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Inspection visit

Follow-up on corrections

ROYAL OAKS HOME CARELicense 5658018511 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Teresa Camara conducted a case management-deficiencies visit while visiting the facility regarding an unrelated complaint number 29-AS-20220718164215. LPA met with co-administrator Karina Antig and explained the reason for the visit. At approximately 11:36 am, while briefly touring the facility, LPA observed Resident 1 (R1) with what appeared to be intravenous (IV) bags being administered. LPA inquired with Staff 1 (S1) about the IV bags and S1 stated R1 has a gastronomy tube (g-tube). S1 stated R1 has had the g-tube since date of admission 6/20/2022. LPA spoke with the administrator regarding R1's g-tube at approximately 12:30 p.m. The administrator stated when she admitted R1 she was told R1 would be placed on hospice. However, R1's condition started improving and R1 was never put on hospice. R1 receives home health services for the g-tube. R1 has started eating food and R1's gastroenterologist indicated they might remove R1's g-tube. The administrator stated she would contact R1's doctor and request an update. If R1 is not placed on hospice or have the g-tube removed, she will notify R1's responsible party that R1 must be placed in a skilled nursing facility. Pursuant to Title 22 CA Code of Regulations, the following deficiencies were cited (refer to LIC 9099-D). Exit interview conducted. Today's report and appeal rights were discussed and emailed.

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.

  • 87615(a)(2)Type A

    87615 Prohibited Health Conditions(a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly:(2) Gastrostomy tubes. Based on observation, interview and record review, the licensee did not comply with the section cited above, as R1 has a g-tube, which poses an immediate health and safety risk to residents in care.

  • 87468.1(a)(3)Type B

    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: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. Based on observation, interview and record review, the licensee did not comply with the section cited above, as R1 was physically restrained by S1, which poses a potential health and safety risk to residents in care.

  • 87468.1(a)(6)Type B

    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: (6) To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night. This does not prohibit a licensee from establishing house rules, such as locking doors at night to protect residents, or barring windows against intruders, with permission from the Department. Based on observation, interview and record review, the licensee did not comply with the section cited above, as R1 was physically restrained

FAQ · About this visit

Common questions about this visit

What happened during the November 22, 2022 inspection of ROYAL OAKS HOME CARE?

This was a other inspection of ROYAL OAKS HOME CARE on November 22, 2022. 1 citation were issued: 1 Type A (serious).

Were any citations issued to ROYAL OAKS HOME CARE on November 22, 2022?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87615 Prohibited Health Conditions(a) Persons who require health services for or have a health condition including, but ..."

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.