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Inspection visit

Follow-up on corrections

ASHLEY'S MANOR IILicense 5658016473 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Kelly Dulek initiated a Case Management – Deficiencies visit for the purpose of issuing citations for concerns identified during the course of a Technical Advice visit and numerous phone conversations with the Licensee. Due to the situation surrounding the Coronavirus Disease 2019 (COVID-19), and to implement mitigation measures, today’s visit was conducted telephonically with Maricar Lee, the facility licensee. During daily telephone conversations the week of 8/9 – 8/13/2021, as well as during a Technical Assistance visit with Ventura County Public Health (VCPH) on site at another of the Licensee's facilities and CCL joining virtually, Licensee Maricar Lee refused to re-admit Resident #1 (R1) from the hospital. Licensee stated there was insufficient staffing for R1 at the facility. CCL provided staffing resources for the Licensee, who the LPA confirmed did in fact have staff available for COVID positive residents. The Licensee indicated there was no room available for R1 at the facility; however, at the time of the Licensee’s statement, no residents were currently residing at the facility and only 4 residents were residing at another of the Licensee’s facilities, which has a licensed capacity of 6. VCPH and the hospital discharge planner indicated R1 was ready for discharge from the hospital as of 8/9/2021. As of today, the resident is still admitted to the hospital and has yet to return to the facility. The following deficiencies were observed (see LIC 809-D) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. A telephonic exit interview was conducted. A copy of the report and appeal rights were provided via email.

Citations

3 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.

  • 1569.269(a)(22)Type A

    1569.269 Enumerated rights; severability (a) Residents... have all of the following rights: (22) To be protected from involuntary transfers, discharges, and evictions... “involuntary” means a transfer, discharge, or eviction that is initiated by the licensee, not by the resident.This requirement is not met as evidenced by: Based on interview, the Licensee transfered R1 to the hospital and refused re-admission to the facility, which poses an immediate threat to the health and safety of residents in care.

  • 87405(d)Type A

    87405 Administrator - Qualifications and Duties (d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply.This requirement is not met as evidenced by: Based on interview and observation, the licensee/administrator was unable to provide staffing and refused to allow R1 to return to the facility upon hospital discharge, which causes an immediate safety and personal rights risk to residents in care.

  • 87468.1(a)(2)Type A

    87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.This requirement is not met as evidenced by: Based on interview and observation, Licensee did not allow R1 to return to R1's room at the facility when the hospital requested discharge, which poses an immediate personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 16, 2021 inspection of ASHLEY'S MANOR II?

This was a other inspection of ASHLEY'S MANOR II on August 16, 2021. 3 citations were issued: 3 Type A (serious).

Were any citations issued to ASHLEY'S MANOR II on August 16, 2021?

Yes, 3 citations were issued (3 Type A, 0 Type B). The first citation was for: "1569.269 Enumerated rights; severability (a) Residents... have all of the following rights: (22) To be protected from in..."

What type of inspection was this?

This was a 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.