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Inspection visit

complaint

ENSO VILLAGE, A KENDAL AFFILIATELicense 4968038201 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

continued from 9099... During 2/2/2024 visit, CCL staff toured rooms located on the 2nd floor in the G wing which were not fire cleared. CCL observed items such as an opened sleeping bag on top of tri-fold mattress which appeared slept in, medications including over the counter prescriptions, a weekly pill organizer with pills present, toothbrushes, toothpaste, tongue scraper, mouthwash, body wash, shampoo and shower squeegee as well as refrigerator stocked with perishable food and waste baskets full of perishable food waste. CEO, Rosemary Jordan, indicated that items such as toothpaste were used for good daytime oral hygiene and mattresses used for a brief rest during the hours of 8am-5pm. Per letter received by CCL on 2/26/2024 from facility a resident was confirmed in their unit after 9:00pm but facility considers it an isolated incident. Based on 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 VP of Operations and a copy of this report was given.

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.

  • 87203Type B

    87203 Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic.This requirement is not met as eveidence by: Based on observation and review of photo, the licensee did not meet this requirement by resident being observed in a non fire cleared room after the hours designated by the Fire Dept. This is a potential risk to health and safety of residents.

FAQ · About this visit

Common questions about this visit

What happened during the March 6, 2024 inspection of ENSO VILLAGE, A KENDAL AFFILIATE?

This was a complaint inspection of ENSO VILLAGE, A KENDAL AFFILIATE on March 6, 2024. 1 citation were issued: 1 Type B.

Were any citations issued to ENSO VILLAGE, A KENDAL AFFILIATE on March 6, 2024?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87203 Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marsha..."

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.