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Inspection visit

Routine inspection

AUTUMN MANOR, LLCLicense 5658008414 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analysts (LPAs) Teresa Camara and Ashley Smith conducted an unannounced Required -1 Year inspection. LPAs met with Administrator Giovanni Fulgentes and Maria Mendez and explained the reason for the visit. Today's evaluation included but was not limited to: building and grounds, residents' rooms, bathrooms, hot water temperature (read at 102.7 degrees F) in bathrooms, common areas, food and first aid supplies . LPA observed lamps/lights as well as sufficient furnishings and linens for each room. LPA observed fire extinguisher fully charged. Centrally stored medicines are kept in a locked cabinet in the hallway near the family room/dining room area. Grab bars and non-skid materials were present in the bathrooms. LPA observed facility to be a comfortable temperature throughout the visit. Smoke alarms and carbon monoxide detectors were tested and were operable at the time of the visit. Indoor and outdoor area toured passageways were free from obstruction. LPA reviewed resident records and medications. LPA reviewed staff records. During facility tour, LPA observed one central entry point designated for universal entry screening. Cleaning supplies were observed and infection control practices were discussed. During the facility tour on 09/24/21 at 09:15 a.m. LPA observed over the counter ointments and shampoo stored in an unlocked drawer of the dresser in bedroom 3. Later during the tour, at 09:25 a.m., LPA observed hairspray on a nightstand in bedroom 1. While reviewing medications at 03:00 p.m., LPA observed over the counter medications with no physician orders for Residents 2, 3, 4, and 5 (R2, R3, R4, R5). LPA also observed there were no physician orders for prescription medications for R4. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D). Exit interview conducted, today's reports and appeal rights were reviewed and emailed to the Administrator.

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.

  • 87458(b)(3)Type B

    Based on observation, the licensee did not comply with the section cited above as 4 out of 5 residents lacked physicians' orders for medication which poses an immediate health, safety or personal rights risk to persons in care.

  • 87705(f)(2)Type A

    Based on observation, the licensee did not comply with the section cited above as over the counter medications were observed in bedroom 3 which poses an immediate health, safety or personal rights risk to persons in care.

  • 87705(g)(1)Type A

    Based on observation, the licensee did not comply with the section cited above as personal hygiene items were accessble in bedrooms 1 and 3 which poses an immediate health, safety or personal rights risk to persons in care.

  • 87303(e)(2)Type B

    Based on observation, the licensee did not comply with the section cited above as water temperature measured below regulation which poses a potential health and safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 24, 2021 inspection of AUTUMN MANOR, LLC?

This was a inspection inspection of AUTUMN MANOR, LLC on September 24, 2021. 4 citations were issued: 2 Type A (serious) and 2 Type B.

Were any citations issued to AUTUMN MANOR, LLC on September 24, 2021?

Yes, 4 citations were issued (2 Type A, 2 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section cited above as 4 out of 5 residents lacked physicians..."

What type of inspection was this?

This was a inspection inspection. inspection 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.