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Inspection visit

Follow-up on corrections

SAGE MOUNTAIN SENIOR LIVINGLicense 5658024622 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced Case Management Deficiencies inspection at the facility regarding deficiencies observed during the investigation of complaint control # 29-AS-20230125125751. The LPA met with Nursing Director Betsy Mccoy and explained the reason for the inspection. During the investigation of complaint control # 29-AS-20230125125751, it was alleged that staff did not respond to a pendent call for assistance timely pertaining to a choking incident regarding Resident #1 (R1). During the course of the investigation, although there was insufficient evidence to support staff did not respond to a pendent call timely, there was sufficient evidence to support staff did not respond to a stat assistance for help with a choking incident timely as interviews revealed it took approximately seven (7) to eight (8) minutes for the S2 to respond and S2 utilized the elevator from the third floor to the first floor instead of using the stairs which is typically faster. Interviews conducted with witnesses also reflected that S2 did not perform the Heimlich maneuver or provide any type of life-saving procedures/medical interventions on R1 in the dining room. More information pertaining to this investigation is under the LIC 9099 dated 02/01/2024 under complaint control # 29-AS-20230125125751. During the course of the investigation, it also revealed S2’s first aid certification expired in February 2022, and S2 did not have a current certificate during the incident on 01/24/2023. Pursuant to Title 22, California Code of Regulations, the following deficiencies are cited (refer to LIC 9099-D). Exit interview conducted, civil penalties issued, appeal rights discussed, and a copy of this report issued.

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.

  • 87468.2(a)(4)Type A

    Right to sufficient care and qualified staff

    87468.2(a)In addition to the rights listed in Section 87468.1 (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs.This requirement is not met as evidenced by: Based on interviews & records review, the licensee did not comply with the section cited when there was not sufficient, competent staff to provide timely first aid assistance to R1, resulting in death by choking, which posed an immediate health and safety risks to

  • 87411(c)(1)Type B

    First aid training requirements

    87411 Personnel Requirements (c)All RCFE staff who assist residents... (1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross.This requirement is not met as evidenced by Based on record review, the licensee failed to comply with the section cited above as S2’s first aid certification expired in February 2022, and S2 did not have a current certificate during the incident on 01/24/2023 which posed a health and safety risk to residents in care.

  • 87468.2(a)(2)Type A

    Right to confidential records and approved disclosure

    87468.2 (a) In addition to the rights listed in Section 87468.1,....(4)To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above as staff failed to respond timely to an emergent situation pertaining to R1 which posed an immediate health and safety concern to R1 in care.

FAQ · About this visit

Common questions about this visit

What happened during the February 1, 2024 inspection of SAGE MOUNTAIN SENIOR LIVING?

This was an other inspection of SAGE MOUNTAIN SENIOR LIVING on February 1, 2024. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to SAGE MOUNTAIN SENIOR LIVING on February 1, 2024?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "87468.2(a)In addition to the rights listed in Section 87468.1 (4) To care, supervision, and services that meet their ind..."

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.