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Inspection visit

Complaint

PINE RIDGE TERRACELicense 4968042801 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Per investigation and interviews, the resident/R1 photos are found to be personal, confidential, humiliating, and violate R1’s personal rights. LPA has copies of photos for the file. Per review of records, S3 was being written up by administration staff, for resident privacy and dignity violations of R1, as well as for a HIPPA violation; There was sufficient information obtained in the investigation to support a violation had occurred. Based on record reviews, obtained photos, staff interviews, and interviews with other related parties, the allegation "staff violated resident's personal rights" is substantiated. Deficiency will be cited, 87468.2(a)(1)(3) Additional Personal Rights of Residents in Privately Operated Facilities- Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded dignity in their personal relationships with staff, residents, and other persons. To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, see LIC9099D. The preponderance of evidence standard has been met, therefore the allegation is 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 provided with report. Exit interview conducted with Cheyenne Flores, LVN/Health Services Director. LPA was not able to obtain any supporting information of inappropriate comments being made by staff to resident/R1 and/or information of staff not providing incontinent care and violating resident rights with incontinent care services. There was no specific date and/or time of incidents of alleged violations that was able to be provided. LPA discussed and reviewed regulations with the Administrator regarding, personal rights of residents in care, and required training for all direct care staff. No information was obtained to support that violations of "staff did not assist a resident with incontinent care needs, and staff made an inappropriate comment towards resident." had occurred. Based on the interviews, record/document reviews, and related information obtained during the investigation, the allegations are Unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Exit interview conducted with Cheyenne Flores, LVN/Health Services Director.

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.

  • 87468.2(a)(1)(3)Type B

    87468.2(a)(1)(3) Additional Personal Rights of Residents in Privately Operated Facilities- Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded dignity in their personal relationships with staff, residents, and other persons. To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature. This requirement was not met as evidenced by: LPA obtained two photos that had been taken, by S3/staff member, of resident R1 who had fallen on the ground in their apartment unit. S3 took the pictures of R1, with their personal cell phone, prior to assisting the resident off the floor, and providing needed care. stamp, and with S3's personal phone. Per investigation, and interviews, the resident/R1 photos are found to be personal, confidential, humiliating, and violate R1’s personal rights. LPA has copies of photos for the file. This is a violation of resident's personal rights.

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  • 87705(e)(7)Type B

    87705(e)(7) Care of Persons with Dementia- Licensees that use delayed egress devices on exterior doors and perimeter fence gates shall meet the following initial and continuing requirements: Delayed egress devices shall not substitute for trained staff in sufficient numbers to meet the care and supervision needs of all residents,, including staff needed to escort residents who need supervision to leave the facility. This requirement was not met as evidenced by: Incident regarding R2 who AWOL the memory care unit from the patio/courtyard door to the outside; The door is an egress exit, pressing on it for time required will release it, alarm sounded which alerted staff, who found R2 in the parking lot,this occurred on 10/31, at 5am. Incident of R2 on 11/2 AWOL out the memory care unit door that is inside the building leading into the assisted living area. R2 approached the front lobby area, and was redirected by staff back to the memory care. Only staff have the key code to the memory care unit door in the building. This is a health & safety risk for the resident.

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FAQ · About this visit

Common questions about this visit

What happened during the November 6, 2025 inspection of PINE RIDGE TERRACE?

This was a complaint inspection of PINE RIDGE TERRACE on November 6, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to PINE RIDGE TERRACE on November 6, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87468.2(a)(1)(3) Additional Personal Rights of Residents in Privately Operated Facilities- Residents in all residential..."

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.

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