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Inspection visit

Complaint

GRAND OAKS ASSISTED LIVINGLicense 5472093741 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 10/29/24, Licensing Program Analysts (LPAs) L. Salazar and K. Kaur arrived at the facility unannounced to deliver findings on the above allegations. LPAs stated the purpose of their visit and were allowed entry into the facility. LPAs met with Residential Care Coordinator and Adminstrator to discuss the findings. Administrator is out of the facility and was available via telephone. During the investigation, LPA Salazar reviewed Centrally Strored Medication Destruction Records (CSDMR), Medication Administration Record (MAR), and observed 9 out of 23 days in April 2024, Resident R1 did not recieve their medication. LPA interviewed facility Staff S1, who signed off on the MAR. S1 stated they could not read the blood sugar levels and documented as "HI" and did not administer medication on 9 our of the 23 days recorded. Based on LPA’s observation of records and interview with Staff S1, the preponderance of evidence standard has been met; therefore, the above allegation is found to be Substantiated. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 9099-D. An exit interview was conducted with Administrator via telephone and a Plan of correction was developed. A copy of this report and appeal rights were discussed and will be provided to Administrator A plan of correction was developed by licensee and reviewed with LPA.

Citations

4 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(a)(4)Type A

    Assist residents with self-administered medication

    87465 Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:(4)The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by LPA's observation of Resident R1's records (CSMDR, MARS) and interview with Staff S1. R1 did not receive medication on 9 out of 23 days on the April 2024 MAR.

  • 87609(4)(C)Type A

    87609 Allowable Health Conditions and the Use of Home Health Agencies (4) The licensee and home health agency agree in writing on the responsibilities of the home health agency, and those of the licensee in caring for the resident’s medical condition(s). (C)The written agreement shall be signed by the licensee or licensee representative, and representative of the home health agency, and placed in the resident’s file. This requirement was not met as evidenced by:LPAs request for R2's Home Health care plan. During File review, LPAs did not observe a Plan of Care between Therapeutic Home Healthcare and Facility regarding a serious infection and how to care for it.

  • 87615(a)(4)Type A

    87615 Prohibited Health Conditions (a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: (4)…infection or other serious infection.This requirement was not met as evidenced by: Based on LPA's observation of records review and interview with Staff R2 was sent to hospital on10/29/2024 due to a serious infection diagnosed on 9/9/2024.

  • 87211(a)Type B

    Licensee reports required by licensing agency

    87211 Reporting Requirements (1) 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. (B) Any serious injury as determined by the attending physician and occurring while the resident is under facility supervision.This requirement was not met as evidenced by: Facility did not submit an incident report for (R2) who was referred to their PCP for a change of health condition/ injury on 8/28/2024.

FAQ · About this visit

Common questions about this visit

What happened during the October 29, 2024 inspection of GRAND OAKS ASSISTED LIVING?

This was a complaint inspection of GRAND OAKS ASSISTED LIVING on October 29, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to GRAND OAKS ASSISTED LIVING on October 29, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87465 Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each fac..."

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.