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Inspection visit

Complaint

VENTURA GRAND CHATEAULicense 5658024722 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

LPA Olson interviewed 7 Staff and 2 backup Administrators on 12/21/22 and 12/22/22 regarding the allegations. One Administrator (A2) stated they knew nothing about it and A1 was very strict with the employees and would have told management and taken action against S1 if they witnessed it on camera. The other Administrator (A3) stated they heard about the first incident but didn’t see it. A3 stated that S1 is just “misunderstood” but would never do anything to hurt residents. 5 out of 7 staff interviewed said S1 would never physically harm the resident, and talks loud and may often get frustrated when talking to residents and other staff due to S1 not being fluent in English, and are just misunderstood. 5 out of 7 staff stated S1 is rude and have witnessed S1 saying rude things to residents, talking back to them, not giving them coffee or letting them walk far from their room and say things like, “be quiet”, “don’t hit me, I’ll hit you back”, “move over”, “You’re stubborn”. Staff 2 stated that they witnessed S1 grab residents by their wrist and take them to or from the dining area. S2 stated they witnessed R1 sitting on the bench near the bathrooms when S1 stepped on R1’s foot and pull R1’s hair. LPA asked if they saw why S1 did this and S3 stated when R1 was new to the facility they were very aggressive and may have tried to hit or kick S1, that was very common when R1 first arrived. S2 stated they informed the Administrator (A1) that day in the hallway and after S2 told A1 they didn’t say anything and kept walking. S2 stated they were working on 2/25/22 in the other room when Staff 3 (S3) told them S1 had just hit Resident (R2). Staff 2 stated, I think it was R2 and S3 told me they saw S1 hit R2 and told A1 who had saw it on video. LPA was unable to view the video at the facility. LPA interviewed Staff 3 who stated they witnessed S1 shove spoons in residents mouth when they have their mouth closed. S3 stated they witnessed S1 shove a spoon into R1’s mouth and heard a crunch. The next day R1 was missing a tooth. S3 also stated they witnessed S1 hit R2 on the head and said “shut up”. S3 stated they filled out paperwork for the incident and insisted Administrator 1 review the security footage. S3 stated that A1 and S3 reviewed the footage showing the incident and A1 assured S3 it would be handled. A1 is no longer at the facility and could not be interviewed. One resident interviewed stated S1 had yelled at them before. 2 resident interviewed stated they had witnessed S1 hit their roommate and a third resident stated S1 closed their hand in a door. LPA Olson interviewed S1 who states they have never hit a resident. S1 stated they are hit and hurt by residents but they never hit back. S1 demonstrated on LPA how they help residents up, escort them around, and feed them. S1 stated A1 has talked to them about the correct way to talk to residents and properly lift them but never talked to S1 about a staff or resident claiming they S1 hit someone. Based on interviews the allegations staff hit residents in care and Staff speaks inappropriately to residents in care are Substantiated. Exit interview conducted, a copy of the report and appeal rights were emailed.

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.

  • 87303(a)Type B

    Maintain facility in clean, safe, sanitary condition

    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 visitors. This requirement was not met as evidenced: Based on observation and interview, the licensee did not comply with the above cited section when the facility was not clean and in good repair, which posed a potential health, safety, and personal rights risk to residents in care.

  • Dignity in personal relationships

    87468.1(a)(1) Personal Rights. Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded dignity in their personal relationships with staff, residents, and other persons.…This requirement was not met as evidenced by: Based on interviews, the licensee did not comply with the above cited section when S1 verbally abused residents, which posed an immediate health and safety risk to residents in care.

  • Protection from punishment and intimidation

    87468.1(a)(3) Personal Rights. Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature…This requirement was not met as evidenced by: Based on interviews, the licensee did not comply with the above cited section when S1 hit and inappropriately handled residents, which posed an immediate health and safety risk to residents in care.

  • 87412(f)Type B

    Allow licensing inspection and controlled record removal

    87412(f) Personnel Records. All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. This requirement was not met as evidenced by: Based on observation and interview, the licensee did not comply with the above cited section when S2’s personnel record was not available to CCL, which posed a potential health and safety risk to residents in care.

  • 87211(a)(1)(D)Type B

    87211(a)(1)(D) Reporting Requirements. A written report shall be submitted to the licensing agency…seven days of the occurrence of…Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents... This requirement was not met as evidenced by: Based on interviews and record review, the licensee did not comply with the above cited section, when an incident report for 3 seperate incidents was not submitted to CCL, which posed a potential health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the December 29, 2022 inspection of VENTURA GRAND CHATEAU?

This was a complaint inspection of VENTURA GRAND CHATEAU on December 29, 2022. 2 citations were issued: 2 Type A (serious).

Were any citations issued to VENTURA GRAND CHATEAU on December 29, 2022?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Mainte..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.