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Inspection visit

complaint

BETSY'S II RCFELicense 4968020524 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

Continued from LIC9099 Staff does not ensure facility is free of pests and rodents – Complaint alleges that facility has a rat, cockroach, spider and bed bug infestation resulting in residents and staff getting bed bug bites on them. LPA was able to confirm through interviews and observation that facility has insects inside of the facility but was not able to identify the type of insects. Facility has routine service by a vendor but it is unclear if they conduct treatment inside the facility. Staff is mismanaging resident's medication logs – Complaint alleges that medication is prepared a week in advance and that medications are not logged correctly. Per interview and LPA observation, medications are being prepared in advance, however, it does not appear that medications are being poured a week in advance. Review of the Centrally Stored Medication Log revealed that staff had input incorrect information including medication fill date, dosage amount and prescribing doctor. Based on LPA observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) are found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D. Deficiencies cited from the California Code of Regulations, 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.

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.

  • 87411(c)Type A

    87411 Personnel Requirements - General (c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69. This requirement was not met based on record reviews showing that staff was not trained per regulation. This is an immediate risk to the Health and Safety of residents in care.

  • 87465(6)Type B

    87465 Incidental Medical and Dental Care (6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident... includes:(A)The name of the resident for whom prescribed. (B) The name of the prescribing physician., (C) The drug name, strength and quantity., (D) The date filled., (E) The prescription number and the name of the issuing pharmacy., (F) Instructions, if any, regarding control and custody of the medication.

  • 87465(h)(5)Type B

    87465 Incidental Medical and Dental Care(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not met as evidenced by:based on observation and interview facility is pre-pouring medication.

  • 87307(d)(2)Type A

    87307 Personal Accommodations and Services (d) The following space and safety provisions shall apply to all facilities: (2) The premises shall be maintained in a state of good repair and shall provide a safe and healthful environment. This requirement was not med based on interview and observation showing that facility has insects inside the facility. This is an immediate risk to the health and safety of residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 10, 2023 inspection of BETSY'S II RCFE?

This was a complaint inspection of BETSY'S II RCFE on October 10, 2023. 4 citations were issued: 2 Type A (serious) and 2 Type B.

Were any citations issued to BETSY'S II RCFE on October 10, 2023?

Yes, 4 citations were issued (2 Type A, 2 Type B). The first citation was for: "87411 Personnel Requirements - General (c) All RCFE staff who assist residents with personal activities of daily living ..."

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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