Follow-up on corrections·April 18, 2024

Citations

5 citations recorded^*CCLD

• 87468.2(a)(4)Type A

  Additional Personal Rights of Residents in Privately Operated Facilities.Residents shall have all of the following....: To care, supervision, and services that meet their individual needs........ This requirement was not met as evidenced by: Based on the investigation, the licensee did not comply with the section cited above, as R1 was not properly supervised which led to an elopement, which poses an immediate personal rights risk to residents in care.

• 1569.312(a)Type A

  §1569.312(a) Basic services requirements. Basic services shall at a minimum include:(a)Care and supervision as defined in Section 1569.2.This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above. Facility staff did not supervise R1 which resulted in R1’s fall, sustaining traumatic subdural hematoma, resulting in death, which posed an immediate health and safety risk to residents in care.

• 87464(f)(1)(5)Type A

  (f) Basic services shall at a minimum include:(1)Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c (5) Regular observation of the resident's physical and mental condition..... This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above.Facility staff failed to assess R1 completely for fall prevention and develop a service plan as R1 had a history of falls with visible injuries noted, which posed an immediate health and safety risk to residents.

• 87465(g)Type A

  Incidental Medical and Dental Care(g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis…This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above. Facility staff did not seek timely medical care when R1 fell and sustained facial and head injuries, yet was put to bed, which posed an immediate health and safety risk to resident in care

• 87211(a)Type B

  (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(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.. This requirement was not met as evidenced by: Based on records review, R1 eloped from the facility on 01/17/2023, however this incident was not reported to CCL timely, which poses a potential health and safety risk to residents in care.

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