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Inspection visit

Incident investigation

CLEARWATER AT SONOMA HILLSLicense 4968038602 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Dina Alviso conducted a Case Management-Incident inspection and met with Memory Care Director Jennie Ly, and Health & Wellness Director Patricia Lundgren. The inspection is being conducted to obtain more information, and review resident incident reports submitted by the facility to the Department. LPA reviewed seven (7) resident incident reports, and obtained more information as needed. The LPA found that three(3) of the residents received medications in error from staff-staff didn't provide medications as ordered by the Physician. This deficiency will be cited, Incidental Medical and Dental Care 87465(C)(2)- see LIC8099D. LPA found that an incident report of a meal provided to eight(8) memory care residents that had undercooked meat provided. Residents did consume the undercooked meat provided. Residents were monitored for any adverse reactions to eating the undercooked meat. This deficiency will be cited, 87555(b)(9)-see LIC809D. The following deficiency will be 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 with Health & Wellness Director,Patricia Lundgren.. Appeal Rights provided.

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.

  • 87555(b)(9)Type A

    87555 (b)(9) General Food Service-Requirements(b) The following food service requirements shall apply: (9)Procedures which protect the safety, acceptability and nutritive values of food shall be observed in food storage, preparation and service. This requirement was not met as evidenced by: LPA reviewed incident report of meat that was undercooked being served to memory care residents. Residents did consume the food. This is a health and safety risk to residents in care.

  • 87465(c)(2)Type A

    Incidental Medical & Dental Care 87465(c)(2) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: LPA reviewed incident report on resident medication errors, and interviewed staff- Three(3) residents received medications in error, medications were not provided as ordered by the Physician. This is a risk to residents Health & Safety. Civil Penalty assessed in the amount of $1000.

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FAQ · About this visit

Common questions about this visit

What happened during the October 27, 2022 inspection of CLEARWATER AT SONOMA HILLS?

This was a other inspection of CLEARWATER AT SONOMA HILLS on October 27, 2022. 2 citations were issued: 2 Type A (serious).

Were any citations issued to CLEARWATER AT SONOMA HILLS on October 27, 2022?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "87555 (b)(9) General Food Service-Requirements(b) The following food service requirements shall apply: (9)Procedures whi..."

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.