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Inspection visit

complaint

VACAVILLE MEMORY CARELicense 4868036454 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

Staff failed to keep facility clean, safe, and sanitary. Based on a tour of the facility, photo evidence and LPA observations, it was found that resident living areas are not properly cleaned or maintained. LPA observed urine on resident bedroom floor next to bed and commode. Urine was observed on multiple resident communal toilet seats uncleaned by staff (photos taken). In addition, LPA received photo evidence of feces on the floor of resident living areas and on resident toilet seats. Complaint alleges residents hygiene needs are not being met. Based on interview with home health agency staff (H1) it was indicated that staff had left resident (R2) soiled on multiple occasions. In addition, LPA received photo of evidence of several instances where resident (R1) was left in urine soiled clothing while resident common areas. Allegations, staff did not properly manage residents medications, staff failed to keep facility clean, safe, and sanitary & residents hygiene needs are not being met are found to be SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided.

Citations

4 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

    The licensee shall assist residents with self administered medications as needed. This requirement was not met as evidence by:**Based on review of Omnicare Pharmacy medication audit conducted 12/20/2023 and interview with Omnicare Nurse (N1) it was found that staff (S2) was observed inappropriately administering medications directly into residents' mouths/tongue when staff are to only provide assistance with self-administering. This serves as an immediate health & safety risk to residents in care.

  • 87465(i)Type B

    Prescription medications which are not taken with the resident upon termination of services, not returned to the issuing pharmacy, nor retained in the facility as ordered by the resident’s physician and documented in the resident’s record nor disposed of according to the hospice’s established procedures or which are otherwise to be disposed of shall be destroyed in the facility by the facility administrator and one other adult who is not a resident. Both shall sign a record, to be retained for at least three years, which lists the following: This was not met as evidence by:** Based on Omnicare Pharmacy audit it was found that the facility staff have not properly processed or disposed of several expired medication. This serves as potential health & safety risk.

  • 87464(f)Type A

    87464(f) - Basic services shall at a minimum include care and supervision as described in Health and Safety Code section 1569.2(c). These requirements were not met as evidenced by:**Based on interview with home health agency (H1) it was found that H1 had observed resident R2 left in soiled continence care on multiple occasions. In addition, based on photo evidence, resident R1 was observed to be left in soiled clothing on multiple occasions. This serves as an immediate health & safety and personal rights risk to residents in care.

  • 87393(a)Type B

    87303(a)-The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This was not met as evidence by:** Based on tour of the facility, LPA observation and photo evidence it was found that the facility was not in safe or sanitary condition. Urine was observed uncleaned on resident bedroom floors, bathrooms as well as photo evidence indicating feces in common areas. This serves as a potential health & safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the December 20, 2023 inspection of VACAVILLE MEMORY CARE?

This was a complaint inspection of VACAVILLE MEMORY CARE on December 20, 2023. 4 citations were issued: 2 Type A (serious) and 2 Type B.

Were any citations issued to VACAVILLE MEMORY CARE on December 20, 2023?

Yes, 4 citations were issued (2 Type A, 2 Type B). The first citation was for: "The licensee shall assist residents with self administered medications as needed. This requirement was not met as eviden..."

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.