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Inspection visit

Follow-up

VACAVILLE MEMORY CARELicense 4868036451 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 4/26/2024, LPA's Tobola & Mutialu arrived unannounced for the purpose of delivering complaint investigation findings and was greeted by Acting Administrator, Juliet McGranahan. On 1/6/2024, resident (R1) had sustained lacerations to their shoulder and arm after an unwitnessed fall located in the facility courtyard during evening hours. During the complaint investigation, LPA's found that although it was undetermined whether resident R1 had sustained a severe injury, the facility still failed to ensure R1 was provided adequate supervision resulting in R1 injured and found outside of their designated living quarters in facility courtyard. LPA's issued citation under Health & Safety Code "Enumerated Rights; Severability" 1569.269. Deficiency cited from the California Health & Safety Code, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties. Civil Penalty issued for a total of $250 for repeat violation.

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.

  • 1569.269Type A

    Enumerated rights; severability(a(6) - ..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 interviews with Administrator and a review of resident R1 medical and facility records, it was found that facility failed to ensure proper supervision resulting in R1 left unsupervised, causing unwitnessed fall and injury in the facility courtyard. This serves as an immediate health & safety risk to residents in care.

  • 87211(a)(1)Type B

    A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified.. This requirement was not met as evidence by:** Based upon review of facilityand CCLD records, it was found that the facility failed to properly complete and report an Unusual Incident Report LIC624 regarding resident R1 sustaining unwitnessed fall located in facility courtyard. This serves as a potential healthy and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 26, 2024 inspection of VACAVILLE MEMORY CARE?

This was a other inspection of VACAVILLE MEMORY CARE on April 26, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to VACAVILLE MEMORY CARE on April 26, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "Enumerated rights; severability(a(6) - ..To care, supervision, and services that meet their individual needs and are del..."

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.