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Inspection visit

complaint

ENSO VILLAGE, A KENDAL AFFILIATELicense 4968038202 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Continued from 9099... Facility is not providing a comfortable environment - Complaint alleges that facility elevators in all ten buildings are not operational. Additionally, residents are having issues with HVAC fans in their private rooms that run all the time and cannot be manually turned off, which allows cold air to flow in from outside. Per complaint, the HVAC system makes a loud whistle/whirring noise, causing some residents to not be able to sleep. Also, the thermostats in most rooms are not working or are too complex for residents to operate, resulting in residents not having heat in their rooms. Some were provided with temporary space heaters. LPA and LPM confirmed through the staff interviews on 12/29/2023 that the HVAC in Meadows building does have sound issues and that the problem was identified as being due to insufficient springs on the roof. It was communicated to CCL staff on 12/29/2023 that the HVAC springs are on order and the facility is waiting for the shipment to arrive. Per staff interview conducted today, the springs have not arrived and there is not estimated time of arrival for the springs. The sound issues have been present since the residents moved in. The temperature in residents units is a known issue. Per staff interview some units are still having issues with temperature, however the facility have provided space heaters for some and installed a more traditional heating thermostat to work in conjunction with existing thermostat, in order to mitigate thermostat error. Based on LPA and LPM observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation(s) is 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 and the Health and Safety Code. Appeal rights given and discussed with Licensee. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with Administrator and a copy of this report was given.

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.

  • 87303(a)Type B

    87303 Maintenance and Operation (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 requirement is not met as evidenced by: Based on CCL observation facility has accessible "bioswales" pools, some of which were not fenced. Other observed hazards include: construction debris and accessibility to: car barn, compactor and an area of the facility that collects water. This poses a potential risk to health and safety.

  • 87468.1(a)(2)Type B

    87468.1 Personal Rights of Residents in All Facilities (a)Residents in all RCFEs shall have all of the following personal rights: (2)To be accorded safe, healthful & comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Based on CCL interview with staff and observations, there are issues with heating and noise which poses a potential risk topersonal rights.

FAQ · About this visit

Common questions about this visit

What happened during the February 2, 2024 inspection of ENSO VILLAGE, A KENDAL AFFILIATE?

This was a complaint inspection of ENSO VILLAGE, A KENDAL AFFILIATE on February 2, 2024. 2 citations were issued: 2 Type B.

Were any citations issued to ENSO VILLAGE, A KENDAL AFFILIATE on February 2, 2024?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "87303 Maintenance and Operation (a)The facility shall be clean, safe, sanitary and in good repair at all times. Mainten..."

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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