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Inspection visit

Routine inspection (multi-day)

SPRINGFIELD PLACELicense 4968007991 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

License Program Analyst's (LPA) Shannan Hansen arrived at 8:30 AM to complete an unannounced annual inspection and met with Stacy Vermeulen, Administrator. There is a total of 75 residents, with 2 on hospice. LPA conducted a sample review of five staff records at 9:00 AM on 10/5/2023 and learned that all facility staff and other individuals who require caregiver background checks have received criminal record clearances or exemptions. In addition, Direct care staff have received the additional training requirements as per Title 22 Regulations and H&S Code. LPA was presented with proof of CPR & 1st Aid certification; although 1 of 3 staff requiring 1st Aid certification was expired (see LIC809-D). Disaster Drills have been conducted quarterly in different shifts with the last one being conducted on 9/22/2023. For disaster preparedness facility has secured underground cables to connect to contracted generator placed in back of facility for fire season, 3 months out of the year. Stacy Vermeulen Administrator Certificate # 6059049740 provided proof pending. LPA reviewed staff records, centrally stored medication record, and conducted staff interviews to complete this annual inspection. LPA Hansen is requesting Licensee to update and submit the following documents to the SRRO by 10/22/2023: LIC 308 Designation of Facility Responsibility LIC 500 Personnel Record Copy of Administrator Certificate Proof of Liability Insurance Continue on LIC809-C The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. 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

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(c)(1)Type B

    First aid training requirements

    Based on LPA's observation and record review, one out of five staff lacked required first aid certification, the licensee did not comply with the section cited above in one out of five staff which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 5, 2023 inspection of SPRINGFIELD PLACE?

This was an other inspection of SPRINGFIELD PLACE on October 5, 2023. 1 citation were issued: 1 Type B.

Were any citations issued to SPRINGFIELD PLACE on October 5, 2023?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Based on LPA's observation and record review, one out of five staff lacked required first aid certification, the license..."

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.