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Inspection visit

Follow-up on corrections

DELPHINIUM MANORLicense 5658024273 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

This Case management visit was conducted to address the deficiencies noted during complaint control # 29-AS-20210427084005 investigation visit conducted on 5/5/21. During facility tour on 5/5/21 starting at 9:38 AM LPA's observed spray chemicals in a bucket outside bathroom accessible to residents. At 9:50 AM LPA's observed laundry soap, vinegar, Lysol toilet bowl cleaner, and other chemicals in an unlocked garage door accessible to residents. At 9:52 AM LPA's observed disinfectant and cleaning solutions stored in a food storage area inside garage. At 9:55 AM LPA's observed fertilizer bag, a propane tank and gardening tools in outside patio accessible to residents. During the review of resident records on 5/5/21, starting at 10:25 AM, LPA's observed R1, R2 and R3 Physicians Report and Appraisal Reports not currently dated. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies was cited (refer to LIC 809-D): Exit interview conducted, todays reports reviewed and email to administrator.

Citations

4 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.

  • 87309(c)Type B

    87309 Storage Space (c) The items specified in (a) above shall not be stored in food storage areas or in storage areas used by or for clients.This requirement is not met as evidence by: Based on LPA's observations, the licensee did not comply with the section cited above as disinfectant and cleaning solutions were observed in a food storage which poses a potential safety risk to persons in care.

  • 87705(c)(5)Type B

    87705 Care of Persons with Dementia (c)(5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually...This requirement is not met as evidence by: Based on record review, the licensee did not comply with the section cited above in 3 out of 6 resident records which poses a potential health and safety risk to persons in care.

  • 87705(f)(2)Type A

    87705 Care of Persons with Dementia (f)(2) 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 did not comply with the section cited above, 5 out of 6 residents have a diagnosis of dementia according to physicians report, and toxic substances were observed throughout the facility accessible to residents which posed an immediate health risk to persons in care.

  • 87303(a)Type B

    87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitorsThis requirement is not met as evidenced by: Based on observation, the walkway is partially obstructed, causing a narrow pathway with an uneven surface, which poses a potential safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 5, 2021 inspection of DELPHINIUM MANOR?

This was a other inspection of DELPHINIUM MANOR on May 5, 2021. 3 citations were issued: 1 Type A (serious) and 2 Type B.

Were any citations issued to DELPHINIUM MANOR on May 5, 2021?

Yes, 3 citations were issued (1 Type A, 2 Type B). The first citation was for: "87309 Storage Space (c) The items specified in (a) above shall not be stored in food storage areas or in storage areas u..."

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.