17 and shall have the authority to approve or deny a facility license, or employment, residence, or presence in the facility, based upon the results of such review.This requirement was not met as evidenced by: Based on an interview with the Administrator and a tour of the facility, the uncleared adult was just recently hired to work on the Independent Living side of the facility that is also connected to the Assisted Living side of the facility. LPA conducted a tour of the 1st floor of the facility on September 5, 2024 at approximately 09:00 AM and observed the uncleared staff member cooking food which is an immediate health, safety and personal rights risk to the residents in care.

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  • 87761(b)Type A

    87761(b) Penalties(b) Notwithstanding Section 87761(a) above, an immediate penalty of $100 per cited violation per day for a maximum of five (5) days shall be assessed if any individual required to be fingerprinted under Health and Safety Code Section 1569.17(b) has not obtained a California clearance or a criminal record exemption, requested a transfer of a criminal record clearance or requested and be approved for a transfer of an exemption as specified in Section 87355(e) prior to working, residing or volunteering in the facility. Civil Penalty assessed in the amount of $100.00.

FAQ · About this visit

Common questions about this visit

What happened during the September 5, 2024 inspection of HILLTOP SPRINGS SENIOR LIVING?

This was a other inspection of HILLTOP SPRINGS SENIOR LIVING on September 5, 2024. The inspection found no deficiencies and no citations were issued.

Were any citations issued to HILLTOP SPRINGS SENIOR LIVING on September 5, 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 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.