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Inspection visit

complaint

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

Inspector’s narrative

What the inspector wrote

These deficiencies will be cited, see the following: 87465 (h)(2) Incidental Medical & Dental Care-The following requirements shall apply to medications which are centrally stored: Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication, see LIC9099D 87468.2(a)(2) Additional Personal Rights of Residents in Privately Operated Facilities- To have their records and personal information remain confidential and to approve their release, except as authorized by law, see LIC9099D Based on resident record reviews, staff interviews, photo, information obtained from interview(s) with other parties, the allegations of "facility staff mismanaged residents' medications, and resident's medication information was not kept confidential" are Substantiated. The preponderance of evidence standard has been met, therefore the allegations are found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), is being cited. Failure to correct deficiencies by due dates, may result in additional deficiency citations and/or civil penalties being assessed. Appeal Rights Given. Exit interview conducted with the Administrator Janna O'Sullivan.

Citations

3 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.

  • 87465(h)(2)Type A

    87465 (h)(2) Incidental Medical & Dental Care- Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement was not met as evidenced by: LPA's record reviews, and interviews, R1 had a prescription medication go out of the community with R2's medications who had moved out of the facility. R2's responsible party contacted the facility and returned R1's medication. The medication was not kept secured and inaccessible to all others that don't and/or shouldn't have access to the medications. This is an immediate risk to the health and safety of residents in care, and a risk to residents personal rights.

  • 87468.2(A)(2)Type A

    87468.2(a)(2) Additional Personal Rights of Residents in Privately Operated Facilities- To have their records and personal information remain confidential and to approve their release, except as authorized by law. This requirement was not met as evidenced by: R1 had a prescription medication go out of the community with another resident's, R2, medications who had moved out of the facility. R1's identification, their medication pills, name and medication information, was not kept confidential as required. This is an immediate risk to residents health and safety, and to resident's personal rights.

  • 87211(a)(1)Type B

    87211(a)(1) Reporting Requirements-A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below.This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case, This requirement was not met as evidenced by: LPA's investigation finding that a resident's (R1) medication had not been centrally stored as required, and had been sent out of the community with another resident's medications during the discharge of R2. This is a potential risk to residents personal rights.

FAQ · About this visit

Common questions about this visit

What happened during the December 20, 2023 inspection of CLEARWATER AT SONOMA HILLS?

This was a complaint inspection of CLEARWATER AT SONOMA HILLS on December 20, 2023. 2 citations were issued: 2 Type A (serious).

Were any citations issued to CLEARWATER AT SONOMA HILLS on December 20, 2023?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "87465 (h)(2) Incidental Medical & Dental Care- Centrally stored medicines shall be kept in a safe and locked place that ..."

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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