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Inspection visit

Follow-up

MARIPOSA VALLEY, INC.License 5658015965 citations on this visit
5 citations recorded

Inspector’s narrative

What the inspector wrote

A physical plant tour was conducted to ensure there are no health and safety hazards. The facility is currently fire cleared for 6 non-ambulatory residents. The facility was observed to be clean, sanitary, and in good repair. Resident restrooms were observed to be clean and sanitary and in working condition. Grab bars were present in the bathrooms. Hygiene items are being provided. LPA observed appropriate and sufficient lighting in each room. LPA observed fire extinguisher fully charged. Smoke and carbon monoxide detectors were tested and operable. LPA observed COVID signs posted in the facility. LPA did not observe a sufficient supply of perishable and non-perishable fruit. Centrally stored medicines are kept in locked closet in the entry way. Outdoor area toured. During facility tour with Administrator at 4:09 pm LPA observed a water fountain in backyard accessible to residents. During facility tour at 4:19 pm with Administrator LPA observed floor cleaner, detergent, shout stain remover and a tool in the garage accessible to residents. During facility tour at 4:22 pm with Administrator LPA observed all-purpose cleaner, toilet bowl cleaner, dish soap, windex, air freshener, kaboom oxi clean and furniture polish in unlocked kitchen cabinet accessible to residents. During facility tour at 4:23 pm with Administrator LPA observed knives, scissors and lighter in a kitchen drawer accessible to residents. During facility tour at 4:29 pm with Administrator LPA observed medicated body powder, ventolin inhaler, tylenol pill, brimonidine tartrate ophthalmic solution, dorzolamide HCI ophthalmic solution, refresh tears and lumigan opthalmic solution in resident #1 (R1)'s bedroom accessible to residents. During facility tour at 4:33 pm with Administrator LPA observed retin-A cream, voltaren arthritis cream, preparation H and scissors in resident bathroom cabinet accessible to residents. During facility tour at 4:34 pm with Administrator LPA observed muscle cramp and spasm foam in R2 and R3's shared bedroom accessible to residents. During facility tour at 4:35 pm with Administrator LPA observed arthritis pain gel in R4's bedroom accessible to residents. During facility tour at 5:06 pm with Administrator LPA did not observe a sufficient supply of perishable and non-perishable fruit as the facility had 1 large can of pears and 7 apples. Continued on 809-C Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): Civil penalties assessed in the amount of $500.00 Exit interview conducted, today's reports, civil penalty and appeal rights were reviewed and emailed to the Administrator.

Citations

5 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.

  • 87307(e)Type A

    Supervision near heating and water hazards

    87307 Personal Accommodations and Services.(e) Facilities providing services to residents who have physical or mental disabilities shall assure the inaccessibility of fishponds, wading pools, hot tubs, swimming pools, or similar bodies of water...through fencing, covering or other means.This requirement is not met as evidenced by: Based on LPA's observation, the licensee did not comply with the section cited above as the facility had a water fountain in the backyard accessible to residents which poses an immediate health and safety risk to persons in care.

  • 87465(h)(2)Type A

    Store centrally held medications in locked secure place

    87465 Incidental Medical and Dental Care Services (h)(2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.This requirement is not met as evidenced by: Based on LPA's observation, the licensee did not comply with the section cited above as LPA observed medications in R1's bedroom which poses an immediate health and safety risk to persons in care.

  • 87555(b)(26)Type B

    Onsite food stock levels for nonperishables and perishables

    87555 General Food Service Requirements.(b)(26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises.This requirement is not met as evidenced by: Based on LPA's observations, the licensee did not comply with the section cited above as the facility did not have a 2 day supply of perishable and one week supply of nonperishable fruit which poses a potential health and personal rights risk to persons in care.

  • 87705(f)(1)Type A

    Notify agency before locking doors or gates

    87705 Care of Persons with Dementia. (f)(1)The following shall be stored inaccessible to residents with dementia: Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s).This requirement is not met as evidenced by: Based on LPA’s observations, the licensee failed to ensure that knives, scissors, lighter and a tool were stored inaccessible to residents with dementia which posed an immediate health risk to persons in care.

  • 87705(f)(2)Type A

    Fire approval and staff access to unlock systems

    Care of Persons with Dementia. The following shall be stored inaccessible to residents with dementia: Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants.This requirement is not met as evidenced by: Based on LPA’s observations, the licensee failed to ensure that over-the-counter medications and toxic substances were stored inaccessible to residents with dementia which posed an immediate health risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the June 25, 2021 inspection of MARIPOSA VALLEY, INC.?

This was an other inspection of MARIPOSA VALLEY, INC. on June 25, 2021. 5 citations were issued: 4 Type A (serious) and 1 Type B.

Were any citations issued to MARIPOSA VALLEY, INC. on June 25, 2021?

Yes, 5 citations were issued (4 Type A, 1 Type B). The first citation was for: "87307 Personal Accommodations and Services.(e) Facilities providing services to residents who have physical or mental di..."

What type of inspection was this?

This was an other inspection. other 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.