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Inspection visit

Incident investigation

VENTURA GRAND CHATEAULicense 565802472
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Teresa Camara conducted a Case Management - Incident visit regarding a self reported incident which took place on or about 7/10/2024. LPA met with administrator Sean Beharry and explained the reason for the visit. Starting at 9:38 a.m. LPA conducted interviews with administrator and two staff. LPA conducted an interview with Resident 1 (R1) at 10:42 a.m. LPA reviewed records during the interview with administrator. On 7/10/2024, at approximately 7:30 a.m. Staff 1 (S1) noticed R1 was not in their room. S1 asked Staff 2 (S2) if they knew where R1 was and S2 did not know R1 was missing. Staff conducted a search of the facility and grounds. S1 noticed a plastic chair was placed near the fence and had a shoe print on it. The police were notified of the missing resident. Staff drove around the neighborhood searching for R1. Administrator stated R1 was last seen by Staff 3 (S3) at approximately 9:30 p.m. on 7/9/2024. Staff located R1 at a nearby shopping center on a bus bench between 7:00-8:00 p.m. on 7/10/2024. A review of R1's records showed R1 was not allowed to leave the facility unassisted by staff. R1 had never displayed any exit seeking behavior. When asked by LPA why they left, R1 stated they were bored and wanted to go get a burger at McDonald's. R1 confirmed they climbed the fence to exit the facility. R1 stated they miss their family and would like to live with their family or closer to their family. R1 also stated they do not want to take medications prescribed by their physician and they are not interested in looking at alternatives to their current medication because they do not feel they need the medications. Administrator stated he is reviewing this with his manager and R1's representative to determine if this is appropriate placement for R1. In the meantime, staff are to keep a closer eye on the courtyard, the chairs that R1 used to climb the fence, and watch for R1 exit seeking. No deficiencies observed at this time. Exit interview conducted and report issued.

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.

  • 87Type A

    87608 Postural Supports (a) ...Postural supports may be used under the following conditions.(1)Postural supports shall be limited to appliances or device to achieve proper body position... to improve a resident's mobility... rather than restrict movement. This requirement is not met as evidenced by: Based on interviews with residents and staff, the Licensee did not comply with the section cited above as, S1 has been observed multiple times using geri-chairs and tables to restrict residents' movement, which poses an immediate health and safety risk to resident in care.

  • 87411(d)(3)Type B

    Resident care and supervision skills

    87411 Personnel Requirements - General (d) All personnel shall be given on the job training...(3) Skill and knowledge required to provide necessary resident care and supervision, including the ability to communicate with residents. This requirement is not met as evidenced by: Based on interviews with residents and staff, the Licensee did not comply with the section cited above as, S1 has been observed yelling at residents due to a language barrier, which poses a potential health and safety risk to resident in care.

  • 87468.1(a)(3)Type A

    Protection from punishment and intimidation

    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...This requirement is not met as evidenced by: Based on interviews with residents and staff, the Licensee did not comply with the section cited above as, S1 has been observed multiple times mistreating residents, which poses an immediate health and safety risk to resident in care.

  • 87468.1Type B

    Personal rights of residents in all facilities

    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: (1) To be accorded dignity in their personal relationships with staff, residents... This requirement was not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above as, witnesses stated R1 was treated poorly by S1, which posed a potential health and safety risk to resident in care.

FAQ · About this visit

Common questions about this visit

What happened during the July 11, 2024 inspection of VENTURA GRAND CHATEAU?

This was an other inspection of VENTURA GRAND CHATEAU on July 11, 2024. The inspection found no deficiencies and no citations were issued.

Were any citations issued to VENTURA GRAND CHATEAU on July 11, 2024?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

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.