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Inspection visit

complaint

VACAVILLE MEMORY CARELicense 4868036451 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Based on interviews with Reporting Party, and multiple outside parties (I2, I3 & I4) LPA found statements to be consistent with observations regarding resident R1 being left in soiled continence care products. In addition, (I4) indicated concerns of R1 being left in bed a majority of the time while in the facility, with staff not properly equipped to use hoyer lift for R1's mobility and repositioning. I4 also stated having observed a lack of repositioning, encouraging mobility and continence care not properly provided, resulting in R1 developing additional pressure sore while under the facility's care. Allegation, neglect/lack of supervision of resident's incontinence care resulting in pressure injury is 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. This is an amendment of the original report to indicate civil penalty language and amount correction** LPA issued Civil Penalty at a total amount of $250 for repeat violation within a 12 month period for regulation 1569.625(b)(2).

Citations

3 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.

  • 1569.269Type A

    Enumerated rights; severability-To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs.This was not met as evidence by: Based on observation, records review & interviews, the licensee did not comply with the section cited above involving resident R1's needs not being met resulting in development of pressure sore while under facility care which poses an immediate health & safety risk to persons in care.

  • 87217(b)Type B

    Safeguards for Resident Cash, Personal Property and Valuables: Every facility shall take appropriate measures to safeguard residents' cash resources, personal property and valuables.. This was not met as evidence by: Based on interviews with multiple staff, LPA received consistent information regarding resident clothing being shared amongst each other due to inaccessible clothing (soiled or requiring replacement). This serves as a potential personal rights risk to residents in care.

  • 87411(a)Type B

    87411 (a)Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs...This was not met as evidence by: Based on photo evidence and interviews with multiple staff, LPA found that caregiving staff have been witnessed to be asleep during their shifts which serves as a potential health & safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 24, 2024 inspection of VACAVILLE MEMORY CARE?

This was a complaint inspection of VACAVILLE MEMORY CARE on January 24, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to VACAVILLE MEMORY CARE on January 24, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "Enumerated rights; severability-To care, supervision, and services that meet their individual needs and are delivered by..."

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.