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Inspection visit

complaint

ANGELS IILicense 5658012151 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit to deliver investigation finding. Reason for visit was explained. Administrator was contacted however was not feeling well therefore could not come to the facility and asked that staff sign for the report. Investigation into the above allegation consist of interview with Mrs. JoAnn Trupiano on 11/08/2023 and interview with reporting party on 10/30/2023 and 11/09/2023. On 11/08/2023, Mrs. Trupiano stated that she sent everything via email to the requestor. After review of the records it was revealed that records were sent to a wrong email and Mrs. Trupiano never followed up or returned any of the requestor's calls. Mrs. Trupiano confirmed that she did not follow up with the requestor or return their call due to a pending litigation. Interview with reporting party confirmed that Mrs. Trupiano did not return any of their calls or responded to the many request sent for copies of records pertaining to former resident (R1). Based on interviews conducted and records reviewed allegation "Staff are not providing responsible party with access to resident's records" is substantiated at this time. Citation issued (see attached LIC 9099-D). Exit interview conducted. Copy of report and appeal rights issued.

Citations

11 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.

  • 1569.625(b)(2)Type B

    Based on record review, the licensee did not comply with the section cited above in three (3) out of three (3) staff files reviewed lacked required annual training. This poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.69(a)Type B

    Based on record review, the licensee did not comply with the section cited above in three (3) out of three (3) staff files reviewed all three staff lacked proof of required annual medication training. This poses/posed a potential health, safety and personal rights risk to persons in care.

  • 1569.695(d)Type B

    Based on record review, the licensee did not comply with the section cited above. Licensee/Administrator did not review the Emergency Disaster Plan annual since developed. This poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87463(c)Type B

    Based on record review, the licensee did not comply with the section cited above. Resident #3's needs and services plan was observed over a year old. This poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(h)Type B

    Based on record review, the licensee did not comply with the section cited above in four (4) out of five (5) resident medications reviewed it was observed that staff are not logging in all prescribed/nonprescribed medications on the Centrally Stored Record log for the four residents. This poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87606(f)(3)Type B

    Based on record review, the licensee did not comply with the section cited above in three (3) out of three (3) staff records reviewed no staff had record of this training. This poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87609(b)(4)Type B

    Based on record review, the licensee did not comply with the section cited above. One out of five resident files reviewed identified that Resident #3 is receiving home health service; no written agreement between facility and home health agency was observed on file. This poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87625(b)(3)Type B

    Based on observation, the licensee did not comply with the section cited above. Two out of five clients observed in their room with full urine bottles; one full sitting on the night stand/on the other several urine bottles on and near resident's bed. This poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87468.1Type B

    Personal Rights of Residents in All facilities(9) To have communications to the licensee from their representatives answered promptly and appropriately.This requirement is not met as evidence by: Based on interview with Licensee/ administrator, licensee did not comply with the above regulation. Licensee did not communicate or provide records to former resident's family representative despite the several attempts made by requestor/family representative.

  • 87470(a)(2)(B)Type B

    Based on observation, the licensee did not comply with the section cited above. LPA observed living area and resident room walls window coverings with dust and stains. This poses a potential health, safety or personal rights risk to persons in care. Resident #1's room was observed with dirty napkins on the floor; urine stains on the bedding.

  • 87705(f)(2)Type A

    Based on observation, the licensee did not comply with the section cited above. Bottle of tylenol observed on kitchen table accessible to others. This poses an immediate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 21, 2024 inspection of ANGELS II?

This was a complaint inspection of ANGELS II on March 21, 2024. 1 citation were issued: 1 Type B.

Were any citations issued to ANGELS II on March 21, 2024?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Based on record review, the licensee did not comply with the section cited above in three (3) out of three (3) staff fil..."

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.